Senate File 505 - Reprinted
SENATE FILE
BY COMMITTEE ON
APPROPRIATIONS
(SUCCESSOR TO SSB
1288)
(As Amended and Passed by the Senate May 6, 2015)
A BILL FOR
1 An Act relating to appropriations for health and human services
2 and veterans and including other related provisions and
3 appropriations, and including effective date and retroactive
4 and other applicability date provisions.
5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
SF 505 (4) 86
pf/rj
PAG LIN
1 1 DIVISION I
1 2 DEPARTMENT ON AGING ==== FY 2015=2016
1 3 Section 1. DEPARTMENT ON AGING. There is appropriated from
1 4 the general fund of the state to the department on aging for
1 5 the fiscal year beginning July 1, 2015, and ending June 30,
1 6 2016, the following amount, or so much thereof as is necessary,
1 7 to be used for the purposes designated:
1 8 For aging programs for the department on aging and area
1 9 agencies on aging to provide citizens of Iowa who are 60 years
1 10 of age and older with case management for frail elders, Iowa's
1 11 aging and disabilities resource center, and other services
1 12 which may include but are not limited to adult day services,
1 13 respite care, chore services, information and assistance,
1 14 and material aid, for information and options counseling for
1 15 persons with disabilities who are 18 years of age or older,
1 16 and for salaries, support, administration, maintenance, and
1 17 miscellaneous purposes, and for not more than the following
1 18 full=time equivalent positions:
1 19 .................................................. $ 11,436,066
1 20 ............................................... FTEs 31.00
1 21 1. Funds appropriated in this section may be used to
1 22 supplement federal funds under federal regulations. To
1 23 receive funds appropriated in this section, a local area
1 24 agency on aging shall match the funds with moneys from other
1 25 sources according to rules adopted by the department. Funds
1 26 appropriated in this section may be used for elderly services
1 27 not specifically enumerated in this section only if approved
1 28 by an area agency on aging for provision of the service within
1 29 the area.
1 30 2. Of the funds appropriated in this section, $279,946 is
1 31 transferred to the economic development authority for the Iowa
1 32 commission on volunteer services to be used for the retired and
1 33 senior volunteer program.
1 34 3. a. The department on aging shall establish and enforce
1 35 procedures relating to expenditure of state and federal funds
2 1 by area agencies on aging that require compliance with both
2 2 state and federal laws, rules, and regulations, including but
2 3 not limited to all of the following:
2 4 (1) Requiring that expenditures are incurred only for goods
2 5 or services received or performed prior to the end of the
2 6 fiscal period designated for use of the funds.
2 7 (2) Prohibiting prepayment for goods or services not
2 8 received or performed prior to the end of the fiscal period
2 9 designated for use of the funds.
2 10 (3) Prohibiting the prepayment for goods or services
2 11 not defined specifically by good or service, time period, or
2 12 recipient.
2 13 (4) Prohibiting the establishment of accounts from which
2 14 future goods or services which are not defined specifically by
2 15 good or service, time period, or recipient, may be purchased.
2 16 b. The procedures shall provide that if any funds are
2 17 expended in a manner that is not in compliance with the
2 18 procedures and applicable federal and state laws, rules, and
2 19 regulations, and are subsequently subject to repayment, the
2 20 area agency on aging expending such funds in contravention of
2 21 such procedures, laws, rules and regulations, not the state,
2 22 shall be liable for such repayment.
2 23 4. Of the funds appropriated in this section, at least
2 24 $250,000 shall be used to fund the unmet needs identified
2 25 through Iowa's aging and disability resource center network.
2 26 5. Of the funds appropriated in this section, at least
2 27 $600,000 shall be used to fund home and community=based
2 28 services through the area agencies on aging that enable older
2 29 individuals to avoid more costly utilization of residential or
2 30 institutional services and remain in their own homes.
2 31 6. Of the funds appropriated in this section, $850,000
2 32 shall be used for the purposes of chapter 231E and section
2 33 231.56A, of which $325,000 shall be used for the office of
2 34 substitute decision maker pursuant to chapter 231E, and the
2 35 remainder shall be distributed equally to the area agencies on
3 1 aging to administer the prevention of elder abuse, neglect, and
3 2 exploitation program pursuant to section 231.56A, in accordance
3 3 with the requirements of the federal Older Americans Act of
3 4 1965, 42 U.S.C. {3001 et seq., as amended.
3 5 DIVISION II
3 6 OFFICE OF LONG=TERM CARE OMBUDSMAN ==== FY 2015=2016
3 7 Sec. 2. OFFICE OF LONG=TERM CARE OMBUDSMAN.
3 8 1. There is appropriated from the general fund of the state
3 9 to the office of long=term care ombudsman for the fiscal year
3 10 beginning July 1, 2015, and ending June 30, 2016, the following
3 11 amount, or so much thereof as is necessary, to be used for the
3 12 purposes designated:
3 13 For salaries, support, administration, maintenance, and
3 14 miscellaneous purposes, and for not more than the following
3 15 full=time equivalent positions:
3 16 .................................................. $ 1,506,783
3 17 ............................................... FTEs 21.00
3 18 2. Of the funds appropriated in this section, $450,000 shall
3 19 be used to provide additional local long=term care ombudsmen.
3 20 3. The office of long=term care ombudsman and the department
3 21 of human services shall collaborate to develop a Medicaid
3 22 state plan amendment to provide for the claiming of federal
3 23 financial participation for office of long=term care ombudsman
3 24 activities that are performed to assist with administration of
3 25 the Medicaid program. The Medicaid state plan amendment shall
3 26 be submitted to the centers for Medicare and Medicaid services
3 27 of the United States department of health and human services in
3 28 a timely manner to allow for such claiming of federal financial
3 29 participation beginning January 1, 2016.
3 30 DIVISION III
3 31 DEPARTMENT OF PUBLIC HEALTH ==== FY 2015=2016
3 32 Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriated
3 33 from the general fund of the state to the department of public
3 34 health for the fiscal year beginning July 1, 2015, and ending
3 35 June 30, 2016, the following amounts, or so much thereof as is
4 1 necessary, to be used for the purposes designated:
4 2 1. ADDICTIVE DISORDERS
4 3 For reducing the prevalence of the use of tobacco, alcohol,
4 4 and other drugs, and treating individuals affected by addictive
4 5 behaviors, including gambling, and for not more than the
4 6 following full=time equivalent positions:
4 7 .................................................. $ 27,263,690
4 8 ............................................... FTEs 10.00
4 9 a. (1) Of the funds appropriated in this subsection,
4 10 $5,248,361 shall be used for the tobacco use prevention
4 11 and control initiative, including efforts at the state and
4 12 local levels, as provided in chapter 142A. The commission
4 13 on tobacco use prevention and control established pursuant
4 14 to section 142A.3 shall advise the director of public health
4 15 in prioritizing funding needs and the allocation of moneys
4 16 appropriated for the programs and initiatives. Activities
4 17 of the programs and initiatives shall be in alignment with
4 18 the United States centers for disease control and prevention
4 19 best practices for comprehensive tobacco control programs that
4 20 include the goals of preventing youth initiation of tobacco
4 21 usage, reducing exposure to secondhand smoke, and promotion of
4 22 tobacco cessation.
4 23 (2) (a) Of the funds allocated in this paragraph "a",
4 24 $453,067 is transferred to the alcoholic beverages division of
4 25 the department of commerce for enforcement of tobacco laws,
4 26 regulations, and ordinances and to engage in tobacco control
4 27 activities approved by the division of tobacco use prevention
4 28 and control of the department of public health as specified
4 29 in the memorandum of understanding entered into between the
4 30 divisions.
4 31 (b) For the fiscal year beginning July 1, 2015, and ending
4 32 June 30, 2016, the terms of the memorandum of understanding,
4 33 entered into between the division of tobacco use prevention
4 34 and control of the department of public health and the
4 35 alcoholic beverages division of the department of commerce,
5 1 governing compliance checks conducted to ensure licensed retail
5 2 tobacco outlet conformity with tobacco laws, regulations, and
5 3 ordinances relating to persons under eighteen years of age,
5 4 shall continue to restrict the number of such checks to one
5 5 check per retail outlet, and one additional check for any
5 6 retail outlet found to be in violation during the first check.
5 7 b. Of the funds appropriated in this subsection,
5 8 $22,015,329 shall be used for problem gambling and
5 9 substance=related disorder prevention, treatment, and recovery
5 10 services, including a 24=hour helpline, public information
5 11 resources, professional training, and program evaluation.
5 12 (1) Of the funds allocated in this paragraph "b",
5 13 $18,903,715 shall be used for substance=related disorder
5 14 prevention and treatment.
5 15 (a) Of the funds allocated in this subparagraph (1),
5 16 $899,300 shall be used for the public purpose of a grant
5 17 program to provide substance=related disorder prevention
5 18 programming for children.
5 19 (i) Of the funds allocated in this subparagraph division
5 20 (a), $427,539 shall be used for grant funding for organizations
5 21 that provide programming for children by utilizing mentors.
5 22 Programs approved for such grants shall be certified or must
5 23 be certified within six months of receiving the grant award
5 24 by the Iowa commission on volunteer services as utilizing the
5 25 standards for effective practice for mentoring programs.
5 26 (ii) Of the funds allocated in this subparagraph division
5 27 (a), $426,839 shall be used for grant funding for organizations
5 28 providing programming that includes youth development and
5 29 leadership services. The programs shall also be recognized as
5 30 being programs that are scientifically based with evidence of
5 31 their effectiveness in reducing substance=related disorders in
5 32 children.
5 33 (iii) The department of public health shall utilize a
5 34 request for proposals process to implement the grant program.
5 35 (iv) All grant recipients shall participate in a program
6 1 evaluation as a requirement for receiving grant funds.
6 2 (v) Of the funds allocated in this subparagraph division
6 3 (a), up to $44,922 may be used to administer substance=related
6 4 disorder prevention grants and for program evaluations.
6 5 (b) Of the funds allocated in this subparagraph
6 6 (1), $272,603 shall be used for culturally competent
6 7 substance=related disorder treatment pilot projects.
6 8 (i) The department shall utilize the amount allocated
6 9 in this subparagraph division (b) for at least three pilot
6 10 projects to provide culturally competent substance=related
6 11 disorder treatment in various areas of the state. Each pilot
6 12 project shall target a particular ethnic minority population.
6 13 The populations targeted shall include but are not limited to
6 14 African American, Asian, and Latino.
6 15 (ii) The pilot project requirements shall provide for
6 16 documentation or other means to ensure access to the cultural
6 17 competence approach used by a pilot project so that such
6 18 approach can be replicated and improved upon in successor
6 19 programs.
6 20 (2) Of the funds allocated in this paragraph "b", up
6 21 to $3,111,614 may be used for problem gambling prevention,
6 22 treatment, and recovery services.
6 23 (a) Of the funds allocated in this subparagraph (2),
6 24 $2,573,762 shall be used for problem gambling prevention and
6 25 treatment.
6 26 (b) Of the funds allocated in this subparagraph (2), up to
6 27 $437,852 may be used for a 24=hour helpline, public information
6 28 resources, professional training, and program evaluation.
6 29 (c) Of the funds allocated in this subparagraph (2), up
6 30 to $100,000 may be used for the licensing of problem gambling
6 31 treatment programs.
6 32 (3) It is the intent of the general assembly that from the
6 33 moneys allocated in this paragraph "b", persons with a dual
6 34 diagnosis of substance=related disorder and gambling addiction
6 35 shall be given priority in treatment services.
7 1 c. Notwithstanding any provision of law to the contrary,
7 2 to standardize the availability, delivery, cost of delivery,
7 3 and accountability of problem gambling and substance=related
7 4 disorder treatment services statewide, the department shall
7 5 continue implementation of a process to create a system
7 6 for delivery of treatment services in accordance with the
7 7 requirements specified in 2008 Iowa Acts, chapter 1187, section
7 8 3, subsection 4. To ensure the system provides a continuum
7 9 of treatment services that best meets the needs of Iowans,
7 10 the problem gambling and substance=related disorder treatment
7 11 services in any area may be provided either by a single agency
7 12 or by separate agencies submitting a joint proposal.
7 13 (1) The system for delivery of substance=related disorder
7 14 and problem gambling treatment shall include problem gambling
7 15 prevention.
7 16 (2) The system for delivery of substance=related disorder
7 17 and problem gambling treatment shall include substance=related
7 18 disorder prevention by July 1, 2016.
7 19 (3) Of the funds allocated in paragraph "b", the department
7 20 may use up to $100,000 for administrative costs to continue
7 21 developing and implementing the process in accordance with this
7 22 paragraph "c".
7 23 d. The requirement of section 123.53, subsection 5, is met
7 24 by the appropriations and allocations made in this division of
7 25 this Act for purposes of substance=related disorder treatment
7 26 and addictive disorders for the fiscal year beginning July 1,
7 27 2015.
7 28 e. The department of public health shall work with all
7 29 other departments that fund substance=related disorder
7 30 prevention and treatment services and all such departments
7 31 shall, to the extent necessary, collectively meet the state
7 32 maintenance of effort requirements for expenditures for
7 33 substance=related disorder services as required under the
7 34 federal substance=related disorder prevention and treatment
7 35 block grant.
8 1 2. HEALTHY CHILDREN AND FAMILIES
8 2 For promoting the optimum health status for children,
8 3 adolescents from birth through 21 years of age, and families,
8 4 and for not more than the following full=time equivalent
8 5 positions:
8 6 .................................................. $ 7,331,602
8 7 ............................................... FTEs 13.00
8 8 a. Of the funds appropriated in this subsection, not more
8 9 than $734,841 shall be used for the healthy opportunities for
8 10 parents to experience success (HOPES)=healthy families Iowa
8 11 (HFI) program established pursuant to section 135.106. The
8 12 funding shall be distributed to renew the grants that were
8 13 provided to the grantees that operated the program during the
8 14 fiscal year ending June 30, 2015.
8 15 b. In order to implement the legislative intent stated in
8 16 sections 135.106 and 256I.9, that priority for home visitation
8 17 program funding be given to programs using evidence=based or
8 18 promising models for home visitation, it is the intent of the
8 19 general assembly to phase in the funding priority in accordance
8 20 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2,
8 21 paragraph 0b.
8 22 c. Of the funds appropriated in this subsection, $4,912,887
8 23 shall be used to expand statewide the department's initiative
8 24 to provide for adequate developmental surveillance and
8 25 screening during a child's first five years. The funds shall
8 26 be used first to fully fund the current sites to ensure that
8 27 the sites are fully operational, with the remaining funds
8 28 to be used for expansion to additional sites. The full
8 29 implementation and expansion shall include enhancing the scope
8 30 of the program through collaboration with the child health
8 31 specialty clinics to promote healthy child development through
8 32 early identification and response to both biomedical and social
8 33 determinants of healthy development; by monitoring child
8 34 health metrics to inform practice, document long=term health
8 35 impacts and savings, and provide for continuous improvement
9 1 through training, education, and evaluation; and by providing
9 2 for practitioner consultation particularly for children with
9 3 behavioral conditions and needs. The department of public
9 4 health shall also collaborate with the Iowa Medicaid enterprise
9 5 and the child health specialty clinics to integrate the
9 6 activities of the first five initiative into the establishment
9 7 of patient=centered medical homes, community utilities,
9 8 accountable care organizations, and other integrated care
9 9 models developed to improve health quality and population
9 10 health while reducing health care costs. To the maximum extent
9 11 possible, funding allocated in this paragraph shall be utilized
9 12 as matching funds for medical assistance program reimbursement.
9 13 d. Of the funds appropriated in this subsection, $74,640
9 14 shall be distributed to a statewide dental carrier to provide
9 15 funds to continue the donated dental services program patterned
9 16 after the projects developed by the lifeline network to provide
9 17 dental services to indigent individuals who are elderly or with
9 18 disabilities.
9 19 e. Of the funds appropriated in this subsection, $111,995
9 20 shall be used for childhood obesity prevention.
9 21 f. Of the funds appropriated in this subsection, $162,768
9 22 shall be used to provide audiological services and hearing
9 23 aids for children. The department may enter into a contract
9 24 to administer this paragraph.
9 25 g. Of the funds appropriated in this subsection, $25,000 is
9 26 transferred to the university of Iowa college of dentistry for
9 27 provision of primary dental services to children. State funds
9 28 shall be matched on a dollar=for=dollar basis. The university
9 29 of Iowa college of dentistry shall coordinate efforts with the
9 30 department of public health, bureau of oral and health delivery
9 31 systems, to provide dental care to underserved populations
9 32 throughout the state.
9 33 h. Of the funds appropriated in this subsection, $50,000
9 34 shall be used to address youth suicide prevention.
9 35 i. Of the funds appropriated in this subsection, $50,000
10 1 shall be used to support the Iowa effort to address the survey
10 2 of children who experience adverse childhood experiences known
10 3 as ACEs.
10 4 3. CHRONIC CONDITIONS
10 5 For serving individuals identified as having chronic
10 6 conditions or special health care needs, and for not more than
10 7 the following full=time equivalent positions:
10 8 .................................................. $ 5,105,861
10 9 ............................................... FTEs 5.00
10 10 a. Of the funds appropriated in this subsection, $159,932
10 11 shall be used for grants to individual patients who have an
10 12 inherited metabolic disorder to assist with the costs of
10 13 medically necessary foods and formula.
10 14 b. Of the funds appropriated in this subsection, $891,644
10 15 shall be used for the brain injury services program pursuant to
10 16 section 135.22B, including for continuation of the contracts
10 17 for resource facilitator services in accordance with section
10 18 135.22B, subsection 9, and to enhance brain injury training and
10 19 recruitment of service providers on a statewide basis. Of the
10 20 amount allocated in this paragraph, $95,000 shall be used to
10 21 fund one full=time equivalent position to serve as the state
10 22 brain injury services program manager.
10 23 c. Of the funds appropriated in this subsection, $547,982
10 24 shall be used as additional funding to leverage federal funding
10 25 through the federal Ryan White Care Act, Tit. II, AIDS drug
10 26 assistance program supplemental drug treatment grants.
10 27 d. Of the funds appropriated in this subsection, $149,823
10 28 shall be used for the public purpose of continuing to contract
10 29 with an existing national=affiliated organization to provide
10 30 education, client=centered programs, and client and family
10 31 support for people living with epilepsy and their families.
10 32 The amount allocated in this paragraph in excess of $100,000
10 33 shall be matched dollar=for=dollar by the organization
10 34 specified.
10 35 e. Of the funds appropriated in this subsection, $785,114
11 1 shall be used for child health specialty clinics.
11 2 f. Of the funds appropriated in this subsection, $400,000
11 3 shall be used by the regional autism assistance program
11 4 established pursuant to section 256.35, and administered by
11 5 the child health specialty clinic located at the university of
11 6 Iowa hospitals and clinics. The funds shall be used to enhance
11 7 interagency collaboration and coordination of educational,
11 8 medical, and other human services for persons with autism,
11 9 their families, and providers of services, including delivering
11 10 regionalized services of care coordination, family navigation,
11 11 and integration of services through the statewide system of
11 12 regional child health specialty clinics and fulfilling other
11 13 requirements as specified in chapter 225D. The university of
11 14 Iowa shall not receive funds allocated under this paragraph for
11 15 indirect costs associated with the regional autism assistance
11 16 program.
11 17 g. Of the funds appropriated in this subsection, $570,993
11 18 shall be used for the comprehensive cancer control program to
11 19 reduce the burden of cancer in Iowa through prevention, early
11 20 detection, effective treatment, and ensuring quality of life.
11 21 Of the funds allocated in this paragraph "g", $150,000 shall
11 22 be used to support a melanoma research symposium, a melanoma
11 23 biorepository and registry, basic and translational melanoma
11 24 research, and clinical trials.
11 25 h. Of the funds appropriated in this subsection, $126,450
11 26 shall be used for cervical and colon cancer screening, and
11 27 $300,000 shall be used to enhance the capacity of the cervical
11 28 cancer screening program to include provision of recommended
11 29 prevention and early detection measures to a broader range of
11 30 low=income women.
11 31 i. Of the funds appropriated in this subsection, $676,864
11 32 shall be used for the center for congenital and inherited
11 33 disorders including to provide for surveillance of stillbirths
11 34 as defined in section 136A.2.
11 35 j. Of the funds appropriated in this subsection, $129,411
12 1 shall be used for the prescription drug donation repository
12 2 program created in chapter 135M.
12 3 k. Of the funds appropriated in this subsection,
12 4 $215,263 shall be used by the department of public health
12 5 for reform=related activities, including but not limited to
12 6 facilitation of communication to stakeholders at the state and
12 7 local level, administering the patient=centered health advisory
12 8 council pursuant to section 135.159, and involvement in health
12 9 care system innovation activities occurring across the state.
12 10 l. Of the funds appropriated in this subsection, $25,000
12 11 shall be used for administration of chapter 124D, the medical
12 12 cannabidiol Act, or other Code provisions authorizing the
12 13 compassionate medical use of cannabis, if enacted by the 2015
12 14 regular session of the Eighty=sixth General Assembly.
12 15 4. COMMUNITY CAPACITY
12 16 For strengthening the health care delivery system at the
12 17 local level, and for not more than the following full=time
12 18 equivalent positions:
12 19 .................................................. $ 8,719,716
12 20 ............................................... FTEs 11.00
12 21 a. Of the funds appropriated in this subsection, $99,414
12 22 is allocated for continuation of the child vision screening
12 23 program implemented through the university of Iowa hospitals
12 24 and clinics in collaboration with early childhood Iowa areas.
12 25 The program shall submit a report to the individuals identified
12 26 in this Act for submission of reports regarding the use of
12 27 funds allocated under this paragraph "a". The report shall
12 28 include the objectives and results for the program year
12 29 including the target population and how the funds allocated
12 30 assisted the program in meeting the objectives; the number,
12 31 age, and location within the state of individuals served;
12 32 the type of services provided to the individuals served; the
12 33 distribution of funds based on service provided; and the
12 34 continuing needs of the program.
12 35 b. Of the funds appropriated in this subsection, $110,656 is
13 1 allocated for continuation of an initiative implemented at the
13 2 university of Iowa and $99,904 is allocated for continuation of
13 3 an initiative at the state mental health institute at Cherokee
13 4 to expand and improve the workforce engaged in mental health
13 5 treatment and services. The initiatives shall receive input
13 6 from the university of Iowa, the department of human services,
13 7 the department of public health, and the mental health and
13 8 disability services commission to address the focus of the
13 9 initiatives.
13 10 c. Of the funds appropriated in this subsection, $1,164,628
13 11 shall be used for essential public health services that promote
13 12 healthy aging throughout one's lifespan, contracted through a
13 13 formula for local boards of health, to enhance health promotion
13 14 and disease prevention services.
13 15 d. Of the funds appropriated in this section, $99,286 shall
13 16 be deposited in the governmental public health system fund
13 17 created in section 135A.8 to be used for the purposes of the
13 18 fund.
13 19 e. Of the funds appropriated in this subsection, $105,448
13 20 shall be used to continue to address the shortage of mental
13 21 health professionals in the state.
13 22 f. Of the funds appropriated in this subsection,
13 23 $50,000 shall be used for a grant to a statewide association
13 24 of psychologists that is affiliated with the American
13 25 psychological association to be used for continuation of a
13 26 program to rotate intern psychologists in placements in urban
13 27 and rural mental health professional shortage areas, as defined
13 28 in section 135.180.
13 29 g. (1) Of the funds appropriated in this subsection,
13 30 $2,882,969 shall be allocated as a grant to the Iowa primary
13 31 care association to be used pursuant to section 135.153 for
13 32 the statewide coordination of the Iowa collaborative safety
13 33 net provider network. Coordination of the network shall
13 34 focus on increasing access by underserved populations to
13 35 health care services, increasing integration of the health
14 1 system and collaboration across the continuum of care with
14 2 a focus on safety net services, and enhancing the Iowa
14 3 collaborative safety net provider network's communication and
14 4 education efforts. The amount allocated as a grant under this
14 5 subparagraph (1) shall be used as follows to support the Iowa
14 6 collaborative safety net provider network goals of increased
14 7 access, health system integration, and engagement:
14 8 (a) For distribution to safety net partners in the state
14 9 that work to increase access of the underserved population to
14 10 health services:
14 11 .................................................. $ 1,025,485
14 12 (i) Of the amount allocated in this subparagraph division
14 13 (a), not less than $413,415 shall be distributed to the
14 14 Iowa prescription drug corporation for continuation of the
14 15 pharmaceutical infrastructure for safety net providers as
14 16 described in 2007 Iowa Acts, chapter 218, section 108.
14 17 (ii) Of the amount allocated in this subparagraph division
14 18 (a), not less than $348,322 shall be distributed to free
14 19 clinics and free clinics of Iowa for necessary infrastructure,
14 20 statewide coordination, provider recruitment, service delivery,
14 21 and provision of assistance to patients in securing a medical
14 22 home inclusive of oral health care.
14 23 (iii) Of the amount allocated in this subparagraph division
14 24 (a), not less than $50,000 shall be distributed to the Iowa
14 25 coalition against sexual assault to continue a training
14 26 program for sexual assault response team (SART) members,
14 27 including representatives of law enforcement, victim advocates,
14 28 prosecutors, and certified medical personnel.
14 29 (iv) Of the amount allocated in this subparagraph division
14 30 (a), not less than $213,748 shall be distributed to the Polk
14 31 county medical society for continuation of the safety net
14 32 provider patient access to a specialty health care initiative
14 33 as described in 2007 Iowa Acts, chapter 218, section 109.
14 34 (b) For distribution to safety net partners in the
14 35 state that work to increase health system integration, care
15 1 coordination, and collaboration across the continuum of care
15 2 with a focus on safety net services. Such efforts shall
15 3 include but not be limited to community care coordination team
15 4 development and integration of medical and behavioral health
15 5 services. Efforts shall also include working, in conjunction
15 6 with the department of human services and the department
15 7 of public health, to support Medicaid managed care efforts
15 8 inclusive of the state innovation model through the continued
15 9 development and implementation of community care coordination
15 10 teams. Implementation of the community care coordination
15 11 teams shall be accomplished through a statewide regionally
15 12 based network that provides an integrated approach to health
15 13 care delivery through care coordination that supports primary
15 14 care providers and links patients with community resources
15 15 necessary to empower patients in addressing biomedical and
15 16 social determinants of health to improve health outcomes:
15 17 .................................................. $ 1,672,199
15 18 (c) For distribution to safety net partners in the state
15 19 that work to serve as a resource for credible, accurate
15 20 information on health care=related needs and services
15 21 for vulnerable populations in the state including the
15 22 Iowa association of rural health clinics for necessary
15 23 infrastructure and service delivery transformation and the Iowa
15 24 primary care association to support partner engagement, program
15 25 management, and statewide coordination of the network:
15 26 .................................................. $ 185,285
15 27 (2) The amount allocated under this paragraph "g" shall
15 28 not be reduced for administrative or other costs prior to
15 29 distribution. The Iowa collaborative safety net provider
15 30 network may continue to distribute funds allocated pursuant to
15 31 this paragraph "g" through existing contracts or renewal of
15 32 existing contracts.
15 33 (3) For each goal of the Iowa collaborative safety net
15 34 provider network, the Iowa primary care association shall
15 35 submit a progress report to the individuals designated in this
16 1 Act for submission of reports by December 15, 2015, including
16 2 progress in developing and implementing the network, how the
16 3 funds were distributed and used in developing and implementing
16 4 the network, and the remaining needs identified to fully
16 5 develop and implement the network.
16 6 h. Of the funds appropriated in this subsection, $213,400
16 7 shall be used for continuation of the work of the direct care
16 8 worker advisory council established pursuant to 2008 Iowa Acts,
16 9 chapter 1188, section 69, in implementing the recommendations
16 10 in the final report submitted by the advisory council to the
16 11 governor and the general assembly in March 2012, including
16 12 by continuing to develop, promote, and make available on a
16 13 statewide basis the prepare=to=care core curriculum and its
16 14 associated modules and specialties through various formats
16 15 including online access, community colleges, and other venues;
16 16 exploring new and maintaining existing specialties including
16 17 but not limited to oral health and dementia care; supporting
16 18 instructor training; and assessing and making recommendations
16 19 concerning the Iowa care book and information technology
16 20 systems and infrastructure uses and needs.
16 21 i. (1) Of the funds appropriated in this subsection,
16 22 $216,375 shall be used for allocation to an independent
16 23 statewide direct care worker organization under continuation
16 24 of the contract in effect during the fiscal year ending June
16 25 30, 2015.
16 26 (2) Of the funds appropriated in this subsection,
16 27 $105,000 shall be used to provide scholarships or other
16 28 forms of subsidization for direct care worker educational
16 29 conferences, training, or outreach activities, and for the
16 30 mouth=care=matters oral health care project.
16 31 j. Of the funds appropriated in this subsection, the
16 32 department may use up to $58,175 for up to one full=time
16 33 equivalent position to administer the volunteer health care
16 34 provider program pursuant to section 135.24.
16 35 k. Of the funds appropriated in this subsection, $100,000
17 1 shall be used for a matching dental education loan repayment
17 2 program to be allocated to a dental nonprofit health service
17 3 corporation to continue to develop the criteria and implement
17 4 the loan repayment program.
17 5 l. Of the funds appropriated in this subsection, $105,823 is
17 6 transferred to the college student aid commission for deposit
17 7 in the rural Iowa primary care trust fund created in section
17 8 261.113 to be used for the purposes of the fund.
17 9 m. Of the funds appropriated in this subsection, $250,000
17 10 shall be used for the purposes of the Iowa donor registry as
17 11 specified in section 142C.18.
17 12 n. Of the funds appropriated in this subsection, $100,000
17 13 shall be used for continuation of a grant to a nationally
17 14 affiliated volunteer eye organization that has an established
17 15 program for children and adults and that is solely dedicated to
17 16 preserving sight and preventing blindness through education,
17 17 nationally certified vision screening and training, and
17 18 community and patient service programs. The organization
17 19 shall submit a report to the individuals identified in this
17 20 Act for submission of reports regarding the use of funds
17 21 allocated under this paragraph "n". The report shall include
17 22 the objectives and results for the program year including
17 23 the target population and how the funds allocated assisted
17 24 the program in meeting the objectives; the number, age, and
17 25 location within the state of individuals served; the type of
17 26 services provided to the individuals served; the distribution
17 27 of funds based on services provided; and the continuing needs
17 28 of the program.
17 29 o. Of the funds appropriated in this subsection, $25,000
17 30 shall be used for the continuation of a wellness council under
17 31 the direction of the director of public health to increase
17 32 support for wellness activities in the state.
17 33 p. Of the funds appropriated in this subsection, $2,000,000
17 34 shall be deposited in the medical residency training account
17 35 created in section 135.175, subsection 5, paragraph "a", and
18 1 is appropriated from the account to the department of public
18 2 health to be used for the purposes of the medical residency
18 3 training state matching grants program as specified in section
18 4 135.176. However, notwithstanding any provision to the
18 5 contrary in section 135.176, priority in the awarding of grants
18 6 shall be given to sponsors that propose preference in the use
18 7 of the grant funds for psychiatric residency positions and
18 8 family practice residency positions.
18 9 5. HEALTHY AGING
18 10 To provide public health services that reduce risks and
18 11 invest in promoting and protecting good health over the
18 12 course of a lifetime with a priority given to older Iowans and
18 13 vulnerable populations:
18 14 .................................................. $ 7,297,142
18 15 6. INFECTIOUS DISEASES
18 16 For reducing the incidence and prevalence of communicable
18 17 diseases, and for not more than the following full=time
18 18 equivalent positions:
18 19 .................................................. $ 1,335,155
18 20 ............................................... FTEs 4.00
18 21 7. PUBLIC PROTECTION
18 22 For protecting the health and safety of the public through
18 23 establishing standards and enforcing regulations, and for not
18 24 more than the following full=time equivalent positions:
18 25 .................................................. $ 4,339,191
18 26 ............................................... FTEs 135.50
18 27 a. Of the funds appropriated in this subsection, not more
18 28 than $454,700 shall be credited to the emergency medical
18 29 services fund created in section 135.25. Moneys in the
18 30 emergency medical services fund are appropriated to the
18 31 department to be used for the purposes of the fund.
18 32 b. Of the funds appropriated in this subsection, $203,032
18 33 shall be used for sexual violence prevention programming
18 34 through a statewide organization representing programs
18 35 serving victims of sexual violence through the department's
19 1 sexual violence prevention program. The amount allocated
19 2 in this paragraph "b" shall not be used to supplant funding
19 3 administered for other sexual violence prevention or victims
19 4 assistance programs.
19 5 c. Of the funds appropriated in this subsection, $598,751
19 6 shall be used for the state poison control center. Pursuant
19 7 to the directive under 2014 Iowa Acts, chapter 1140, section
19 8 102, the federal matching funds available to the state poison
19 9 control center from the department of human services under the
19 10 federal Children's Health Insurance Program Reauthorization Act
19 11 allotment shall be subject to the federal administrative cap
19 12 rule of 10 percent applicable to funding provided under Tit.
19 13 XXI of the federal Social Security Act and included within the
19 14 department's calculations of the cap.
19 15 d. Of the funds appropriated in this subsection, $537,750
19 16 shall be used for childhood lead poisoning provisions.
19 17 8. RESOURCE MANAGEMENT
19 18 For establishing and sustaining the overall ability of the
19 19 department to deliver services to the public, and for not more
19 20 than the following full=time equivalent positions:
19 21 .................................................. $ 855,072
19 22 ............................................... FTEs 4.00
19 23 The university of Iowa hospitals and clinics under the
19 24 control of the state board of regents shall not receive
19 25 indirect costs from the funds appropriated in this section.
19 26 The university of Iowa hospitals and clinics billings to the
19 27 department shall be on at least a quarterly basis.
19 28 DIVISION IV
19 29 DEPARTMENT OF VETERANS AFFAIRS ==== FY 2015=2016
19 30 Sec. 4. DEPARTMENT OF VETERANS AFFAIRS. There is
19 31 appropriated from the general fund of the state to the
19 32 department of veterans affairs for the fiscal year beginning
19 33 July 1, 2015, and ending June 30, 2016, the following amounts,
19 34 or so much thereof as is necessary, to be used for the purposes
19 35 designated:
20 1 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION
20 2 For salaries, support, maintenance, and miscellaneous
20 3 purposes, and for not more than the following full=time
20 4 equivalent positions:
20 5 .................................................. $ 1,200,546
20 6 ............................................... FTEs 15.00
20 7 2. IOWA VETERANS HOME
20 8 For salaries, support, maintenance, and miscellaneous
20 9 purposes:
20 10 .................................................. $ 7,594,996
20 11 a. The Iowa veterans home billings involving the department
20 12 of human services shall be submitted to the department on at
20 13 least a monthly basis.
20 14 b. If there is a change in the employer of employees
20 15 providing services at the Iowa veterans home under a collective
20 16 bargaining agreement, such employees and the agreement shall
20 17 be continued by the successor employer as though there had not
20 18 been a change in employer.
20 19 c. Within available resources and in conformance with
20 20 associated state and federal program eligibility requirements,
20 21 the Iowa veterans home may implement measures to provide
20 22 financial assistance to or on behalf of veterans or their
20 23 spouses who are participating in the community reentry program.
20 24 d. The Iowa veterans home expenditure report shall be
20 25 submitted monthly to the legislative services agency.
20 26 3. HOME OWNERSHIP ASSISTANCE PROGRAM
20 27 For transfer to the Iowa finance authority for the
20 28 continuation of the home ownership assistance program for
20 29 persons who are or were eligible members of the armed forces of
20 30 the United States, pursuant to section 16.54:
20 31 .................................................. $ 2,500,000
20 32 Sec. 5. LIMITATION OF COUNTY COMMISSIONS OF VETERAN AFFAIRS
20 33 FUND STANDING APPROPRIATIONS. Notwithstanding the standing
20 34 appropriation in section 35A.16 for the fiscal year beginning
20 35 July 1, 2015, and ending June 30, 2016, the amount appropriated
21 1 from the general fund of the state pursuant to that section
21 2 for the following designated purposes shall not exceed the
21 3 following amount:
21 4 For the county commissions of veteran affairs fund under
21 5 section 35A.16:
21 6 .................................................. $ 990,000
21 7 DIVISION V
21 8 DEPARTMENT OF HUMAN SERVICES ==== FY 2015=2016
21 9 Sec. 6. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK
21 10 GRANT. There is appropriated from the fund created in section
21 11 8.41 to the department of human services for the fiscal year
21 12 beginning July 1, 2015, and ending June 30, 2016, from moneys
21 13 received under the federal temporary assistance for needy
21 14 families (TANF) block grant pursuant to the federal Personal
21 15 Responsibility and Work Opportunity Reconciliation Act of 1996,
21 16 Pub. L. No. 104=193, and successor legislation, the following
21 17 amounts, or so much thereof as is necessary, to be used for the
21 18 purposes designated:
21 19 1. To be credited to the family investment program account
21 20 and used for assistance under the family investment program
21 21 under chapter 239B:
21 22 .................................................. $ 5,136,995
21 23 2. To be credited to the family investment program account
21 24 and used for the job opportunities and basic skills (JOBS)
21 25 program and implementing family investment agreements in
21 26 accordance with chapter 239B:
21 27 .................................................. $ 10,138,178
21 28 3. To be used for the family development and
21 29 self=sufficiency grant program in accordance with section
21 30 216A.107:
21 31 .................................................. $ 2,898,980
21 32 Notwithstanding section 8.33, moneys appropriated in this
21 33 subsection that remain unencumbered or unobligated at the close
21 34 of the fiscal year shall not revert but shall remain available
21 35 for expenditure for the purposes designated until the close of
22 1 the succeeding fiscal year. However, unless such moneys are
22 2 encumbered or obligated on or before September 30, 2016, the
22 3 moneys shall revert.
22 4 4. For field operations:
22 5 .................................................. $ 31,296,232
22 6 5. For general administration:
22 7 .................................................. $ 3,744,000
22 8 6. For state child care assistance:
22 9 .................................................. $ 35,047,110
22 10 a. Of the funds appropriated in this subsection,
22 11 $26,328,097 is transferred to the child care and development
22 12 block grant appropriation made by the Eighty=sixth General
22 13 Assembly, 2015 Session, for the federal fiscal year beginning
22 14 October 1, 2015, and ending September 30, 2016. Of this
22 15 amount, $200,000 shall be used for provision of educational
22 16 opportunities to registered child care home providers in order
22 17 to improve services and programs offered by this category
22 18 of providers and to increase the number of providers. The
22 19 department may contract with institutions of higher education
22 20 or child care resource and referral centers to provide
22 21 the educational opportunities. Allowable administrative
22 22 costs under the contracts shall not exceed 5 percent. The
22 23 application for a grant shall not exceed two pages in length.
22 24 b. Any funds appropriated in this subsection remaining
22 25 unallocated shall be used for state child care assistance
22 26 payments for families who are employed including but not
22 27 limited to individuals enrolled in the family investment
22 28 program.
22 29 7. For distribution to counties and regions through the
22 30 property tax relief fund for mental health and disability
22 31 services as provided in an appropriation made for this purpose:
22 32 .................................................. $ 4,894,052
22 33 8. For child and family services:
22 34 .................................................. $ 32,084,430
22 35 9. For child abuse prevention grants:
23 1 .................................................. $ 125,000
23 2 10. For pregnancy prevention grants on the condition that
23 3 family planning services are funded:
23 4 .................................................. $ 1,930,067
23 5 Pregnancy prevention grants shall be awarded to programs
23 6 in existence on or before July 1, 2015, if the programs have
23 7 demonstrated positive outcomes. Grants shall be awarded to
23 8 pregnancy prevention programs which are developed after July
23 9 1, 2015, if the programs are based on existing models that
23 10 have demonstrated positive outcomes. Grants shall comply with
23 11 the requirements provided in 1997 Iowa Acts, chapter 208,
23 12 section 14, subsections 1 and 2, including the requirement that
23 13 grant programs must emphasize sexual abstinence. Priority in
23 14 the awarding of grants shall be given to programs that serve
23 15 areas of the state which demonstrate the highest percentage of
23 16 unplanned pregnancies of females of childbearing age within the
23 17 geographic area to be served by the grant.
23 18 11. For technology needs and other resources necessary
23 19 to meet federal welfare reform reporting, tracking, and case
23 20 management requirements:
23 21 .................................................. $ 1,037,186
23 22 12. For the family investment program share of the costs to
23 23 continue to develop and maintain a new, integrated eligibility
23 24 determination system:
23 25 .................................................. $ 6,654,880
23 26 13. a. Notwithstanding any provision to the contrary,
23 27 including but not limited to requirements in section 8.41 or
23 28 provisions in 2014 or 2015 Iowa Acts regarding the receipt and
23 29 appropriation of federal block grants, federal funds from the
23 30 temporary assistance for needy families block grant received by
23 31 the state and not otherwise appropriated in this section and
23 32 remaining available for the fiscal year beginning July 1, 2015,
23 33 are appropriated to the department of human services to the
23 34 extent as may be necessary to be used in the following priority
23 35 order: the family investment program, for state child care
24 1 assistance program payments for families who are employed, and
24 2 for the family investment program share of costs to develop and
24 3 maintain a new, integrated eligibility determination system.
24 4 The federal funds appropriated in this paragraph "a" shall be
24 5 expended only after all other funds appropriated in subsection
24 6 1 for the assistance under the family investment program,
24 7 in subsection 6 for child care assistance, or in subsection
24 8 12 for the family investment program share of the costs to
24 9 continue to develop and maintain a new, integrated eligibility
24 10 determination system, as applicable, have been expended. For
24 11 the purposes of this subsection, the funds appropriated in
24 12 subsection 6, paragraph "a", for transfer to the child care
24 13 and development block grant appropriation are considered fully
24 14 expended when the full amount has been transferred.
24 15 b. The department shall, on a quarterly basis, advise the
24 16 legislative services agency and department of management of
24 17 the amount of funds appropriated in this subsection that was
24 18 expended in the prior quarter.
24 19 14. Of the amounts appropriated in this section,
24 20 $12,962,008 for the fiscal year beginning July 1, 2015, is
24 21 transferred to the appropriation of the federal social services
24 22 block grant made to the department of human services for that
24 23 fiscal year.
24 24 15. For continuation of the program providing categorical
24 25 eligibility for the food assistance program as specified for
24 26 the program in the section of this division of this 2015 Act
24 27 relating to the family investment program account:
24 28 .................................................. $ 25,000
24 29 16. The department may transfer funds allocated in this
24 30 section to the appropriations made in this division of this Act
24 31 for the same fiscal year for general administration and field
24 32 operations for resources necessary to implement and operate the
24 33 services referred to in this section and those funded in the
24 34 appropriation made in this division of this Act for the same
24 35 fiscal year for the family investment program from the general
25 1 fund of the state.
25 2 Sec. 7. FAMILY INVESTMENT PROGRAM ACCOUNT.
25 3 1. Moneys credited to the family investment program (FIP)
25 4 account for the fiscal year beginning July 1, 2015, and
25 5 ending June 30, 2016, shall be used to provide assistance in
25 6 accordance with chapter 239B.
25 7 2. The department may use a portion of the moneys credited
25 8 to the FIP account under this section as necessary for
25 9 salaries, support, maintenance, and miscellaneous purposes.
25 10 3. The department may transfer funds allocated in
25 11 subsection 4 to the appropriations made in this division of
25 12 this Act for the same fiscal year for general administration
25 13 and field operations for resources necessary to implement and
25 14 operate the family investment program services referred to in
25 15 this section and those funded in the appropriation made in this
25 16 division of this Act for the same fiscal year for the family
25 17 investment program from the general fund of the state.
25 18 4. Moneys appropriated in this division of this Act and
25 19 credited to the FIP account for the fiscal year beginning July
25 20 1, 2015, and ending June 30, 2016, are allocated as follows:
25 21 a. To be retained by the department of human services to
25 22 be used for coordinating with the department of human rights
25 23 to more effectively serve participants in FIP and other shared
25 24 clients and to meet federal reporting requirements under the
25 25 federal temporary assistance for needy families block grant:
25 26 .................................................. $ 20,000
25 27 b. To the department of human rights for staffing,
25 28 administration, and implementation of the family development
25 29 and self=sufficiency grant program in accordance with section
25 30 216A.107:
25 31 .................................................. $ 6,392,834
25 32 (1) Of the funds allocated for the family development
25 33 and self=sufficiency grant program in this paragraph "b",
25 34 not more than 5 percent of the funds shall be used for the
25 35 administration of the grant program.
26 1 (2) The department of human rights may continue to implement
26 2 the family development and self=sufficiency grant program
26 3 statewide during fiscal year 2015=2016.
26 4 (3) The department of human rights may engage in activities
26 5 to strengthen and improve family outcomes measures and
26 6 data collection systems under the family development and
26 7 self=sufficiency grant program.
26 8 c. For the diversion subaccount of the FIP account:
26 9 .................................................. $ 815,000
26 10 A portion of the moneys allocated for the subaccount may
26 11 be used for field operations, salaries, data management
26 12 system development, and implementation costs and support
26 13 deemed necessary by the director of human services in order
26 14 to administer the FIP diversion program. To the extent
26 15 moneys allocated in this paragraph "c" are not deemed by the
26 16 department to be necessary to support diversion activities,
26 17 such moneys may be used for other efforts intended to increase
26 18 engagement by family investment program participants in work,
26 19 education, or training activities.
26 20 d. For the food assistance employment and training program:
26 21 .................................................. $ 66,588
26 22 (1) The department shall apply the federal supplemental
26 23 nutrition assistance program (SNAP) employment and training
26 24 state plan in order to maximize to the fullest extent permitted
26 25 by federal law the use of the 50 percent federal reimbursement
26 26 provisions for the claiming of allowable federal reimbursement
26 27 funds from the United States department of agriculture
26 28 pursuant to the federal SNAP employment and training program
26 29 for providing education, employment, and training services
26 30 for eligible food assistance program participants, including
26 31 but not limited to related dependent care and transportation
26 32 expenses.
26 33 (2) The department shall continue the categorical federal
26 34 food assistance program eligibility at 160 percent of the
26 35 federal poverty level and continue to eliminate the asset test
27 1 from eligibility requirements, consistent with federal food
27 2 assistance program requirements. The department shall include
27 3 as many food assistance households as is allowed by federal
27 4 law. The eligibility provisions shall conform to all federal
27 5 requirements including requirements addressing individuals who
27 6 are incarcerated or otherwise ineligible.
27 7 e. For the JOBS program:
27 8 .................................................. $ 17,540,398
27 9 5. Of the child support collections assigned under FIP,
27 10 an amount equal to the federal share of support collections
27 11 shall be credited to the child support recovery appropriation
27 12 made in this division of this Act. Of the remainder of the
27 13 assigned child support collections received by the child
27 14 support recovery unit, a portion shall be credited to the FIP
27 15 account, a portion may be used to increase recoveries, and a
27 16 portion may be used to sustain cash flow in the child support
27 17 payments account. If as a consequence of the appropriations
27 18 and allocations made in this section the resulting amounts
27 19 are insufficient to sustain cash assistance payments and meet
27 20 federal maintenance of effort requirements, the department
27 21 shall seek supplemental funding. If child support collections
27 22 assigned under FIP are greater than estimated or are otherwise
27 23 determined not to be required for maintenance of effort, the
27 24 state share of either amount may be transferred to or retained
27 25 in the child support payments account.
27 26 6. The department may adopt emergency rules for the family
27 27 investment, JOBS, food assistance, and medical assistance
27 28 programs if necessary to comply with federal requirements.
27 29 Sec. 8. FAMILY INVESTMENT PROGRAM GENERAL FUND. There
27 30 is appropriated from the general fund of the state to the
27 31 department of human services for the fiscal year beginning July
27 32 1, 2015, and ending June 30, 2016, the following amount, or
27 33 so much thereof as is necessary, to be used for the purpose
27 34 designated:
27 35 To be credited to the family investment program (FIP)
28 1 account and used for family investment program assistance under
28 2 chapter 239B:
28 3 .................................................. $ 49,093,875
28 4 1. Of the funds appropriated in this section, $7,402,220 is
28 5 allocated for the JOBS program.
28 6 2. Of the funds appropriated in this section, $3,513,854 is
28 7 allocated for the family development and self=sufficiency grant
28 8 program.
28 9 3. Notwithstanding section 8.39, for the fiscal year
28 10 beginning July 1, 2015, if necessary to meet federal
28 11 maintenance of effort requirements or to transfer federal
28 12 temporary assistance for needy families block grant funding
28 13 to be used for purposes of the federal social services block
28 14 grant or to meet cash flow needs resulting from delays in
28 15 receiving federal funding or to implement, in accordance with
28 16 this division of this Act, activities currently funded with
28 17 juvenile court services, county, or community moneys and state
28 18 moneys used in combination with such moneys, the department
28 19 of human services may transfer funds within or between any
28 20 of the appropriations made in this division of this Act and
28 21 appropriations in law for the federal social services block
28 22 grant to the department for the following purposes, provided
28 23 that the combined amount of state and federal temporary
28 24 assistance for needy families block grant funding for each
28 25 appropriation remains the same before and after the transfer:
28 26 a. For the family investment program.
28 27 b. For child care assistance.
28 28 c. For child and family services.
28 29 d. For field operations.
28 30 e. For general administration.
28 31 f. For distribution to counties or regions through the
28 32 property tax relief fund for mental health and disability
28 33 services as provided in an appropriation for this purpose.
28 34 This subsection shall not be construed to prohibit the use
28 35 of existing state transfer authority for other purposes. The
29 1 department shall report any transfers made pursuant to this
29 2 subsection to the legislative services agency.
29 3 4. Of the funds appropriated in this section, $195,678 shall
29 4 be used for continuation of a grant to an Iowa=based nonprofit
29 5 organization with a history of providing tax preparation
29 6 assistance to low=income Iowans in order to expand the usage of
29 7 the earned income tax credit. The purpose of the grant is to
29 8 supply this assistance to underserved areas of the state.
29 9 5. Of the funds appropriated in this section, $80,000 shall
29 10 be used for the continuation of an unfunded pilot project, as
29 11 defined in 441 IAC 100.1, relating to parental obligations,
29 12 in which the child support recovery unit participates, to
29 13 support the efforts of a nonprofit organization committed to
29 14 strengthening the community through youth development, healthy
29 15 living, and social responsibility headquartered in a county
29 16 with a population over 350,000. The funds allocated in this
29 17 subsection shall be used by the recipient organization to
29 18 develop a larger community effort, through public and private
29 19 partnerships, to support a broad=based multi=county fatherhood
29 20 initiative that promotes payment of child support obligations,
29 21 improved family relationships, and full=time employment.
29 22 6. Of the funds appropriated in this section, $200,000 shall
29 23 be used as a grant to a nonprofit organization organized under
29 24 section 501(c)(4) of the Internal Revenue Code to implement a
29 25 youth development strategy through after=school programming
29 26 that promotes academic success, healthy lifestyles, good
29 27 character, and citizenship. The organization shall meet all of
29 28 the following criteria:
29 29 a. Operate statewide and provide services through more than
29 30 one location.
29 31 b. Provide the after=school programming for students ages
29 32 five through eighteen years of age who are members of families
29 33 eligible for the federal temporary assistance for needy
29 34 families program.
29 35 c. Provide evidence, based on measurable outcomes, that the
30 1 after=school programming provided results in increased student
30 2 achievement.
30 3 7. The department may transfer funds appropriated in this
30 4 section to the appropriations made in this division of this Act
30 5 for general administration and field operations as necessary
30 6 to administer this section and the overall family investment
30 7 program.
30 8 Sec. 9. CHILD SUPPORT RECOVERY. There is appropriated
30 9 from the general fund of the state to the department of human
30 10 services for the fiscal year beginning July 1, 2015, and ending
30 11 June 30, 2016, the following amount, or so much thereof as is
30 12 necessary, to be used for the purposes designated:
30 13 For child support recovery, including salaries, support,
30 14 maintenance, and miscellaneous purposes, and for not more than
30 15 the following full=time equivalent positions:
30 16 .................................................. $ 14,663,373
30 17 ............................................... FTEs 464.00
30 18 1. The department shall expend up to $24,329, including
30 19 federal financial participation, for the fiscal year beginning
30 20 July 1, 2015, for a child support public awareness campaign.
30 21 The department and the office of the attorney general shall
30 22 cooperate in continuation of the campaign. The public
30 23 awareness campaign shall emphasize, through a variety of
30 24 media activities, the importance of maximum involvement of
30 25 both parents in the lives of their children as well as the
30 26 importance of payment of child support obligations.
30 27 2. Federal access and visitation grant moneys shall be
30 28 issued directly to private not=for=profit agencies that provide
30 29 services designed to increase compliance with the child access
30 30 provisions of court orders, including but not limited to
30 31 neutral visitation sites and mediation services.
30 32 3. The appropriation made to the department for child
30 33 support recovery may be used throughout the fiscal year in the
30 34 manner necessary for purposes of cash flow management, and for
30 35 cash flow management purposes the department may temporarily
31 1 draw more than the amount appropriated, provided the amount
31 2 appropriated is not exceeded at the close of the fiscal year.
31 3 4. With the exception of the funding amount specified, the
31 4 requirements established under 2001 Iowa Acts, chapter 191,
31 5 section 3, subsection 5, paragraph "c", subparagraph (3), shall
31 6 be applicable to parental obligation pilot projects for the
31 7 fiscal year beginning July 1, 2015, and ending June 30, 2016.
31 8 Notwithstanding 441 IAC 100.8, providing for termination of
31 9 rules relating to the pilot projects, the rules shall remain
31 10 in effect until June 30, 2016.
31 11 Sec. 10. HEALTH CARE TRUST FUND ==== MEDICAL ASSISTANCE ====
31 12 FY 2015=2016. Any funds remaining in the health care trust
31 13 fund created in section 453A.35A for the fiscal year beginning
31 14 July 1, 2015, and ending June 30, 2016, are appropriated to
31 15 the department of human services to supplement the medical
31 16 assistance program appropriations made in this division of this
31 17 Act, for medical assistance reimbursement and associated costs,
31 18 including program administration and costs associated with
31 19 program implementation.
31 20 Sec. 11. MEDICAID FRAUD FUND ==== MEDICAL ASSISTANCE ==== FY
31 21 2015=2016. Any funds remaining in the Medicaid fraud fund
31 22 created in section 249A.50 for the fiscal year beginning
31 23 July 1, 2015, and ending June 30, 2016, are appropriated to
31 24 the department of human services to supplement the medical
31 25 assistance appropriations made in this division of this Act,
31 26 for medical assistance reimbursement and associated costs,
31 27 including program administration and costs associated with
31 28 program implementation.
31 29 Sec. 12. MEDICAL ASSISTANCE.
31 30 1. There is appropriated from the general fund of the
31 31 state to the department of human services for the fiscal year
31 32 beginning July 1, 2015, and ending June 30, 2016, the following
31 33 amount, or so much thereof as is necessary, to be used for the
31 34 purpose designated:
31 35 For medical assistance program reimbursement and associated
32 1 costs as specifically provided in the reimbursement
32 2 methodologies in effect on June 30, 2015, except as otherwise
32 3 expressly authorized by law, including reimbursement for
32 4 abortion services which shall be available under the medical
32 5 assistance program only for those abortions which are medically
32 6 necessary:
32 7 .................................................. $1,346,353,640
32 8 2. Medically necessary abortions are those performed under
32 9 any of the following conditions:
32 10 a. The attending physician certifies that continuing the
32 11 pregnancy would endanger the life of the pregnant woman.
32 12 b. The attending physician certifies that the fetus is
32 13 physically deformed, mentally deficient, or afflicted with a
32 14 congenital illness.
32 15 c. The pregnancy is the result of a rape which is reported
32 16 within 45 days of the incident to a law enforcement agency or
32 17 public or private health agency which may include a family
32 18 physician.
32 19 d. The pregnancy is the result of incest which is reported
32 20 within 150 days of the incident to a law enforcement agency
32 21 or public or private health agency which may include a family
32 22 physician.
32 23 e. Any spontaneous abortion, commonly known as a
32 24 miscarriage, if not all of the products of conception are
32 25 expelled.
32 26 3. a. Iowans support reducing the number of abortions
32 27 performed in our state. For an abortion covered under the
32 28 program, except in the case of a medical emergency, as defined
32 29 in section 135L.1, for any woman, the physician shall certify
32 30 both of the following:
32 31 (1) That the woman has been given the opportunity to view an
32 32 ultrasound image of the fetus as part of the standard of care
32 33 before an abortion is performed.
32 34 (2) That the woman has been provided information regarding
32 35 the options relative to a pregnancy, including continuing the
33 1 pregnancy to term and retaining parental rights following the
33 2 child's birth, continuing the pregnancy to term and placing the
33 3 child for adoption, and terminating the pregnancy.
33 4 b. The provisions of this section relating to abortions
33 5 shall also apply to the Iowa health and wellness plan created
33 6 pursuant to chapter 249N.
33 7 4. The department shall utilize not more than $60,000 of
33 8 the funds appropriated in this section to continue the AIDS/HIV
33 9 health insurance premium payment program as established in 1992
33 10 Iowa Acts, Second Extraordinary Session, chapter 1001, section
33 11 409, subsection 6. Of the funds allocated in this subsection,
33 12 not more than $5,000 may be expended for administrative
33 13 purposes.
33 14 5. Of the funds appropriated in this Act to the department
33 15 of public health for addictive disorders, $950,000 for
33 16 the fiscal year beginning July 1, 2015, is transferred
33 17 to the department of human services for an integrated
33 18 substance=related disorder managed care system. The department
33 19 shall not assume management of the substance=related disorder
33 20 system in place of the managed care contractor unless such
33 21 a change in approach is specifically authorized in law.
33 22 The departments of human services and public health shall
33 23 work together to maintain the level of mental health and
33 24 substance=related disorder treatment services provided by the
33 25 managed care contractor through the Iowa plan for behavioral
33 26 health. Each department shall take the steps necessary to
33 27 continue the federal waivers as necessary to maintain the level
33 28 of services.
33 29 6. a. The department shall aggressively pursue options for
33 30 providing medical assistance or other assistance to individuals
33 31 with special needs who become ineligible to continue receiving
33 32 services under the early and periodic screening, diagnostic,
33 33 and treatment program under the medical assistance program
33 34 due to becoming 21 years of age who have been approved for
33 35 additional assistance through the department's exception to
34 1 policy provisions, but who have health care needs in excess
34 2 of the funding available through the exception to policy
34 3 provisions.
34 4 b. Of the funds appropriated in this section, $100,000
34 5 shall be used for participation in one or more pilot projects
34 6 operated by a private provider to allow the individual or
34 7 individuals to receive service in the community in accordance
34 8 with principles established in Olmstead v. L.C., 527 U.S. 581
34 9 (1999), for the purpose of providing medical assistance or
34 10 other assistance to individuals with special needs who become
34 11 ineligible to continue receiving services under the early and
34 12 periodic screening, diagnostic, and treatment program under
34 13 the medical assistance program due to becoming 21 years of
34 14 age who have been approved for additional assistance through
34 15 the department's exception to policy provisions, but who have
34 16 health care needs in excess of the funding available through
34 17 the exception to the policy provisions.
34 18 7. Of the funds appropriated in this section, up to
34 19 $3,050,082 may be transferred to the field operations or
34 20 general administration appropriations in this division of this
34 21 Act for operational costs associated with Part D of the federal
34 22 Medicare Prescription Drug Improvement and Modernization Act
34 23 of 2003, Pub. L. No. 108=173.
34 24 8. Of the funds appropriated in this section, up to $442,100
34 25 may be transferred to the appropriation in this division
34 26 of this Act for medical contracts to be used for clinical
34 27 assessment services and prior authorization of services.
34 28 9. A portion of the funds appropriated in this section
34 29 may be transferred to the appropriations in this division of
34 30 this Act for general administration, medical contracts, the
34 31 children's health insurance program, or field operations to be
34 32 used for the state match cost to comply with the payment error
34 33 rate measurement (PERM) program for both the medical assistance
34 34 and children's health insurance programs as developed by the
34 35 centers for Medicare and Medicaid services of the United States
35 1 department of health and human services to comply with the
35 2 federal Improper Payments Information Act of 2002, Pub. L. No.
35 3 107=300.
35 4 10. The department shall continue to implement the
35 5 recommendations of the assuring better child health and
35 6 development initiative II (ABCDII) clinical panel to the
35 7 Iowa early and periodic screening, diagnostic, and treatment
35 8 services healthy mental development collaborative board
35 9 regarding changes to billing procedures, codes, and eligible
35 10 service providers.
35 11 11. Of the funds appropriated in this section, a sufficient
35 12 amount is allocated to supplement the incomes of residents of
35 13 nursing facilities, intermediate care facilities for persons
35 14 with mental illness, and intermediate care facilities for
35 15 persons with an intellectual disability, with incomes of less
35 16 than $50 in the amount necessary for the residents to receive a
35 17 personal needs allowance of $50 per month pursuant to section
35 18 249A.30A.
35 19 12. Of the funds appropriated in this section, the following
35 20 amounts are transferred to the appropriations made in this
35 21 division of this Act for the state mental health institutes:
35 22 a. Cherokee mental health institute ................. $ 9,098,425
35 23 b. Clarinda mental health institute ................. $ 1,977,305
35 24 c. Independence mental health institute ............. $ 9,045,894
35 25 13. a. Of the funds appropriated in this section,
35 26 $8,596,650 is allocated for the state match for a
35 27 disproportionate share hospital payment of $19,133,430 to
35 28 hospitals that meet both of the conditions specified in
35 29 subparagraphs (1) and (2). In addition, the hospitals that
35 30 meet the conditions specified shall either certify public
35 31 expenditures or transfer to the medical assistance program
35 32 an amount equal to provide the nonfederal share for a
35 33 disproportionate share hospital payment of $7,500,000. The
35 34 hospitals that meet the conditions specified shall receive and
35 35 retain 100 percent of the total disproportionate share hospital
36 1 payment of $26,633,430.
36 2 (1) The hospital qualifies for disproportionate share and
36 3 graduate medical education payments.
36 4 (2) The hospital is an Iowa state=owned hospital with more
36 5 than 500 beds and eight or more distinct residency specialty
36 6 or subspecialty programs recognized by the American college of
36 7 graduate medical education.
36 8 b. Distribution of the disproportionate share payments
36 9 shall be made on a monthly basis. The total amount of
36 10 disproportionate share payments including graduate medical
36 11 education, enhanced disproportionate share, and Iowa
36 12 state=owned teaching hospital payments shall not exceed the
36 13 amount of the state's allotment under Pub. L. No. 102=234.
36 14 In addition, the total amount of all disproportionate
36 15 share payments shall not exceed the hospital=specific
36 16 disproportionate share limits under Pub. L. No. 103=66.
36 17 c. The university of Iowa hospitals and clinics shall either
36 18 certify public expenditures or transfer to the appropriations
36 19 made in this division of this Act for medical assistance an
36 20 amount equal to provide the nonfederal share for increased
36 21 medical assistance payments for inpatient and outpatient
36 22 hospital services of $9,900,000. The university of Iowa
36 23 hospitals and clinics shall receive and retain 100 percent of
36 24 the total increase in medical assistance payments.
36 25 d. Program payments for disproportionate share hospitals
36 26 and graduate medical education, and the upper payment limits
36 27 applicable to these programs shall be held harmless from the
36 28 impacts of Medicaid managed care and the governor's Medicaid
36 29 modernization initiative. Payment methodologies utilized
36 30 for these programs may be adjusted or converted to other
36 31 methodologies or payment types in order to comply with this
36 32 hold harmless requirement.
36 33 14. One hundred percent of the nonfederal share of payments
36 34 to area education agencies that are medical assistance
36 35 providers for medical assistance=covered services provided to
37 1 medical assistance=covered children, shall be made from the
37 2 appropriation made in this section.
37 3 15. Any new or renewed contract entered into by the
37 4 department with a third party to administer behavioral health
37 5 services under the medical assistance program shall provide
37 6 that any interest earned on payments from the state during
37 7 the state fiscal year shall be remitted to the department
37 8 and treated as recoveries to offset the costs of the medical
37 9 assistance program.
37 10 16. A portion of the funds appropriated in this section
37 11 may be transferred to the appropriation in this division of
37 12 this Act for medical contracts to be used for administrative
37 13 activities associated with the money follows the person
37 14 demonstration project.
37 15 17. Of the funds appropriated in this section, $349,011
37 16 shall be used for the administration of the health insurance
37 17 premium payment program, including salaries, support,
37 18 maintenance, and miscellaneous purposes.
37 19 18. a. The department may increase the amounts allocated
37 20 for salaries, support, maintenance, and miscellaneous purposes
37 21 associated with the medical assistance program, as necessary,
37 22 to implement cost containment strategies. The department shall
37 23 report any such increase to the legislative services agency and
37 24 the department of management.
37 25 b. If the savings to the medical assistance program from
37 26 cost containment efforts exceed the cost for the fiscal
37 27 year beginning July 1, 2015, the department may transfer any
37 28 savings generated for the fiscal year due to medical assistance
37 29 program cost containment efforts to the appropriation
37 30 made in this division of this Act for medical contracts or
37 31 general administration to defray the increased contract costs
37 32 associated with implementing such efforts.
37 33 c. The department of human services shall not implement
37 34 the following cost containment measures as recommended by the
37 35 governor for the fiscal year beginning July 1, 2015:
38 1 (1) A measure to provide uniform rates of $.575 per mile
38 2 based on the 2015 Internal Revenue Service mileage rate and
38 3 of $9.29, the current statewide average, per one=way trip for
38 4 Medicaid program home and community=based services waivers.
38 5 (2) A measure to cap the total costs of all services
38 6 received by a recipient of the home and community=based
38 7 services waiver for individuals with an intellectual disability
38 8 at the daily intermediate care facility for persons with an
38 9 intellectual disability (ICF/ID) per diem rate of $346.39 per
38 10 day based on the 80th percentile of all ICF/ID rates.
38 11 (3) A measure to align individual requests for exceptions to
38 12 policy with the capped total cost of services for a recipient
38 13 of the home and community=based services waiver for individuals
38 14 with an intellectual disability as computed under subparagraph
38 15 (2).
38 16 (4) A measure to utilize the supports intensity scale
38 17 to determine payment amounts and a tiered payment system
38 18 for the services provided to adults served under the home
38 19 and community=based services waiver for individuals with an
38 20 intellectual disability.
38 21 (5) A measure to accelerate implementation of the provision
38 22 that beginning July 1, 2015, rather than July 1, 2016, the
38 23 department of human services requires services through the
38 24 consumer=directed attendant care option to be provided through
38 25 an agency or consumer choices option.
38 26 (6) A measure to reallocate funding for community=based
38 27 systems of care to instead support integrated health homes.
38 28 (7) A measure to increase the university of Iowa hospitals
38 29 and clinics state share responsibility for the supplemental
38 30 disproportionate share hospital payment to the university of
38 31 Iowa hospitals and clinics for the fiscal year beginning July
38 32 1, 2015.
38 33 d. The department shall report the implementation of
38 34 any cost containment strategies under this subsection to
38 35 the individuals specified in this division of this Act for
39 1 submission of reports on a quarterly basis.
39 2 19. For the fiscal year beginning July 1, 2015, and ending
39 3 June 30, 2016, the replacement generation tax revenues required
39 4 to be deposited in the property tax relief fund pursuant to
39 5 section 437A.8, subsection 4, paragraph "d", and section
39 6 437A.15, subsection 3, paragraph "f", shall instead be credited
39 7 to and supplement the appropriation made in this section and
39 8 used for the allocations made in this section.
39 9 20. The department shall continue to administer the state
39 10 balancing incentive payments program as specified in 2012 Iowa
39 11 Acts, chapter 1133, section 14.
39 12 21. a. Of the funds appropriated in this section, $900,000
39 13 shall be used for continued implementation of the children's
39 14 mental health home project proposed by the department of human
39 15 services and reported to the general assembly's mental health
39 16 and disability services study committee in December 2011. Of
39 17 this amount, up to $50,000 may be transferred by the department
39 18 to the appropriation made in this division of this Act to the
39 19 department for the same fiscal year for general administration
39 20 to be used for associated administrative expenses and for not
39 21 more than one full=time equivalent position, in addition to
39 22 those authorized for the same fiscal year, to be assigned to
39 23 implementing the project.
39 24 b. Of the funds appropriated in this section, up to $400,000
39 25 may be transferred by the department to the appropriation made
39 26 to the department in this division of this Act for the same
39 27 fiscal year for Medicaid program=related general administration
39 28 planning and implementation activities. The funds may be used
39 29 for contracts or for personnel in addition to the amounts
39 30 appropriated for and the positions authorized for general
39 31 administration for the fiscal year.
39 32 c. Of the funds appropriated in this section, up to
39 33 $3,000,000 may be transferred by the department to the
39 34 appropriations made in this division of this Act for the same
39 35 fiscal year for general administration or medical contracts
40 1 to be used to support the development and implementation of
40 2 standardized assessment tools for persons with mental illness,
40 3 an intellectual disability, a developmental disability, or a
40 4 brain injury.
40 5 22. Of the funds appropriated in this section, $250,000
40 6 shall be used for lodging expenses associated with care
40 7 provided at the university of Iowa hospitals and clinics for
40 8 patients with cancer whose travel distance is 30 miles or more
40 9 and whose income is at or below 200 percent of the federal
40 10 poverty level as defined by the most recently revised poverty
40 11 income guidelines published by the United States department of
40 12 health and human services. The department of human services
40 13 shall establish the maximum number of overnight stays and the
40 14 maximum rate reimbursed for overnight lodging, which may be
40 15 based on the state employee rate established by the department
40 16 of administrative services. The funds allocated in this
40 17 subsection shall not be used as nonfederal share matching
40 18 funds.
40 19 23. The department of human services shall adopt rules to
40 20 provide for coverage of telehealth under the Medicaid program.
40 21 The rules shall provide that in=person contact between a
40 22 health care professional and a patient is not required as a
40 23 prerequisite for payment for services appropriately provided
40 24 through telehealth in accordance with generally accepted health
40 25 care practices and standards prevailing in the applicable
40 26 professional community at the time the services are provided.
40 27 Health care services provided through in=person consultations
40 28 or through telehealth shall be treated as equivalent services
40 29 for the purposes of reimbursement.
40 30 24. a. For inpatient and outpatient services provided
40 31 by hospitals on or after July 1, 2015, the department of
40 32 human services shall recalculate and prospectively apply an
40 33 updated cost=to=charge ratio upon the request of a hospital to
40 34 implement price or charge reductions, if all of the following
40 35 criteria are met:
41 1 (1) The recalculation of an updated cost=to=charge ratio is
41 2 budget neutral to the state funding amount appropriated for the
41 3 respective fiscal year and maintains budget neutral payments or
41 4 revenue to all hospitals.
41 5 (2) The hospital requesting the price or charge reduction
41 6 submits a proforma cost report and charge master that reflects
41 7 the anticipated cost=to=charge reduction.
41 8 b. Based upon the proforma cost report submitted by the
41 9 requesting hospital, the department of human services shall
41 10 prospectively apply the recalculated cost=to=charge ratio as
41 11 appropriate to submitted claims for health care services.
41 12 25. The department of human services shall not adopt
41 13 emergency rules to implement Medicaid managed care or the
41 14 governor's Medicaid modernization initiative.
41 15 26. The number of home and community=based services waiver
41 16 slots available during the fiscal year beginning July 1, 2015,
41 17 shall not be reduced below the number of such slots available
41 18 on January 1, 2015.
41 19 Sec. 13. MEDICAL CONTRACTS. There is appropriated from the
41 20 general fund of the state to the department of human services
41 21 for the fiscal year beginning July 1, 2015, and ending June 30,
41 22 2016, the following amount, or so much thereof as is necessary,
41 23 to be used for the purpose designated:
41 24 For medical contracts:
41 25 .................................................. $ 22,153,584
41 26 1. The department of inspections and appeals shall
41 27 provide all state matching funds for survey and certification
41 28 activities performed by the department of inspections
41 29 and appeals. The department of human services is solely
41 30 responsible for distributing the federal matching funds for
41 31 such activities.
41 32 2. Of the funds appropriated in this section, $50,000 shall
41 33 be used for continuation of home and community=based services
41 34 waiver quality assurance programs, including the review and
41 35 streamlining of processes and policies related to oversight and
42 1 quality management to meet state and federal requirements.
42 2 3. Of the amount appropriated in this section, up to
42 3 $200,000 may be transferred to the appropriation for general
42 4 administration in this division of this Act to be used for
42 5 additional full=time equivalent positions in the development of
42 6 key health initiatives such as cost containment, development
42 7 and oversight of managed care programs, and development of
42 8 health strategies targeted toward improved quality and reduced
42 9 costs in the Medicaid program.
42 10 4. Of the funds appropriated in this section, $1,000,000
42 11 shall be used for planning and development, in cooperation with
42 12 the department of public health, of a phased=in program to
42 13 provide a dental home for children.
42 14 5. Of the funds appropriated in this section, $2,000,000
42 15 shall be used for the autism support program created in chapter
42 16 225D.
42 17 Sec. 14. STATE SUPPLEMENTARY ASSISTANCE.
42 18 1. There is appropriated from the general fund of the
42 19 state to the department of human services for the fiscal year
42 20 beginning July 1, 2015, and ending June 30, 2016, the following
42 21 amount, or so much thereof as is necessary, to be used for the
42 22 purpose designated:
42 23 For the state supplementary assistance program:
42 24 .................................................. $12,997,187
42 25 2. The department shall increase the personal needs
42 26 allowance for residents of residential care facilities by the
42 27 same percentage and at the same time as federal supplemental
42 28 security income and federal social security benefits are
42 29 increased due to a recognized increase in the cost of living.
42 30 The department may adopt emergency rules to implement this
42 31 subsection.
42 32 3. If during the fiscal year beginning July 1, 2015,
42 33 the department projects that state supplementary assistance
42 34 expenditures for a calendar year will not meet the federal
42 35 pass=through requirement specified in Tit. XVI of the federal
43 1 Social Security Act, section 1618, as codified in 42 U.S.C.
43 2 {1382g, the department may take actions including but not
43 3 limited to increasing the personal needs allowance for
43 4 residential care facility residents and making programmatic
43 5 adjustments or upward adjustments of the residential care
43 6 facility or in=home health=related care reimbursement rates
43 7 prescribed in this division of this Act to ensure that federal
43 8 requirements are met. In addition, the department may make
43 9 other programmatic and rate adjustments necessary to remain
43 10 within the amount appropriated in this section while ensuring
43 11 compliance with federal requirements. The department may adopt
43 12 emergency rules to implement the provisions of this subsection.
43 13 Sec. 15. CHILDREN'S HEALTH INSURANCE PROGRAM.
43 14 1. There is appropriated from the general fund of the
43 15 state to the department of human services for the fiscal year
43 16 beginning July 1, 2015, and ending June 30, 2016, the following
43 17 amount, or so much thereof as is necessary, to be used for the
43 18 purpose designated:
43 19 For maintenance of the healthy and well kids in Iowa (hawk=i)
43 20 program pursuant to chapter 514I, including supplemental dental
43 21 services, for receipt of federal financial participation under
43 22 Tit. XXI of the federal Social Security Act, which creates the
43 23 children's health insurance program:
43 24 .................................................. $ 21,163,844
43 25 2. Of the funds appropriated in this section, $42,800 is
43 26 allocated for continuation of the contract for outreach with
43 27 the department of public health.
43 28 Sec. 16. CHILD CARE ASSISTANCE. There is appropriated
43 29 from the general fund of the state to the department of human
43 30 services for the fiscal year beginning July 1, 2015, and ending
43 31 June 30, 2016, the following amount, or so much thereof as is
43 32 necessary, to be used for the purpose designated:
43 33 For child care programs:
43 34 .................................................. $ 56,638,030
43 35 1. Of the funds appropriated in this section, $48,818,603
44 1 shall be used for state child care assistance in accordance
44 2 with section 237A.13.
44 3 2. Nothing in this section shall be construed or is
44 4 intended as or shall imply a grant of entitlement for services
44 5 to persons who are eligible for assistance due to an income
44 6 level consistent with the waiting list requirements of section
44 7 237A.13. Any state obligation to provide services pursuant to
44 8 this section is limited to the extent of the funds appropriated
44 9 in this section.
44 10 3. Of the funds appropriated in this section, $432,453
44 11 is allocated for the statewide grant program for child care
44 12 resource and referral services under section 237A.26. A list
44 13 of the registered and licensed child care facilities operating
44 14 in the area served by a child care resource and referral
44 15 service shall be made available to the families receiving state
44 16 child care assistance in that area.
44 17 4. Of the funds appropriated in this section, $936,974
44 18 is allocated for child care quality improvement initiatives
44 19 including but not limited to the voluntary quality rating
44 20 system in accordance with section 237A.30.
44 21 5. Of the funds appropriated in this section, $6,350,000
44 22 shall be credited to the early childhood programs grants
44 23 account in the early childhood Iowa fund created in section
44 24 256I.11. The moneys shall be distributed for funding of
44 25 community=based early childhood programs targeted to children
44 26 from birth through five years of age developed by early
44 27 childhood Iowa areas in accordance with approved community
44 28 plans as provided in section 256I.8.
44 29 6. The department may use any of the funds appropriated
44 30 in this section as a match to obtain federal funds for use in
44 31 expanding child care assistance and related programs. For
44 32 the purpose of expenditures of state and federal child care
44 33 funding, funds shall be considered obligated at the time
44 34 expenditures are projected or are allocated to the department's
44 35 service areas. Projections shall be based on current and
45 1 projected caseload growth, current and projected provider
45 2 rates, staffing requirements for eligibility determination
45 3 and management of program requirements including data systems
45 4 management, staffing requirements for administration of the
45 5 program, contractual and grant obligations and any transfers
45 6 to other state agencies, and obligations for decategorization
45 7 or innovation projects.
45 8 7. A portion of the state match for the federal child care
45 9 and development block grant shall be provided as necessary to
45 10 meet federal matching funds requirements through the state
45 11 general fund appropriation made for child development grants
45 12 and other programs for at=risk children in section 279.51.
45 13 8. If a uniform reduction ordered by the governor under
45 14 section 8.31 or other operation of law, transfer, or federal
45 15 funding reduction reduces the appropriation made in this
45 16 section for the fiscal year, the percentage reduction in the
45 17 amount paid out to or on behalf of the families participating
45 18 in the state child care assistance program shall be equal to or
45 19 less than the percentage reduction made for any other purpose
45 20 payable from the appropriation made in this section and the
45 21 federal funding relating to it. The percentage reduction to
45 22 the other allocations made in this section shall be the same as
45 23 the uniform reduction ordered by the governor or the percentage
45 24 change of the federal funding reduction, as applicable.
45 25 If there is an unanticipated increase in federal funding
45 26 provided for state child care assistance, the entire amount
45 27 of the increase shall be used for state child care assistance
45 28 payments. If the appropriations made for purposes of the
45 29 state child care assistance program for the fiscal year are
45 30 determined to be insufficient, it is the intent of the general
45 31 assembly to appropriate sufficient funding for the fiscal year
45 32 in order to avoid establishment of waiting list requirements.
45 33 9. Notwithstanding section 8.33, moneys advanced for
45 34 purposes of the programs developed by early childhood Iowa
45 35 areas, advanced for purposes of wraparound child care, or
46 1 received from the federal appropriations made for the purposes
46 2 of this section that remain unencumbered or unobligated at the
46 3 close of the fiscal year shall not revert to any fund but shall
46 4 remain available for expenditure for the purposes designated
46 5 until the close of the succeeding fiscal year.
46 6 10. Of the funds appropriated in this section, $100,000
46 7 is transferred to the department of public health to be used
46 8 to continue a program to assist parents in this state with
46 9 costs resulting from the death of a child in accordance with
46 10 this subsection. If it is less costly than administering the
46 11 program directly, the department shall issue a request for
46 12 proposals and issue a grant to an appropriate organization to
46 13 administer the program.
46 14 a. The program funding shall be used to assist parents who
46 15 reside in this state with costs incurred for a funeral, burial
46 16 or cremation, cemetery costs, or grave marker costs associated
46 17 with the unintended death of a child of the parent or a child
46 18 under the care of a guardian or custodian. The department
46 19 shall consider the following eligibility factors in developing
46 20 program requirements:
46 21 (1) The child was a stillborn infant or was less than age
46 22 eighteen at the time of death.
46 23 (2) The request for assistance was approved by the local
46 24 board or department of health or the county general assistance
46 25 director and may have been referred by a local funeral home.
46 26 (3) To be eligible, the parent, guardian, or custodian must
46 27 have an annual household income that is less than 145 percent
46 28 of the federal poverty level based on the number of people
46 29 in the applicant's household as defined by the most recently
46 30 revised poverty income guidelines published by the United
46 31 States department of health and human services.
46 32 (4) The maximum amount of grant assistance provided to a
46 33 parent, guardian, or custodian associated with the death of
46 34 a child is $2,000. If the death is a multiple death and the
46 35 infants or children are being cremated, or buried together, the
47 1 same limitation applies.
47 2 (5) To the extent the overall amount of assistance received
47 3 by a recipient for the costs addressed under this subsection
47 4 does not exceed the overall total of the costs, the recipient
47 5 may receive other public or private assistance in addition to
47 6 grant assistance under this section.
47 7 b. Notwithstanding section 8.33, moneys transferred by this
47 8 subsection that remain unencumbered or unobligated at the close
47 9 of the fiscal year shall not revert but shall remain available
47 10 for expenditure for the purposes designated until expended.
47 11 Sec. 17. JUVENILE INSTITUTIONS. There is appropriated
47 12 from the general fund of the state to the department of human
47 13 services for the fiscal year beginning July 1, 2015, and ending
47 14 June 30, 2016, the following amounts, or so much thereof as is
47 15 necessary, to be used for the purposes designated:
47 16 1. For the costs of security, building and grounds
47 17 maintenance, utilities, salary, and support for the facilities
47 18 located at the Iowa juvenile home at Toledo and for salaries,
47 19 support, maintenance, and miscellaneous purposes, and for not
47 20 more than the following full=time equivalent positions:
47 21 .................................................. $ 372,766
47 22 ............................................... FTEs 2.00
47 23 2. For operation of the state training school at Eldora and
47 24 for salaries, support, maintenance, and miscellaneous purposes,
47 25 and for not more than the following full=time equivalent
47 26 positions:
47 27 .................................................. $ 12,445,552
47 28 ............................................... FTEs 169.30
47 29 Of the funds appropriated in this subsection, $91,150 shall
47 30 be used for distribution to licensed classroom teachers at this
47 31 and other institutions under the control of the department of
47 32 human services based upon the average student yearly enrollment
47 33 at each institution as determined by the department.
47 34 Sec. 18. CHILD AND FAMILY SERVICES.
47 35 1. There is appropriated from the general fund of the
48 1 state to the department of human services for the fiscal year
48 2 beginning July 1, 2015, and ending June 30, 2016, the following
48 3 amount, or so much thereof as is necessary, to be used for the
48 4 purpose designated:
48 5 For child and family services:
48 6 .................................................. $ 98,182,179
48 7 2. Up to $5,200,000 of the amount of federal temporary
48 8 assistance for needy families block grant funding appropriated
48 9 in this division of this Act for child and family services
48 10 shall be made available for purposes of juvenile delinquent
48 11 graduated sanction services.
48 12 3. The department may transfer funds appropriated in this
48 13 section as necessary to pay the nonfederal costs of services
48 14 reimbursed under the medical assistance program, state child
48 15 care assistance program, or the family investment program which
48 16 are provided to children who would otherwise receive services
48 17 paid under the appropriation in this section. The department
48 18 may transfer funds appropriated in this section to the
48 19 appropriations made in this division of this Act for general
48 20 administration and for field operations for resources necessary
48 21 to implement and operate the services funded in this section.
48 22 4. a. Of the funds appropriated in this section, up to
48 23 $35,821,786 is allocated as the statewide expenditure target
48 24 under section 232.143 for group foster care maintenance and
48 25 services. If the department projects that such expenditures
48 26 for the fiscal year will be less than the target amount
48 27 allocated in this paragraph "a", the department may reallocate
48 28 the excess to provide additional funding for shelter care
48 29 or the child welfare emergency services addressed with the
48 30 allocation for shelter care.
48 31 b. If at any time after September 30, 2015, annualization
48 32 of a service area's current expenditures indicates a service
48 33 area is at risk of exceeding its group foster care expenditure
48 34 target under section 232.143 by more than 5 percent, the
48 35 department and juvenile court services shall examine all
49 1 group foster care placements in that service area in order to
49 2 identify those which might be appropriate for termination.
49 3 In addition, any aftercare services believed to be needed
49 4 for the children whose placements may be terminated shall be
49 5 identified. The department and juvenile court services shall
49 6 initiate action to set dispositional review hearings for the
49 7 placements identified. In such a dispositional review hearing,
49 8 the juvenile court shall determine whether needed aftercare
49 9 services are available and whether termination of the placement
49 10 is in the best interest of the child and the community.
49 11 5. In accordance with the provisions of section 232.188,
49 12 the department shall continue the child welfare and juvenile
49 13 justice funding initiative during fiscal year 2015=2016. Of
49 14 the funds appropriated in this section, $1,717,753 is allocated
49 15 specifically for expenditure for fiscal year 2015=2016 through
49 16 the decategorization services funding pools and governance
49 17 boards established pursuant to section 232.188.
49 18 6. A portion of the funds appropriated in this section
49 19 may be used for emergency family assistance to provide other
49 20 resources required for a family participating in a family
49 21 preservation or reunification project or successor project to
49 22 stay together or to be reunified.
49 23 7. Notwithstanding section 234.35 or any other provision
49 24 of law to the contrary, state funding for shelter care and
49 25 the child welfare emergency services contracting implemented
49 26 to provide for or prevent the need for shelter care shall be
49 27 limited to $8,068,474.
49 28 8. Federal funds received by the state during the fiscal
49 29 year beginning July 1, 2015, as the result of the expenditure
49 30 of state funds appropriated during a previous state fiscal
49 31 year for a service or activity funded under this section are
49 32 appropriated to the department to be used as additional funding
49 33 for services and purposes provided for under this section.
49 34 Notwithstanding section 8.33, moneys received in accordance
49 35 with this subsection that remain unencumbered or unobligated at
50 1 the close of the fiscal year shall not revert to any fund but
50 2 shall remain available for the purposes designated until the
50 3 close of the succeeding fiscal year.
50 4 9. a. Of the funds appropriated in this section, up to
50 5 $3,290,000 is allocated for the payment of the expenses of
50 6 court=ordered services provided to juveniles who are under the
50 7 supervision of juvenile court services, which expenses are a
50 8 charge upon the state pursuant to section 232.141, subsection
50 9 4. Of the amount allocated in this paragraph "a", up to
50 10 $1,556,287 shall be made available to provide school=based
50 11 supervision of children adjudicated under chapter 232, of which
50 12 not more than $15,000 may be used for the purpose of training.
50 13 A portion of the cost of each school=based liaison officer
50 14 shall be paid by the school district or other funding source as
50 15 approved by the chief juvenile court officer.
50 16 b. Of the funds appropriated in this section, up to $748,985
50 17 is allocated for the payment of the expenses of court=ordered
50 18 services provided to children who are under the supervision
50 19 of the department, which expenses are a charge upon the state
50 20 pursuant to section 232.141, subsection 4.
50 21 c. Notwithstanding section 232.141 or any other provision
50 22 of law to the contrary, the amounts allocated in this
50 23 subsection shall be distributed to the judicial districts
50 24 as determined by the state court administrator and to the
50 25 department's service areas as determined by the administrator
50 26 of the department of human services' division of child and
50 27 family services. The state court administrator and the
50 28 division administrator shall make the determination of the
50 29 distribution amounts on or before June 15, 2015.
50 30 d. Notwithstanding chapter 232 or any other provision of
50 31 law to the contrary, a district or juvenile court shall not
50 32 order any service which is a charge upon the state pursuant
50 33 to section 232.141 if there are insufficient court=ordered
50 34 services funds available in the district court or departmental
50 35 service area distribution amounts to pay for the service. The
51 1 chief juvenile court officer and the departmental service area
51 2 manager shall encourage use of the funds allocated in this
51 3 subsection such that there are sufficient funds to pay for
51 4 all court=related services during the entire year. The chief
51 5 juvenile court officers and departmental service area managers
51 6 shall attempt to anticipate potential surpluses and shortfalls
51 7 in the distribution amounts and shall cooperatively request the
51 8 state court administrator or division administrator to transfer
51 9 funds between the judicial districts' or departmental service
51 10 areas' distribution amounts as prudent.
51 11 e. Notwithstanding any provision of law to the contrary,
51 12 a district or juvenile court shall not order a county to pay
51 13 for any service provided to a juvenile pursuant to an order
51 14 entered under chapter 232 which is a charge upon the state
51 15 under section 232.141, subsection 4.
51 16 f. Of the funds allocated in this subsection, not more than
51 17 $83,000 may be used by the judicial branch for administration
51 18 of the requirements under this subsection.
51 19 g. Of the funds allocated in this subsection, $17,000
51 20 shall be used by the department of human services to support
51 21 the interstate commission for juveniles in accordance with
51 22 the interstate compact for juveniles as provided in section
51 23 232.173.
51 24 10. Of the funds appropriated in this section, $8,053,227 is
51 25 allocated for juvenile delinquent graduated sanctions services.
51 26 Any state funds saved as a result of efforts by juvenile court
51 27 services to earn a federal Tit. IV=E match for juvenile court
51 28 services administration may be used for the juvenile delinquent
51 29 graduated sanctions services.
51 30 11. Of the funds appropriated in this section, $1,608,285 is
51 31 transferred to the department of public health to be used for
51 32 the child protection center grant program for child protection
51 33 centers located in Iowa in accordance with section 135.118.
51 34 The grant amounts under the program shall be equalized so that
51 35 each center receives a uniform base amount of $245,000, and
52 1 the remaining funds shall be awarded through a funding formula
52 2 based upon the volume of children served.
52 3 12. If the department receives federal approval to
52 4 implement a waiver under Tit. IV=E of the federal Social
52 5 Security Act to enable providers to serve children who remain
52 6 in the children's families and communities, for purposes of
52 7 eligibility under the medical assistance program through 25
52 8 years of age, children who participate in the waiver shall be
52 9 considered to be placed in foster care.
52 10 13. Of the funds appropriated in this section, $4,025,167 is
52 11 allocated for the preparation for adult living program pursuant
52 12 to section 234.46.
52 13 14. Of the funds appropriated in this section, $520,150
52 14 shall be used for juvenile drug courts. The amount allocated
52 15 in this subsection shall be distributed as follows:
52 16 To the judicial branch for salaries to assist with the
52 17 operation of juvenile drug court programs operated in the
52 18 following jurisdictions:
52 19 a. Marshall county:
52 20 .................................................. $ 62,708
52 21 b. Woodbury county:
52 22 .................................................. $ 125,682
52 23 c. Polk county:
52 24 .................................................. $ 195,892
52 25 d. The third judicial district:
52 26 .................................................. $ 67,934
52 27 e. The eighth judicial district:
52 28 .................................................. $ 67,934
52 29 15. Of the funds appropriated in this section, $227,337
52 30 shall be used for the public purpose of continuing a grant to
52 31 a nonprofit human services organization providing services to
52 32 individuals and families in multiple locations in southwest
52 33 Iowa and Nebraska for support of a project providing immediate,
52 34 sensitive support and forensic interviews, medical exams, needs
52 35 assessments, and referrals for victims of child abuse and their
53 1 nonoffending family members.
53 2 16. Of the funds appropriated in this section, $300,620
53 3 is allocated for the foster care youth council approach of
53 4 providing a support network to children placed in foster care.
53 5 17. Of the funds appropriated in this section, $202,000 is
53 6 allocated for use pursuant to section 235A.1 for continuation
53 7 of the initiative to address child sexual abuse implemented
53 8 pursuant to 2007 Iowa Acts, chapter 218, section 18, subsection
53 9 21.
53 10 18. Of the funds appropriated in this section, $630,240 is
53 11 allocated for the community partnership for child protection
53 12 sites.
53 13 19. Of the funds appropriated in this section, $371,250
53 14 is allocated for the department's minority youth and family
53 15 projects under the redesign of the child welfare system.
53 16 20. Of the funds appropriated in this section, $1,186,595
53 17 is allocated for funding of the community circle of care
53 18 collaboration for children and youth in northeast Iowa.
53 19 21. Of the funds appropriated in this section, at least
53 20 $147,158 shall be used for the continuation of the child
53 21 welfare provider training academy, a collaboration between the
53 22 coalition for family and children's services in Iowa and the
53 23 department.
53 24 22. Of the funds appropriated in this section, $25,000
53 25 shall be used for the public purpose of continuation of a
53 26 grant to a child welfare services provider headquartered in a
53 27 county with a population between 205,000 and 215,000 in the
53 28 latest certified federal census that provides multiple services
53 29 including but not limited to a psychiatric medical institution
53 30 for children, shelter, residential treatment, after school
53 31 programs, school=based programming, and an Asperger's syndrome
53 32 program, to be used for support services for children with
53 33 autism spectrum disorder and their families.
53 34 23. Of the funds appropriated in this section, $25,000
53 35 shall be used for the public purpose of continuing a grant to
54 1 a hospital=based provider headquartered in a county with a
54 2 population between 90,000 and 95,000 in the latest certified
54 3 federal census that provides multiple services including
54 4 but not limited to diagnostic, therapeutic, and behavioral
54 5 services to individuals with autism spectrum disorder across
54 6 one's lifespan. The grant recipient shall utilize the funds
54 7 to continue the pilot project to determine the necessary
54 8 support services for children with autism spectrum disorder and
54 9 their families to be included in the children's disabilities
54 10 services system. The grant recipient shall submit findings and
54 11 recommendations based upon the results of the pilot project
54 12 to the individuals specified in this division of this Act for
54 13 submission of reports by December 31, 2015.
54 14 24. Of the funds appropriated in this section, $211,872
54 15 shall be used for continuation of the central Iowa system of
54 16 care program grant through June 30, 2016.
54 17 25. Of the funds appropriated in this section, $250,000
54 18 shall be used for the public purpose of the continuation
54 19 and expansion of a system of care program grant implemented
54 20 in Cerro Gordo and Linn counties to utilize a comprehensive
54 21 and long=term approach for helping children and families by
54 22 addressing the key areas in a child's life of childhood basic
54 23 needs, education and work, family, and community.
54 24 26. Of the funds appropriated in this section, at least
54 25 $25,000 shall be used to continue and to expand the foster
54 26 care respite pilot program in which postsecondary students in
54 27 social work and other human services=related programs receive
54 28 experience by assisting family foster care providers with
54 29 respite and other support.
54 30 27. Of the funds appropriated in this section, $110,000
54 31 shall be used for the public purpose of funding community=based
54 32 services and other supports with a system of care approach
54 33 for children with a serious emotional disturbance and their
54 34 families through a nonprofit provider of child welfare services
54 35 that has been in existence for more than 115 years, is located
55 1 in a county with a population of more than 200,000 but less
55 2 than 220,000 according to the latest census information
55 3 issued by the United States census bureau, is licensed as a
55 4 psychiatric medical institution for children, and was a system
55 5 of care grantee prior to July 1, 2015.
55 6 Sec. 19. ADOPTION SUBSIDY.
55 7 1. There is appropriated from the general fund of the
55 8 state to the department of human services for the fiscal year
55 9 beginning July 1, 2015, and ending June 30, 2016, the following
55 10 amount, or so much thereof as is necessary, to be used for the
55 11 purpose designated:
55 12 For adoption subsidy payments and services:
55 13 .................................................. $ 42,998,286
55 14 2. The department may transfer funds appropriated in
55 15 this section to the appropriation made in this division of
55 16 this Act for general administration for costs paid from the
55 17 appropriation relating to adoption subsidy.
55 18 3. Federal funds received by the state during the
55 19 fiscal year beginning July 1, 2015, as the result of the
55 20 expenditure of state funds during a previous state fiscal
55 21 year for a service or activity funded under this section are
55 22 appropriated to the department to be used as additional funding
55 23 for the services and activities funded under this section.
55 24 Notwithstanding section 8.33, moneys received in accordance
55 25 with this subsection that remain unencumbered or unobligated
55 26 at the close of the fiscal year shall not revert to any fund
55 27 but shall remain available for expenditure for the purposes
55 28 designated until the close of the succeeding fiscal year.
55 29 Sec. 20. JUVENILE DETENTION HOME FUND. Moneys deposited
55 30 in the juvenile detention home fund created in section 232.142
55 31 during the fiscal year beginning July 1, 2015, and ending June
55 32 30, 2016, are appropriated to the department of human services
55 33 for the fiscal year beginning July 1, 2015, and ending June 30,
55 34 2016, for distribution of an amount equal to a percentage of
55 35 the costs of the establishment, improvement, operation, and
56 1 maintenance of county or multicounty juvenile detention homes
56 2 in the fiscal year beginning July 1, 2014. Moneys appropriated
56 3 for distribution in accordance with this section shall be
56 4 allocated among eligible detention homes, prorated on the basis
56 5 of an eligible detention home's proportion of the costs of all
56 6 eligible detention homes in the fiscal year beginning July
56 7 1, 2014. The percentage figure shall be determined by the
56 8 department based on the amount available for distribution for
56 9 the fund. Notwithstanding section 232.142, subsection 3, the
56 10 financial aid payable by the state under that provision for the
56 11 fiscal year beginning July 1, 2015, shall be limited to the
56 12 amount appropriated for the purposes of this section.
56 13 Sec. 21. FAMILY SUPPORT SUBSIDY PROGRAM.
56 14 1. There is appropriated from the general fund of the
56 15 state to the department of human services for the fiscal year
56 16 beginning July 1, 2015, and ending June 30, 2016, the following
56 17 amount, or so much thereof as is necessary, to be used for the
56 18 purpose designated:
56 19 For the family support subsidy program subject to the
56 20 enrollment restrictions in section 225C.37, subsection 3:
56 21 .................................................. $ 1,073,932
56 22 2. The department shall use at least $641,500 of the moneys
56 23 appropriated in this section for the family support center
56 24 component of the comprehensive family support program under
56 25 section 225C.47. Not more than $25,000 of the amount allocated
56 26 in this subsection shall be used for administrative costs.
56 27 3. If at any time during the fiscal year, the amount of
56 28 funding available for the family support subsidy program
56 29 is reduced from the amount initially used to establish the
56 30 figure for the number of family members for whom a subsidy
56 31 is to be provided at any one time during the fiscal year,
56 32 notwithstanding section 225C.38, subsection 2, the department
56 33 shall revise the figure as necessary to conform to the amount
56 34 of funding available.
56 35 Sec. 22. CONNER DECREE. There is appropriated from the
57 1 general fund of the state to the department of human services
57 2 for the fiscal year beginning July 1, 2015, and ending June 30,
57 3 2016, the following amount, or so much thereof as is necessary,
57 4 to be used for the purpose designated:
57 5 For building community capacity through the coordination
57 6 and provision of training opportunities in accordance with the
57 7 consent decree of Conner v. Branstad, No. 4=86=CV=30871(S.D.
57 8 Iowa, July 14, 1994):
57 9 .................................................. $ 33,632
57 10 Sec. 23. MENTAL HEALTH INSTITUTES. There is appropriated
57 11 from the general fund of the state to the department of human
57 12 services for the fiscal year beginning July 1, 2015, and ending
57 13 June 30, 2016, the following amounts, or so much thereof as is
57 14 necessary, to be used for the purposes designated:
57 15 1. For the state mental health institute at Cherokee for
57 16 salaries, support, maintenance, and miscellaneous purposes, and
57 17 for not more than the following full=time equivalent positions:
57 18 .................................................. $ 5,545,616
57 19 ............................................... FTEs 169.20
57 20 2. For the state mental health institute at Clarinda for
57 21 salaries, support, maintenance, and miscellaneous purposes, and
57 22 for not more than the following full=time equivalent positions:
57 23 .................................................. $ 1,812,899
57 24 ............................................... FTEs 86.10
57 25 3. For the state mental health institute at Independence for
57 26 salaries, support, maintenance, and miscellaneous purposes, and
57 27 for not more than the following full=time equivalent positions:
57 28 .................................................. $ 10,390,773
57 29 ............................................... FTEs 233.00
57 30 Sec. 24. STATE RESOURCE CENTERS.
57 31 1. There is appropriated from the general fund of the
57 32 state to the department of human services for the fiscal year
57 33 beginning July 1, 2015, and ending June 30, 2016, the following
57 34 amounts, or so much thereof as is necessary, to be used for the
57 35 purposes designated:
58 1 a. For the state resource center at Glenwood for salaries,
58 2 support, maintenance, and miscellaneous purposes:
58 3 .................................................. $ 22,024,482
58 4 b. For the state resource center at Woodward for salaries,
58 5 support, maintenance, and miscellaneous purposes:
58 6 .................................................. $ 14,933,806
58 7 2. The department may continue to bill for state resource
58 8 center services utilizing a scope of services approach used for
58 9 private providers of intermediate care facilities for persons
58 10 with an intellectual disability services, in a manner which
58 11 does not shift costs between the medical assistance program,
58 12 counties, or other sources of funding for the state resource
58 13 centers.
58 14 3. The state resource centers may expand the time=limited
58 15 assessment and respite services during the fiscal year.
58 16 4. If the department's administration and the department
58 17 of management concur with a finding by a state resource
58 18 center's superintendent that projected revenues can reasonably
58 19 be expected to pay the salary and support costs for a new
58 20 employee position, or that such costs for adding a particular
58 21 number of new positions for the fiscal year would be less
58 22 than the overtime costs if new positions would not be added,
58 23 the superintendent may add the new position or positions. If
58 24 the vacant positions available to a resource center do not
58 25 include the position classification desired to be filled, the
58 26 state resource center's superintendent may reclassify any
58 27 vacant position as necessary to fill the desired position. The
58 28 superintendents of the state resource centers may, by mutual
58 29 agreement, pool vacant positions and position classifications
58 30 during the course of the fiscal year in order to assist one
58 31 another in filling necessary positions.
58 32 5. If existing capacity limitations are reached in
58 33 operating units, a waiting list is in effect for a service or
58 34 a special need for which a payment source or other funding
58 35 is available for the service or to address the special need,
59 1 and facilities for the service or to address the special need
59 2 can be provided within the available payment source or other
59 3 funding, the superintendent of a state resource center may
59 4 authorize opening not more than two units or other facilities
59 5 and begin implementing the service or addressing the special
59 6 need during fiscal year 2015=2016.
59 7 Sec. 25. SEXUALLY VIOLENT PREDATORS.
59 8 1. There is appropriated from the general fund of the
59 9 state to the department of human services for the fiscal year
59 10 beginning July 1, 2015, and ending June 30, 2016, the following
59 11 amount, or so much thereof as is necessary, to be used for the
59 12 purpose designated:
59 13 For costs associated with the commitment and treatment of
59 14 sexually violent predators in the unit located at the state
59 15 mental health institute at Cherokee, including costs of legal
59 16 services and other associated costs, including salaries,
59 17 support, maintenance, and miscellaneous purposes, and for not
59 18 more than the following full=time equivalent positions:
59 19 .................................................. $ 9,893,079
59 20 ............................................... FTEs 132.50
59 21 2. Unless specifically prohibited by law, if the amount
59 22 charged provides for recoupment of at least the entire amount
59 23 of direct and indirect costs, the department of human services
59 24 may contract with other states to provide care and treatment
59 25 of persons placed by the other states at the unit for sexually
59 26 violent predators at Cherokee. The moneys received under
59 27 such a contract shall be considered to be repayment receipts
59 28 and used for the purposes of the appropriation made in this
59 29 section.
59 30 Sec. 26. FIELD OPERATIONS. There is appropriated from the
59 31 general fund of the state to the department of human services
59 32 for the fiscal year beginning July 1, 2015, and ending June 30,
59 33 2016, the following amount, or so much thereof as is necessary,
59 34 to be used for the purposes designated:
59 35 For field operations, including salaries, support,
60 1 maintenance, and miscellaneous purposes, and for not more than
60 2 the following full=time equivalent positions:
60 3 .................................................. $ 58,920,976
60 4 ............................................... FTEs 1,837.00
60 5 1. As a condition of this appropriation, the department
60 6 shall make every possible effort to fill the entire number of
60 7 positions authorized by this section and, unless specifically
60 8 provided otherwise by an applicable collective bargaining
60 9 agreement, the department is not subject to any approval
60 10 requirement external to the department to fill a field
60 11 operations vacancy within the number of full=time equivalent
60 12 positions authorized by this section. The department shall
60 13 report on the first of each month to the chairpersons and
60 14 ranking members of the appropriations committees of the senate
60 15 and house of representatives, and the persons designated by
60 16 this Act for submission of reports concerning the status of
60 17 filling the positions.
60 18 2. Priority in filling full=time equivalent positions
60 19 shall be given to those positions related to child protection
60 20 services and eligibility determination for low=income families.
60 21 Sec. 27. GENERAL ADMINISTRATION. There is appropriated
60 22 from the general fund of the state to the department of human
60 23 services for the fiscal year beginning July 1, 2015, and ending
60 24 June 30, 2016, the following amount, or so much thereof as is
60 25 necessary, to be used for the purpose designated:
60 26 For general administration, including salaries, support,
60 27 maintenance, and miscellaneous purposes, and for not more than
60 28 the following full=time equivalent positions:
60 29 .................................................. $ 15,161,741
60 30 ............................................... FTEs 309.00
60 31 1. Of the funds appropriated in this section, $38,543 is
60 32 allocated for the prevention of disabilities policy council
60 33 created in section 225B.103, if enacted in this Act.
60 34 2. The department shall report at least monthly to the
60 35 legislative services agency concerning the department's
61 1 operational and program expenditures.
61 2 3. Of the funds appropriated in this section, $150,000 shall
61 3 be used to continue the contract for the provision of a program
61 4 to provide technical assistance, support, and consultation to
61 5 providers of habilitation services and home and community=based
61 6 services waiver services for adults with disabilities under the
61 7 medical assistance program.
61 8 4. Of the funds appropriated in this section, $50,000
61 9 is transferred to the Iowa finance authority to be used
61 10 for administrative support of the council on homelessness
61 11 established in section 16.2D and for the council to fulfill its
61 12 duties in addressing and reducing homelessness in the state.
61 13 5. Of the funds appropriated in this section, $250,000
61 14 is allocated to an Iowa food bank association selected by
61 15 the department for the purchase of food on behalf of an Iowa
61 16 emergency feeding organization or for the distribution of
61 17 moneys to the Iowa emergency feeding organization for the
61 18 purchase of food. The moneys allocated in this subsection
61 19 shall be allocated only to the extent that the allocated moneys
61 20 are matched on a dollar=for=dollar basis. Notwithstanding
61 21 section 8.33, moneys allocated in this subsection that remain
61 22 unencumbered or unobligated at the close of the fiscal year
61 23 shall not revert but shall remain available for expenditure for
61 24 the purposes designated until the close of the following fiscal
61 25 year.
61 26 6. Of the funds appropriated in this section, $250,000
61 27 shall be transferred to and deposited in the administrative
61 28 fund of the Iowa ABLE savings plan trust created in section
61 29 12I.4, if enacted in this Act, to be used for implementation
61 30 and administration activities of the Iowa ABLE savings plan
61 31 trust. Such activities may include the funding of a program
61 32 manager position, the issuance of a request for proposals,
61 33 and creation of an informational internet site, but shall not
61 34 include funding for marketing. The appropriation made in this
61 35 section is deemed to meet the requirement in the section of
62 1 the division of this Act, if enacted, relating to contingent
62 2 implementation of chapter 12I.
62 3 Sec. 28. VOLUNTEERS. There is appropriated from the general
62 4 fund of the state to the department of human services for the
62 5 fiscal year beginning July 1, 2015, and ending June 30, 2016,
62 6 the following amount, or so much thereof as is necessary, to be
62 7 used for the purpose designated:
62 8 For development and coordination of volunteer services:
62 9 .................................................. $ 84,686
62 10 Sec. 29. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY
62 11 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE
62 12 DEPARTMENT OF HUMAN SERVICES.
62 13 1. a. (1) For the fiscal year beginning July 1, 2015,
62 14 the total state funding amount for the nursing facility budget
62 15 shall not exceed $321,900,006.
62 16 (2) For the fiscal year beginning July 1, 2015, the
62 17 department shall rebase case=mix nursing facility rates
62 18 effective July 1, 2015. However, total nursing facility budget
62 19 expenditures, including both case=mix and noncase=mix, shall
62 20 not exceed the amount specified in subparagraph (1). When
62 21 calculating case=mix per diem cost and the patient=day=weighted
62 22 medians used in rate=setting for nursing facilities effective
62 23 July 1, 2015, the inflation factor applied from the midpoint
62 24 of the cost report period to the first day of the state fiscal
62 25 year rate period shall be adjusted to maintain state funding
62 26 within the amount specified in subparagraph (1).
62 27 (3) The department, in cooperation with nursing facility
62 28 representatives, shall review projections for state funding
62 29 expenditures for reimbursement of nursing facilities on a
62 30 quarterly basis and the department shall determine if an
62 31 adjustment to the medical assistance reimbursement rate is
62 32 necessary in order to provide reimbursement within the state
62 33 funding amount for the fiscal year. Notwithstanding 2001
62 34 Iowa Acts, chapter 192, section 4, subsection 2, paragraph
62 35 "c", and subsection 3, paragraph "a", subparagraph (2),
63 1 if the state funding expenditures for the nursing facility
63 2 budget for the fiscal year are projected to exceed the amount
63 3 specified in subparagraph (1), the department shall adjust
63 4 the reimbursement for nursing facilities reimbursed under the
63 5 case=mix reimbursement system to maintain expenditures of the
63 6 nursing facility budget within the specified amount for the
63 7 fiscal year.
63 8 (4) For the fiscal year beginning July 1, 2015, special
63 9 population nursing facilities shall be reimbursed in accordance
63 10 with the methodology in effect on June 30, 2015.
63 11 (5) For any open or unsettled nursing facility cost report
63 12 for a fiscal year prior to and including the fiscal year
63 13 beginning July 1, 2014, including any cost report remanded on
63 14 judicial review for inclusion of prescription drug, laboratory,
63 15 or x=ray costs, the department shall offset all reported
63 16 prescription drug, laboratory, and x=ray costs with any revenue
63 17 received from Medicare or other revenue source for any purpose.
63 18 For purposes of this subparagraph, a nursing facility cost
63 19 report is not considered open or unsettled if the facility did
63 20 not initiate an administrative appeal under chapter 17A or if
63 21 any appeal rights initiated have been exhausted.
63 22 b. (1) For the fiscal year beginning July 1, 2015,
63 23 the department shall establish the pharmacy dispensing fee
63 24 reimbursement at $11.73 per prescription as determined by the
63 25 June 2014 cost of dispensing fee survey.
63 26 (2) The department shall utilize an average acquisition
63 27 cost reimbursement methodology for all drugs covered under the
63 28 medical assistance program in accordance with 2012 Iowa Acts,
63 29 chapter 1133, section 33.
63 30 (3) Notwithstanding subparagraph (2), if the centers for
63 31 Medicare and Medicaid services of the United States department
63 32 of health and human services (CMS) requires, as a condition
63 33 of federal Medicaid funding, that the department implement an
63 34 aggregate federal upper limit (FUL) for drug reimbursement
63 35 based on the average manufacturer's price (AMP), the department
64 1 may utilize a reimbursement methodology for all drugs covered
64 2 under the Medicaid program based on the national average drug
64 3 acquisition cost (NADAC) methodology published by CMS, in order
64 4 to assure compliance with the aggregate FUL, minimize outcomes
64 5 of drug reimbursements below pharmacy acquisition costs, limit
64 6 administrative costs, and minimize any change in the aggregate
64 7 reimbursement for drugs. The department may adopt emergency
64 8 rules to implement this subparagraph.
64 9 c. (1) For the fiscal year beginning July 1, 2015,
64 10 reimbursement rates for outpatient hospital services shall
64 11 remain at the rates in effect on June 30, 2015, subject
64 12 to Medicaid program upper payment limit rules and adjusted
64 13 as necessary to maintain expenditures within the amount
64 14 appropriated to the department for this purpose for the fiscal
64 15 year.
64 16 (2) For the fiscal year beginning July 1, 2015,
64 17 reimbursement rates for inpatient hospital services shall be
64 18 rebased effective October 1, 2015, subject to Medicaid program
64 19 upper payment limit rules and adjusted as necessary to maintain
64 20 expenditures within the amount appropriated to the department
64 21 for this purpose for the fiscal year.
64 22 (3) For the fiscal year beginning July 1, 2015, the graduate
64 23 medical education and disproportionate share hospital fund
64 24 shall remain at the amount in effect on June 30, 2015, except
64 25 that the portion of the fund attributable to graduate medical
64 26 education shall be reduced in an amount that reflects the
64 27 elimination of graduate medical education payments made to
64 28 out=of=state hospitals.
64 29 (4) In order to ensure the efficient use of limited state
64 30 funds in procuring health care services for low=income Iowans,
64 31 funds appropriated in this Act for hospital services shall
64 32 not be used for activities which would be excluded from a
64 33 determination of reasonable costs under the federal Medicare
64 34 program pursuant to 42 U.S.C. {1395x(v)(1)(N).
64 35 d. For the fiscal year beginning July 1, 2015, reimbursement
65 1 rates for rural health clinics, hospices, and acute mental
65 2 hospitals shall be increased in accordance with increases under
65 3 the federal Medicare program or as supported by their Medicare
65 4 audited costs.
65 5 e. For the fiscal year beginning July 1, 2015, independent
65 6 laboratories and rehabilitation agencies shall be reimbursed
65 7 using the same methodology in effect on June 30, 2015.
65 8 f. (1) For the fiscal year beginning July 1, 2015,
65 9 reimbursement rates for home health agencies shall continue to
65 10 be based on the Medicare low utilization payment adjustment
65 11 (LUPA) methodology with state geographic wage adjustments, and
65 12 updated to reflect the most recent Medicare LUPA rates.
65 13 (2) For the fiscal year beginning July 1, 2015, rates for
65 14 private duty nursing and personal care services under the early
65 15 and periodic screening, diagnostic, and treatment program
65 16 benefit shall be calculated based on the methodology in effect
65 17 on June 30, 2015.
65 18 g. For the fiscal year beginning July 1, 2015, federally
65 19 qualified health centers shall receive cost=based reimbursement
65 20 for 100 percent of the reasonable costs for the provision of
65 21 services to recipients of medical assistance.
65 22 h. For the fiscal year beginning July 1, 2015, the
65 23 reimbursement rates for dental services shall remain at the
65 24 rates in effect on June 30, 2015.
65 25 i. (1) For the fiscal year beginning July 1, 2015,
65 26 state=owned psychiatric medical institutions for children shall
65 27 receive cost=based reimbursement for 100 percent of the actual
65 28 and allowable costs for the provision of services to recipients
65 29 of medical assistance.
65 30 (2) For the nonstate=owned psychiatric medical institutions
65 31 for children, reimbursement rates shall be based on the
65 32 reimbursement methodology developed by the department as
65 33 required for federal compliance.
65 34 (3) As a condition of participation in the medical
65 35 assistance program, enrolled providers shall accept the medical
66 1 assistance reimbursement rate for any covered goods or services
66 2 provided to recipients of medical assistance who are children
66 3 under the custody of a psychiatric medical institution for
66 4 children.
66 5 j. For the fiscal year beginning July 1, 2015, unless
66 6 otherwise specified in this Act, all noninstitutional medical
66 7 assistance provider reimbursement rates shall remain at the
66 8 rates in effect on June 30, 2015, except for area education
66 9 agencies, local education agencies, infant and toddler
66 10 services providers, home and community=based services providers
66 11 including consumer=directed attendant care providers under a
66 12 section 1915(c) or 1915(i) waiver, targeted case management
66 13 providers, and those providers whose rates are required to be
66 14 determined pursuant to section 249A.20.
66 15 k. Notwithstanding any provision to the contrary, for the
66 16 fiscal year beginning July 1, 2015, the reimbursement rate for
66 17 anesthesiologists shall remain at the rate in effect on June
66 18 30, 2015.
66 19 l. Notwithstanding section 249A.20, for the fiscal year
66 20 beginning July 1, 2015, the average reimbursement rate for
66 21 health care providers eligible for use of the federal Medicare
66 22 resource=based relative value scale reimbursement methodology
66 23 under section 249A.20 shall remain at the rate in effect on
66 24 June 30, 2015; however, this rate shall not exceed the maximum
66 25 level authorized by the federal government.
66 26 m. For the fiscal year beginning July 1, 2015, the
66 27 reimbursement rate for residential care facilities shall not
66 28 be less than the minimum payment level as established by the
66 29 federal government to meet the federally mandated maintenance
66 30 of effort requirement. The flat reimbursement rate for
66 31 facilities electing not to file annual cost reports shall not
66 32 be less than the minimum payment level as established by the
66 33 federal government to meet the federally mandated maintenance
66 34 of effort requirement.
66 35 n. For the fiscal year beginning July 1, 2015, the
67 1 reimbursement rates for inpatient mental health services
67 2 provided at hospitals shall be rebased effective October 1,
67 3 2015, subject to Medicaid program upper payment limit rules;
67 4 and psychiatrists shall be reimbursed at the medical assistance
67 5 program fee=for=service rate in effect on June 30, 2015.
67 6 o. For the fiscal year beginning July 1, 2015, community
67 7 mental health centers may choose to be reimbursed for the
67 8 services provided to recipients of medical assistance through
67 9 either of the following options:
67 10 (1) For 100 percent of the reasonable costs of the services.
67 11 (2) In accordance with the alternative reimbursement rate
67 12 methodology established by the medical assistance program's
67 13 managed care contractor for mental health services and approved
67 14 by the department of human services.
67 15 p. For the fiscal year beginning July 1, 2015, the
67 16 reimbursement rate for providers of family planning services
67 17 that are eligible to receive a 90 percent federal match shall
67 18 remain at the rates in effect on June 30, 2015.
67 19 q. For the fiscal year beginning July 1, 2015, the upper
67 20 limits on reimbursement rates for providers of home and
67 21 community=based services waiver services shall be increased by
67 22 1.5 percent over the limits in effect on June 30, 2015.
67 23 r. For the fiscal year beginning July 1, 2015, the
67 24 reimbursement rates for emergency medical service providers
67 25 shall remain at the rates in effect on June 30, 2015.
67 26 s. For the fiscal year beginning July 1, 2015, reimbursement
67 27 rates for substance=related disorder treatment programs
67 28 licensed under section 125.13 shall be increased by 3 percent
67 29 over the rates in effect on June 30, 2015.
67 30 2. For the fiscal year beginning July 1, 2015, the
67 31 reimbursement rate for providers reimbursed under the
67 32 in=home=related care program shall not be less than the minimum
67 33 payment level as established by the federal government to meet
67 34 the federally mandated maintenance of effort requirement.
67 35 3. Unless otherwise directed in this section, when the
68 1 department's reimbursement methodology for any provider
68 2 reimbursed in accordance with this section includes an
68 3 inflation factor, this factor shall not exceed the amount
68 4 by which the consumer price index for all urban consumers
68 5 increased during the calendar year ending December 31, 2002.
68 6 4. For the fiscal year beginning July 1, 2015, the foster
68 7 family basic daily maintenance rate and the maximum adoption
68 8 subsidy rate for children ages 0 through 5 years shall be
68 9 $16.78, the rate for children ages 6 through 11 years shall be
68 10 $17.45, the rate for children ages 12 through 15 years shall
68 11 be $19.10, and the rate for children and young adults ages 16
68 12 and older shall be $19.35. For youth ages 18 to 21 who have
68 13 exited foster care, the preparation for adult living program
68 14 maintenance rate shall be $602.70 per month. The maximum
68 15 payment for adoption subsidy nonrecurring expenses shall be
68 16 limited to $500 and the disallowance of additional amounts
68 17 for court costs and other related legal expenses implemented
68 18 pursuant to 2010 Iowa Acts, chapter 1031, section 408, shall
68 19 be continued.
68 20 5. For the fiscal year beginning July 1, 2015, the maximum
68 21 reimbursement rates for social services providers under
68 22 contract shall remain at the rates in effect on June 30, 2015,
68 23 or the provider's actual and allowable cost plus inflation for
68 24 each service, whichever is less. However, if a new service
68 25 or service provider is added after June 30, 2015, the initial
68 26 reimbursement rate for the service or provider shall be based
68 27 upon a weighted average of provider rates for similar services.
68 28 6. For the fiscal year beginning July 1, 2015, the
68 29 reimbursement rates for resource family recruitment and
68 30 retention contractors, child welfare emergency services
68 31 contractors, and supervised apartment living foster care
68 32 providers shall be increased by 5 percent over the rates in
68 33 effect on June 30, 2015.
68 34 7. For the fiscal year beginning July 1, 2015, the
68 35 reimbursement rate for safety plan services and family safety,
69 1 risk, and permanency services (family=centered) shall be
69 2 increased as follows:
69 3 a. The statewide base monthly payment amount for all
69 4 family safety, risk, and permanency services (family=centered)
69 5 contractors shall be increased by $25.22 per month over the
69 6 rate in effect on June 30, 2015.
69 7 (1) Family safety, risk, and permanency services
69 8 Performance Measure 1 payments shall be increased by $5.25 per
69 9 case over the rate in effect on June 30, 2015.
69 10 (2) Family safety, risk, and permanency services
69 11 Performance Measure 2 payments shall be increased by $13.15 per
69 12 case over the rate in effect on June 30, 2015.
69 13 (3) Family safety, risk, and permanency services
69 14 Performance Measure 3 payments shall be increased by $26.25 per
69 15 case over the rate in effect on June 30, 2015.
69 16 (4) Family safety, risk, and permanency services
69 17 Performance Measure 4 payments shall be increased by $26.25 per
69 18 case over the rate in effect on June 30, 2015.
69 19 b. The maximum reimbursement unit rate for safety plan
69 20 services shall be increased by $27.61 over the rate in effect
69 21 on June 30, 2015.
69 22 (1) Safety plan services Performance Measure 1 payments
69 23 shall be increased by $5.25 per case over the rate in effect on
69 24 June 30, 2015.
69 25 (2) Safety plan services Performance Measure 2 payments
69 26 shall be increased by $5.25 per case over the rate in effect on
69 27 June 30, 2015.
69 28 8. a. For the purposes of this subsection, "combined
69 29 reimbursement rate" means the combined service and maintenance
69 30 reimbursement rate for a service level under the department's
69 31 reimbursement methodology. Effective July 1, 2015, the
69 32 combined reimbursement rate for a group foster care service
69 33 level shall be the amount designated in this subsection.
69 34 However, if a group foster care provider's reimbursement rate
69 35 for a service level as of June 30, 2015, is more than the rate
70 1 designated in this subsection, the provider's reimbursement
70 2 shall remain at the higher rate.
70 3 b. Unless a group foster care provider is subject to the
70 4 exception provided in paragraph "a", effective July 1, 2015,
70 5 the combined reimbursement rates for the service levels under
70 6 the department's reimbursement methodology shall be as follows:
70 7 (1) For service level, community = D1, the daily rate shall
70 8 be at least $84.17.
70 9 (2) For service level, comprehensive = D2, the daily rate
70 10 shall be at least $119.09.
70 11 (3) For service level, enhanced = D3, the daily rate shall
70 12 be at least $131.09.
70 13 9. The group foster care reimbursement rates paid for
70 14 placement of children out of state shall be calculated
70 15 according to the same rate=setting principles as those used for
70 16 in=state providers, unless the director of human services or
70 17 the director's designee determines that appropriate care cannot
70 18 be provided within the state. The payment of the daily rate
70 19 shall be based on the number of days in the calendar month in
70 20 which service is provided.
70 21 10. a. For the fiscal year beginning July 1, 2015, the
70 22 reimbursement rate paid for shelter care and the child welfare
70 23 emergency services implemented to provide or prevent the need
70 24 for shelter care shall be established by contract.
70 25 b. For the fiscal year beginning July 1, 2015, the combined
70 26 service and maintenance components of the reimbursement rate
70 27 paid for shelter care services shall be based on the financial
70 28 and statistical report submitted to the department. The
70 29 maximum reimbursement rate shall be $101.83 per day. The
70 30 department shall reimburse a shelter care provider at the
70 31 provider's actual and allowable unit cost, plus inflation, not
70 32 to exceed the maximum reimbursement rate.
70 33 c. Notwithstanding section 232.141, subsection 8, for the
70 34 fiscal year beginning July 1, 2015, the amount of the statewide
70 35 average of the actual and allowable rates for reimbursement of
71 1 juvenile shelter care homes that is utilized for the limitation
71 2 on recovery of unpaid costs shall remain at the amount in
71 3 effect for this purpose in the fiscal year beginning July 1,
71 4 2014.
71 5 11. For the fiscal year beginning July 1, 2015, the
71 6 department shall calculate reimbursement rates for intermediate
71 7 care facilities for persons with an intellectual disability
71 8 at the 80th percentile. Beginning July 1, 2015, the rate
71 9 calculation methodology shall utilize the consumer price index
71 10 inflation factor applicable to the fiscal year beginning July
71 11 1, 2015.
71 12 12. For the fiscal year beginning July 1, 2015, for child
71 13 care providers reimbursed under the state child care assistance
71 14 program, the department shall set provider reimbursement
71 15 rates based on the rate reimbursement survey completed in
71 16 December 2004. Effective July 1, 2015, the child care provider
71 17 reimbursement rates shall remain at the rates in effect on June
71 18 30, 2015. The department shall set rates in a manner so as
71 19 to provide incentives for a nonregistered provider to become
71 20 registered by applying the increase only to registered and
71 21 licensed providers.
71 22 13. For the fiscal year beginning July 1, 2015, if the
71 23 centers for Medicare and Medicaid services of the United
71 24 States department of health and human services approves the
71 25 waivers necessary to implement medical assistance program
71 26 managed care applicable to any providers or services subject to
71 27 reimbursement under this section, notwithstanding any provision
71 28 to the contrary under this section, affected providers or
71 29 services shall instead be reimbursed as follows:
71 30 a. For fee=for=service claims, reimbursement rates shall
71 31 be calculated based on the methodology otherwise specified in
71 32 this section for the fiscal year beginning July 1, 2015, for
71 33 the respective provider or service.
71 34 b. For claims subject to a managed care contract,
71 35 reimbursement shall be based on the actuarially sound
72 1 capitation rates established under the contract. However,
72 2 any reimbursement established under such contract shall not
72 3 be lower than the reimbursement otherwise specified in this
72 4 section for the fiscal year beginning July 1, 2015, for the
72 5 respective provider or service.
72 6 14. The department may adopt emergency rules to implement
72 7 this section.
72 8 Sec. 30. EMERGENCY RULES.
72 9 1. If specifically authorized by a provision of this
72 10 division of this Act, the department of human services or
72 11 the mental health and disability services commission may
72 12 adopt administrative rules under section 17A.4, subsection
72 13 3, and section 17A.5, subsection 2, paragraph "b", to
72 14 implement the provisions of this division of this Act and
72 15 the rules shall become effective immediately upon filing or
72 16 on a later effective date specified in the rules, unless the
72 17 effective date of the rules is delayed or the applicability
72 18 of the rules is suspended by the administrative rules review
72 19 committee. Any rules adopted in accordance with this section
72 20 shall not take effect before the rules are reviewed by the
72 21 administrative rules review committee. The delay authority
72 22 provided to the administrative rules review committee under
72 23 section 17A.4, subsection 7, and section 17A.8, subsection 9,
72 24 shall be applicable to a delay imposed under this section,
72 25 notwithstanding a provision in those sections making them
72 26 inapplicable to section 17A.5, subsection 2, paragraph "b".
72 27 Any rules adopted in accordance with the provisions of this
72 28 section shall also be published as a notice of intended action
72 29 as provided in section 17A.4.
72 30 2. If during a fiscal year, the department of human
72 31 services is adopting rules in accordance with this section
72 32 or as otherwise directed or authorized by state law, and the
72 33 rules will result in an expenditure increase beyond the amount
72 34 anticipated in the budget process or if the expenditure was
72 35 not addressed in the budget process for the fiscal year, the
73 1 department shall notify the persons designated by this division
73 2 of this Act for submission of reports, the chairpersons and
73 3 ranking members of the committees on appropriations, and
73 4 the department of management concerning the rules and the
73 5 expenditure increase. The notification shall be provided at
73 6 least 30 calendar days prior to the date notice of the rules
73 7 is submitted to the administrative rules coordinator and the
73 8 administrative code editor.
73 9 Sec. 31. REPORTS. Any reports or other information
73 10 required to be compiled and submitted under this Act during the
73 11 fiscal year beginning July 1, 2015, shall be submitted to the
73 12 chairpersons and ranking members of the joint appropriations
73 13 subcommittee on health and human services, the legislative
73 14 services agency, and the legislative caucus staffs on or
73 15 before the dates specified for submission of the reports or
73 16 information.
73 17 Sec. 32. EFFECTIVE UPON ENACTMENT. The following
73 18 provisions of this division of this Act, being deemed of
73 19 immediate importance, take effect upon enactment:
73 20 1. The provision relating to section 232.141 and directing
73 21 the state court administrator and the division administrator of
73 22 the department of human services division of child and family
73 23 services to make the determination, by June 15, 2015, of the
73 24 distribution of funds allocated for the payment of the expenses
73 25 of court=ordered services provided to juveniles which are a
73 26 charge upon the state.
73 27 2. The provision prohibiting the department of human
73 28 services from adopting emergency rules to implement Medicaid
73 29 managed care or the governor's Medicaid modernization
73 30 initiative.
73 31 DIVISION VI
73 32 HEALTH CARE ACCOUNTS AND FUNDS ==== FY 2015=2016
73 33 Sec. 33. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is
73 34 appropriated from the pharmaceutical settlement account created
73 35 in section 249A.33 to the department of human services for the
74 1 fiscal year beginning July 1, 2015, and ending June 30, 2016,
74 2 the following amount, or so much thereof as is necessary, to be
74 3 used for the purpose designated:
74 4 Notwithstanding any provision of law to the contrary, to
74 5 supplement the appropriations made in this Act for medical
74 6 contracts under the medical assistance program for the fiscal
74 7 year beginning July 1, 2015, and ending June 30, 2016:
74 8 .................................................. $ 500,000
74 9 Sec. 34. QUALITY ASSURANCE TRUST FUND ==== DEPARTMENT OF HUMAN
74 10 SERVICES. Notwithstanding any provision to the contrary and
74 11 subject to the availability of funds, there is appropriated
74 12 from the quality assurance trust fund created in section
74 13 249L.4 to the department of human services for the fiscal year
74 14 beginning July 1, 2015, and ending June 30, 2016, the following
74 15 amounts, or so much thereof as is necessary, for the purposes
74 16 designated:
74 17 To supplement the appropriation made in this Act from the
74 18 general fund of the state to the department of human services
74 19 for medical assistance for the same fiscal year:
74 20 .................................................. $ 36,705,208
74 21 Sec. 35. HOSPITAL HEALTH CARE ACCESS TRUST FUND ====
74 22 DEPARTMENT OF HUMAN SERVICES. Notwithstanding any provision to
74 23 the contrary and subject to the availability of funds, there is
74 24 appropriated from the hospital health care access trust fund
74 25 created in section 249M.4 to the department of human services
74 26 for the fiscal year beginning July 1, 2015, and ending June
74 27 30, 2016, the following amounts, or so much thereof as is
74 28 necessary, for the purposes designated:
74 29 To supplement the appropriation made in this Act from the
74 30 general fund of the state to the department of human services
74 31 for medical assistance for the same fiscal year:
74 32 .................................................. $ 34,700,000
74 33 Sec. 36. MEDICAL ASSISTANCE PROGRAM ==== NONREVERSION
74 34 FOR FY 2015=2016. Notwithstanding section 8.33, if moneys
74 35 appropriated for purposes of the medical assistance program for
75 1 the fiscal year beginning July 1, 2015, and ending June 30,
75 2 2016, from the general fund of the state, the quality assurance
75 3 trust fund and the hospital health care access trust fund, are
75 4 in excess of actual expenditures for the medical assistance
75 5 program and remain unencumbered or unobligated at the close
75 6 of the fiscal year, the excess moneys shall not revert but
75 7 shall remain available for expenditure for the purposes of the
75 8 medical assistance program until the close of the succeeding
75 9 fiscal year.
75 10 DIVISION VII
75 11 PATIENT=CENTERED HEALTH ADVISORY COUNCIL
75 12 Sec. 37. Section 135.159, subsection 2, paragraph a,
75 13 unnumbered paragraph 1, Code 2015, is amended to read as
75 14 follows:
75 15 The department shall establish an a patient=centered health
75 16 advisory council which shall include but is not limited to
75 17 all of the following members, selected by their respective
75 18 organizations, and any other members the department determines
75 19 necessary to assist in the department's duties at various
75 20 stages of development of the medical home system:
75 21 Sec. 38. Section 135.159, subsection 2, paragraph b, Code
75 22 2015, is amended to read as follows:
75 23 b. Public members of the patient=centered health advisory
75 24 council shall receive reimbursement for actual expenses
75 25 incurred while serving in their official capacity only if they
75 26 are not eligible for reimbursement by the organization that
75 27 they represent.
75 28 Sec. 39. Section 135.159, subsection 10, Code 2015, is
75 29 amended to read as follows:
75 30 10. The department shall integrate the recommendations and
75 31 policies developed pursuant to section 135.161, Code 2011, into
75 32 the medical home system and shall incorporate the development
75 33 and implementation of the state initiative for prevention
75 34 and chronic care management as developed pursuant to section
75 35 135.161, Code 2011, into the duties of the medical home system
76 1 patient=centered health advisory council beginning January 1,
76 2 2012.
76 3 Sec. 40. CODE EDITOR DIRECTIVE. The Code editor shall amend
76 4 the headnote of section 135.159, Code 2015, to read Medical home
76 5 system ==== patient=centered health advisory council ==== development
76 6 and implementation.
76 7 DIVISION VIII
76 8 PRIOR YEAR APPROPRIATIONS AND OTHER PRIOR PROVISIONS
76 9 DECATEGORIZATION
76 10 Sec. 41. DECATEGORIZATION CARRYOVER FUNDING ==== TRANSFER TO
76 11 MEDICAID PROGRAM. Notwithstanding section 232.188, subsection
76 12 5, paragraph "b", any state appropriated moneys in the funding
76 13 pool that remained unencumbered or unobligated at the close
76 14 of the fiscal year beginning July 1, 2012, and were deemed
76 15 carryover funding to remain available for the two succeeding
76 16 fiscal years that still remain unencumbered or unobligated at
76 17 the close of the fiscal year beginning July 1, 2014, shall
76 18 not revert but shall be transferred to the medical assistance
76 19 program for the fiscal year beginning July 1, 2014.
76 20 COMMUNITY MENTAL HEALTH SERVICES APPROPRIATION
76 21 Sec. 42. 2013 Iowa Acts, chapter 136, section 2, subsection
76 22 1, paragraph c, is amended to read as follows:
76 23 c. The department shall allocate not less than 95 percent
76 24 of the amount of the block grant each federal fiscal year
76 25 to eligible community mental health services providers for
76 26 carrying out the plan submitted to and approved by the federal
76 27 substance abuse and mental health services administration
76 28 for the fiscal year involved, except that for federal fiscal
76 29 year 2014=2015, $1,643,467 of such federal block grant funds
76 30 shall be used for child and family services pursuant to 2013
76 31 Iowa Acts, chapter 138, section 148, as amended by 2014 Iowa
76 32 Acts, chapter 1140, section 25, for the purposes of 2014 Iowa
76 33 Acts, chapter 1140, section 25, subsection 20, relating to
76 34 the community circle of care collaboration for children and
76 35 youth in northeast Iowa, subsection 24 relating to the central
77 1 Iowa system of care program grant, subsection 25 relating
77 2 to the system of care grant implemented in Cerro Gordo and
77 3 Linn counties, and subsection 27 relating to a system of care
77 4 approach for children with a serious emotional disturbance and
77 5 their families through a nonprofit provider of child welfare
77 6 services licensed as a psychiatric medical institution for
77 7 children.
77 8 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES
77 9 Sec. 43. 2013 Iowa Acts, chapter 138, section 136,
77 10 subsections 1, 2, 6, and 13, as amended by 2014 Iowa Acts,
77 11 chapter 1140, section 9, are amended to read as follows:
77 12 1. To be credited to the family investment program account
77 13 and used for assistance under the family investment program
77 14 under chapter 239B:
77 15 .................................................. $ 9,879,488
77 16 6,281,222
77 17 2. To be credited to the family investment program account
77 18 and used for the job opportunities and basic skills (JOBS)
77 19 program and implementing family investment agreements in
77 20 accordance with chapter 239B:
77 21 .................................................. $ 11,091,911
77 22 10,232,340
77 23 6. For state child care assistance:
77 24 .................................................. $ 35,047,110
77 25 41,210,239
77 26 a. Of the funds appropriated in this subsection,
77 27 $26,347,110 $26,332,712 is transferred to the child care and
77 28 development block grant appropriation made by the Eighty=fifth
77 29 General Assembly, 2013 Session, in 2013 Iowa Acts, chapter 136,
77 30 section 14 for the federal fiscal year beginning October 1,
77 31 2014, and ending September 30, 2015. Of this amount, $200,000
77 32 shall be used for provision of educational opportunities to
77 33 registered child care home providers in order to improve
77 34 services and programs offered by this category of providers
77 35 and to increase the number of providers. The department may
78 1 contract with institutions of higher education or child care
78 2 resource and referral centers to provide the educational
78 3 opportunities. Allowable administrative costs under the
78 4 contracts shall not exceed 5 percent. The application for a
78 5 grant shall not exceed two pages in length.
78 6 b. Any funds appropriated in this subsection remaining
78 7 unallocated shall be used for state child care assistance
78 8 payments for families who are employed, including but not
78 9 limited to individuals enrolled in the family investment
78 10 program who are employed.
78 11 13. a. Notwithstanding any provision to the contrary,
78 12 including but not limited to requirements in section 8.41 or
78 13 provisions in 2013 or 2014 Iowa Acts regarding the receipt and
78 14 appropriation of federal block grants, federal funds from the
78 15 temporary assistance for needy families block grant received
78 16 by the state not otherwise appropriated in this section and
78 17 remaining available for the fiscal year beginning July 1, 2014,
78 18 are appropriated to the department of human services to the
78 19 extent as may be necessary to be used in the following priority
78 20 order: the family investment program, for state child care
78 21 assistance program payments for individuals enrolled in the
78 22 family investment program families who are employed, and for
78 23 the family investment program share of costs to develop and
78 24 maintain a new, integrated eligibility determination system.
78 25 The federal funds appropriated in this paragraph "a" shall be
78 26 expended only after all other funds appropriated in subsection
78 27 1 for the assistance under the family investment program,
78 28 in subsection 6 for child care assistance, or in subsection
78 29 12 for the family investment program share of the costs to
78 30 continue to develop and maintain a new, integrated eligibility
78 31 determination system, as applicable, have been expended. For
78 32 the purposes of this subsection, the funds appropriated in
78 33 subsection 6, paragraph "a", for transfer to the child care and
78 34 development block grant are considered fully expended when the
78 35 full amount has been transferred.
79 1 b. The department shall, on a quarterly basis, advise the
79 2 legislative services agency and department of management of
79 3 the amount of funds appropriated in this subsection that was
79 4 expended in the prior quarter.
79 5 CHILD SUPPORT RECOVERY UNIT
79 6 Sec. 44. 2013 Iowa Acts, chapter 138, section 139,
79 7 unnumbered paragraph 2, as amended by 2014 Iowa Acts, chapter
79 8 1140, section 12, is amended to read as follows:
79 9 For child support recovery, including salaries, support,
79 10 maintenance, and miscellaneous purposes, and for not more than
79 11 the following full=time equivalent positions:
79 12 .................................................. $ 14,911,230
79 13 14,771,230
79 14 ............................................... FTEs 464.00
79 15 MEDICAL ASSISTANCE
79 16 Sec. 45. 2013 Iowa Acts, chapter 139, section 142,
79 17 unnumbered paragraph 2, as amended by 2014 Iowa Acts, chapter
79 18 1140, section 14, is amended to read as follows:
79 19 For medical assistance program reimbursement and associated
79 20 costs as specifically provided in the reimbursement
79 21 methodologies in effect on June 30, 2014, except as otherwise
79 22 expressly authorized by law, consistent with options under
79 23 federal law and regulations, and contingent upon receipt of
79 24 approval from the office of the governor of reimbursement for
79 25 each abortion performed under the program:
79 26 .................................................. $1,250,658,393
79 27 1,310,299,250
79 28 MEDICAL CONTRACTS
79 29 Sec. 46. 2013 Iowa Acts, chapter 138, section 143,
79 30 unnumbered paragraphs 1 and 2, as amended by 2014 Iowa Acts,
79 31 chapter 1140, section 19, are amended to read as follows:
79 32 There is appropriated from the general fund of the state to
79 33 the department of human services for the fiscal year beginning
79 34 July 1, 2014, and ending June 30, 2015, the following amount,
79 35 or so much thereof as is necessary, to be used for the purpose
80 1 designated:
80 2 For medical contracts:
80 3 .................................................. $ 17,148,576
80 4 12,896,400
80 5 STATE SUPPLEMENTARY ASSISTANCE
80 6 Sec. 47. 2013 Iowa Acts, chapter 138, section 144,
80 7 subsection 1, as amended by 2014 Iowa Acts, chapter 1140,
80 8 section 20, is amended to read as follows:
80 9 1. There is appropriated from the general fund of the
80 10 state to the department of human services for the fiscal year
80 11 beginning July 1, 2014, and ending June 30, 2015, the following
80 12 amount, or so much thereof as is necessary, to be used for the
80 13 purpose designated:
80 14 For the state supplementary assistance program:
80 15 .................................................. $ 14,121,154
80 16 12,965,318
80 17 CHILDREN'S HEALTH INSURANCE PROGRAM/
80 18 HEALTHY AND WELL KIDS IN IOWA PROGRAM
80 19 Sec. 48. 2013 Iowa Acts, chapter 138, section 145,
80 20 subsection 1, as amended by 2014 Iowa Acts, chapter 1140,
80 21 section 21, is amended to read as follows:
80 22 1. There is appropriated from the general fund of the
80 23 state to the department of human services for the fiscal year
80 24 beginning July 1, 2014, and ending June 30, 2015, the following
80 25 amount, or so much thereof as is necessary, to be used for the
80 26 purpose designated:
80 27 For maintenance of the healthy and well kids in Iowa (hawk=i)
80 28 program pursuant to chapter 514I, including supplemental dental
80 29 services, for receipt of federal financial participation under
80 30 Tit. XXI of the federal Social Security Act, which creates the
80 31 children's health insurance program:
80 32 .................................................. $ 45,877,998
80 33 45,097,085
80 34 CHILD CARE ASSISTANCE
80 35 Sec. 49. 2013 Iowa Acts, chapter 138, section 146,
81 1 unnumbered paragraphs 1 and 2, as amended by 2014 Iowa Acts,
81 2 chapter 1140, section 22, are amended to read as follows:
81 3 There is appropriated from the general fund of the state to
81 4 the department of human services for the fiscal year beginning
81 5 July 1, 2014, and ending June 30, 2015, the following amount,
81 6 or so much thereof as is necessary, to be used for the purpose
81 7 designated:
81 8 For child care programs:
81 9 .................................................. $ 47,132,080
81 10 36,303,944
81 11 CHILDREN ADJUDICATED AS DELINQUENT AND CHILD IN NEED OF
81 12 ASSISTANCE PLACEMENTS
81 13 Sec. 50. 2013 Iowa Acts, chapter 138, unnumbered paragraphs
81 14 1 and 2, as amended by 2014 Iowa Acts, chapter 1140, section
81 15 24, are amended to read as follows:
81 16 There is appropriated from the general fund of the state to
81 17 the department of human services for the fiscal year beginning
81 18 July 1, 2014, and ending June 30, 2015, the following amount,
81 19 or so much thereof as is necessary, to be used for the purposes
81 20 designated:
81 21 For the placement costs of female children adjudicated as
81 22 delinquent and male and female children adjudicated as a child
81 23 in need of assistance:
81 24 .................................................. $ 2,000,000
81 25 1,400,000
81 26 CHILD AND FAMILY SERVICES
81 27 Sec. 51. 2013 Iowa Acts, chapter 138, section 148,
81 28 subsection 1, as amended by 2014 Iowa Acts, chapter 1140,
81 29 section 25, is amended to read as follows:
81 30 1. There is appropriated from the general fund of the
81 31 state to the department of human services for the fiscal year
81 32 beginning July 1, 2014, and ending June 30, 2015, the following
81 33 amount, or so much thereof as is necessary, to be used for the
81 34 purpose designated:
81 35 For child and family services:
82 1 .................................................. $ 94,857,554
82 2 91,364,087
82 3 ADOPTION SUBSIDY
82 4 Sec. 52. 2013 Iowa Acts, chapter 138, section 149,
82 5 subsection 1, as amended by 2014 Iowa Acts, chapter 1140,
82 6 section 26, is amended to read as follows:
82 7 1. There is appropriated from the general fund of the
82 8 state to the department of human services for the fiscal year
82 9 beginning July 1, 2014, and ending June 30, 2015, the following
82 10 amount, or so much thereof as is necessary, to be used for the
82 11 purpose designated:
82 12 For adoption subsidy payments and services:
82 13 .................................................. $ 42,580,749
82 14 41,744,149
82 15 FAMILY SUPPORT SUBSIDY
82 16 Sec. 53. 2013 Iowa Acts, chapter 138, section 151,
82 17 subsection 1, as amended by 2014 Iowa Acts, chapter 1140,
82 18 section 27, is amended to read as follows:
82 19 1. There is appropriated from the general fund of the
82 20 state to the department of human services for the fiscal year
82 21 beginning July 1, 2014, and ending June 30, 2015, the following
82 22 amount, or so much thereof as is necessary, to be used for the
82 23 purpose designated:
82 24 For the family support subsidy program subject to the
82 25 enrollment restrictions in section 225C.37, subsection 3:
82 26 .................................................. $ 1,079,739
82 27 579,739
82 28 FIELD OPERATIONS
82 29 Sec. 54. 2013 Iowa Acts, chapter 138, section 156,
82 30 unnumbered paragraphs 1 and 2, as amended by 2014 Iowa Acts,
82 31 chapter 1140, section 32, are amended to read as follows:
82 32 There is appropriated from the general fund of the state to
82 33 the department of human services for the fiscal year beginning
82 34 July 1, 2014, and ending June 30, 2015, the following amount,
82 35 or so much thereof as is necessary, to be used for the purposes
83 1 designated:
83 2 For field operations, including salaries, support,
83 3 maintenance, and miscellaneous purposes, and for not more than
83 4 the following full=time equivalent positions:
83 5 .................................................. $ 65,170,976
83 6 61,170,976
83 7 ............................................... FTEs 1,837.00
83 8 GENERAL ADMINISTRATION
83 9 Sec. 55. 2013 Iowa Acts, chapter 138, section 157,
83 10 unnumbered paragraphs 1 and 2, as amended by 2014 Iowa Acts,
83 11 chapter 1140, section 33, are amended to read as follows:
83 12 There is appropriated from the general fund of the state to
83 13 the department of human services for the fiscal year beginning
83 14 July 1, 2014, and ending June 30, 2015, the following amount,
83 15 or so much thereof as is necessary, to be used for the purpose
83 16 designated:
83 17 For general administration, including salaries, support,
83 18 maintenance, and miscellaneous purposes, and for not more than
83 19 the following full=time equivalent positions:
83 20 .................................................. $ 16,072,302
83 21 15,072,302
83 22 ............................................... FTEs 309.00
83 23 PHARMACEUTICAL SETTLEMENT ACCOUNT
83 24 Sec. 56. 2013 Iowa Acts, chapter 138, section 162, as
83 25 amended by 2014 Iowa Acts, chapter 1140, section 47, is amended
83 26 to read as follows:
83 27 SEC. 162. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is
83 28 appropriated from the pharmaceutical settlement account created
83 29 in section 249A.33 to the department of human services for the
83 30 fiscal year beginning July 1, 2014, and ending June 30, 2015,
83 31 the following amount, or so much thereof as is necessary, to be
83 32 used for the purpose designated:
83 33 Notwithstanding any provision of law to the contrary, to
83 34 supplement the appropriations made in this Act for medical
83 35 contracts under the medical assistance program for the fiscal
84 1 year beginning July 1, 2014, and ending June 30, 2015:
84 2 .................................................. $ 5,467,564
84 3 6,969,740
84 4 QUALITY ASSURANCE TRUST FUND
84 5 Sec. 57. 2013 Iowa Acts, chapter 138, section 163, as
84 6 amended by 2014 Iowa Acts, chapter 1140, section 48, is amended
84 7 to read as follows:
84 8 SEC. 163. QUALITY ASSURANCE TRUST FUND ==== DEPARTMENT OF
84 9 HUMAN SERVICES. Notwithstanding any provision to the contrary
84 10 and subject to the availability of funds, there is appropriated
84 11 from the quality assurance trust fund created in section
84 12 249L.4 to the department of human services for the fiscal year
84 13 beginning July 1, 2014, and ending June 30, 2015, the following
84 14 amounts, or so much thereof as is necessary, for the purposes
84 15 designated:
84 16 To supplement the appropriation made in this Act from the
84 17 general fund of the state to the department of human services
84 18 for medical assistance for the same fiscal year:
84 19 .................................................. $ 29,195,653
84 20 29,695,653
84 21 Sec. 58. EFFECTIVE UPON ENACTMENT. This division of this
84 22 Act, being deemed of immediate importance, takes effect upon
84 23 enactment.
84 24 Sec. 59. RETROACTIVE APPLICABILITY. This division of this
84 25 Act is retroactively applicable to July 1, 2014.
84 26 DIVISION IX
84 27 QUALITY ASSURANCE ASSESSMENT
84 28 Sec. 60. Section 249L.3, subsection 1, paragraph d, Code
84 29 2015, is amended to read as follows:
84 30 d. The aggregate quality assurance assessments imposed
84 31 under this chapter shall not exceed the lower of be established
84 32 at three percent of the aggregate non=Medicare revenues of a
84 33 nursing facility or the maximum amount that may be assessed
84 34 pursuant to the indirect guarantee threshold as established
84 35 pursuant to 42 C.F.R. {433.68(f)(3)(i), and shall be stated on
85 1 a per=patient=day basis.
85 2 DIVISION X
85 3 HEALTH POLICY ==== OVERSIGHT
85 4 Sec. 61. NEW SECTION. 2.70 Legislative health policy
85 5 oversight committee.
85 6 1. A legislative health policy oversight committee
85 7 is created to provide a formal venue for oversight of
85 8 and stakeholder engagement in, the design, development,
85 9 implementation, administration, and funding associated
85 10 with general state health care policy, with a particular
85 11 focus on the Medicaid program. The overall purpose of the
85 12 committee is to ensure that health care policy in this state
85 13 is consumer=focused and provides for accessible, accountable,
85 14 efficient, cost=effective, and quality health care. The goal
85 15 of the committee is to continue to further health policy that
85 16 improves health care, improves population health, reduces
85 17 health care costs, and integrates medical and social services
85 18 and supports into a holistic health system.
85 19 2. a. The committee shall include all of the following
85 20 members:
85 21 (1) The co=chairpersons and ranking members of the
85 22 legislative joint appropriations subcommittee on health
85 23 and human services, or members of the joint appropriations
85 24 subcommittee designated by the respective co=chairpersons or
85 25 ranking members.
85 26 (2) The chairpersons and ranking members of the
85 27 human resources committees of the senate and house of
85 28 representatives, or members of the respective committees
85 29 designated by the respective chairpersons or ranking members.
85 30 (3) The chairpersons and ranking members of the
85 31 appropriations committees of the senate and house of
85 32 representatives, or members of the respective committees
85 33 designated by the respective chairpersons or ranking members.
85 34 b. The members of the committee shall receive a per diem as
85 35 provided in section 2.10.
86 1 c. The committee shall meet at least quarterly, but may meet
86 2 as often as necessary. The committee may request information
86 3 from sources as deemed appropriate, and the department of human
86 4 services and other agencies of state government shall provide
86 5 information to the committee as requested. The legislative
86 6 services agency shall provide staff support to the committee.
86 7 d. The committee shall select co=chairpersons, one
86 8 representing the senate and one representing the house of
86 9 representatives, annually, from its membership. A majority of
86 10 the members of the committee shall constitute a quorum.
86 11 e. The committee may contract for the services of persons
86 12 who are qualified by education, expertise, or experience to
86 13 advise, consult with, or otherwise assist the committee in the
86 14 performance of its duties.
86 15 3. The committee shall submit a report to the governor and
86 16 the general assembly by December 15, annually.
86 17 Sec. 62. NEW SECTION. 231.44 Utilization of resources
86 18 == assistance and advocacy related to long=term services and
86 19 supports under the Medicaid program.
86 20 1. The office of long=term care ombudsman may utilize its
86 21 available resources to provide assistance and advocacy services
86 22 to potential or actual recipients, or the families or legal
86 23 representatives of such potential or actual recipients, of
86 24 long=term services and supports provided through the Medicaid
86 25 program. Such assistance and advocacy shall include but is not
86 26 limited to all of the following:
86 27 a. Providing information, education, consultation, and
86 28 assistance regarding eligibility for, enrollment in, and the
86 29 obtaining of long=term services and supports through the
86 30 Medicaid program.
86 31 b. Identifying and referring individuals who may be eligible
86 32 for and in need of long=term services and supports to the
86 33 Medicaid program.
86 34 c. Developing procedures for tracking and reporting
86 35 individual requests for assistance with the obtaining of
87 1 necessary services and supports.
87 2 d. Providing consultation for individuals transitioning into
87 3 or out of an institutional setting or across levels of care.
87 4 e. Identifying gaps in or duplication of services provided
87 5 to older individuals and persons with disabilities and
87 6 developing strategies to improve the delivery and coordination
87 7 of these services for these individuals.
87 8 f. Providing advice, assistance, and negotiation relating
87 9 to the preparation and filing of complaints, grievances, and
87 10 appeals of complaints or grievances relating to long=term
87 11 services and supports under the Medicaid program.
87 12 g. Providing individual case advocacy services in
87 13 administrative hearings and legal representation for judicial
87 14 proceedings related to long=term services and supports under
87 15 the Medicaid program.
87 16 2. A representative of the office of long=term care
87 17 ombudsman providing assistance and advocacy services authorized
87 18 under this section for an individual, shall be provided
87 19 access to the individual, and shall be provided access to
87 20 the individual's medical and social records as authorized by
87 21 the individual or the individual's legal representative, as
87 22 necessary to carry out the duties specified in this section.
87 23 3. A representative of the office of long=term care
87 24 ombudsman providing assistance and advocacy services authorized
87 25 under this section for an individual, shall be provided access
87 26 to administrative records related to the provision of the
87 27 long=term services and supports to the individual, as necessary
87 28 to carry out the duties specified in this section.
87 29 4. For the purposes of this section:
87 30 a. "Institutional setting" includes a long=term care
87 31 facility, an elder group home, or an assisted living program.
87 32 b. "Long=term services and supports" means the broad range of
87 33 health, health=related, and personal care assistance services
87 34 and supports, provided in both institutional settings and home
87 35 and community=based settings, necessary for older individuals
88 1 and persons with disabilities who experience limitations in
88 2 their capacity for self=care due to a physical, cognitive, or
88 3 mental disability or condition.
88 4 Sec. 63. MEDICAID MANAGED CARE ORGANIZATIONS ==== UTILIZATION
88 5 OF CAPITATED PAYMENTS.
88 6 1. All of the following shall apply to Medicaid managed care
88 7 contracts entered into on or after July 1, 2015:
88 8 a. Two percent of the Medicaid capitation payment amount
88 9 specified under the contract shall be withheld by the state to
88 10 be used to provide for Medicaid program oversight, including
88 11 for a health consumer ombudsman function, and for quality
88 12 improvement.
88 13 b. The minimum medical loss ratio applicable to Medicaid
88 14 managed care shall be established at no less than 85
88 15 percent. The portion of the Medicaid capitation payment paid
88 16 to a Medicaid managed care contractor that is required to be
88 17 dedicated to meeting the minimum medical loss ratio shall be
88 18 allocated to a Medicaid claims fund. Expenditures of moneys
88 19 in the Medicaid claims fund shall comply with all of the
88 20 following:
88 21 (1) Only expenditures for medical claims shall be
88 22 considered in computing the minimum medical loss ratio
88 23 as specified in the contract. For the purposes of the
88 24 computation, "medical claims" means only the costs of claims
88 25 for direct delivery of covered benefits incurred during the
88 26 applicable minimum medical loss ratio reporting period, not
88 27 otherwise defined or designated as administrative costs,
88 28 population health benefits or quality improvement, or profit in
88 29 this section.
88 30 (2) If a Medicaid managed care contractor does not meet
88 31 the minimum medical loss ratio established under the contract
88 32 for the reporting period specified, the Medicaid managed
88 33 care contractor shall remit the excess amount, multiplied
88 34 by the total contract revenue, to the state for community
88 35 reinvestment, oversight, and quality improvement.
89 1 c. The portion of the Medicaid capitation payment that is
89 2 not required to be dedicated to meeting the minimum medical
89 3 loss ratio, shall be allocated to an administrative fund.
89 4 Expenditure or use of moneys in the administrative fund shall
89 5 comply with all of the following:
89 6 (1) Funds in the administrative fund may be used for
89 7 population health and quality improvement activities
89 8 including conflict or reinvestment free case management, care
89 9 coordination, community benefit expenditures, nontraditional
89 10 consumer=centered services that address social determinants
89 11 of health, health information technology, data collection and
89 12 analysis, and other population health and quality improvement
89 13 activities as specified by rule of the department of human
89 14 services.
89 15 (2) Administrative costs shall not exceed the percentage
89 16 applicable to the Medicaid program for administrative costs for
89 17 FY 2015 of a maximum of 4 percent calculated as a percentage of
89 18 the Medicaid capitation payment during the applicable minimum
89 19 medical loss ratio reporting period. Administrative functions
89 20 and costs shall not be shifted to providers or other entities
89 21 as a means of administrative cost avoidance.
89 22 (3) Profit, including reserves and earnings on reserves
89 23 such as investment income and earned interest, as a percentage
89 24 of the Medicaid capitated payment, shall be limited to a
89 25 maximum of 3 percent during the applicable minimum medical loss
89 26 ratio reporting period.
89 27 (4) Any funds remaining in the administrative fund
89 28 following allowable expenditures or uses specified in
89 29 subparagraphs (1), (2), and (3) shall be remitted to the state
89 30 for community reinvestment, oversight, and quality improvement.
89 31 2. The department of human services shall specify by rule
89 32 reporting requirements for Medicaid managed care contractors
89 33 under this section.
89 34 Sec. 64. PROPOSAL FOR A HEALTH CONSUMER OMBUDSMAN
89 35 ALLIANCE. The office of long=term care ombudsman shall
90 1 collaborate with the department on aging, the office of
90 2 substitute decision maker, the department of veterans affairs,
90 3 the department of human services, the department of public
90 4 health, the department of inspections and appeals, the
90 5 designated protection and advocacy agency as provided in
90 6 section 135C.2, subsection 4, the civil rights commission, the
90 7 senior health insurance information program, the Iowa insurance
90 8 consumer advocate, Iowa legal aid, and other consumer advocates
90 9 and consumer assistance programs, to develop a proposal for the
90 10 establishment of a health consumer ombudsman alliance. The
90 11 purpose of the alliance is to provide a permanent coordinated
90 12 system of independent consumer supports to ensure that
90 13 consumers, including consumers covered under Medicaid managed
90 14 care, obtain and maintain essential health care, are provided
90 15 unbiased information in understanding coverage models, and are
90 16 assisted in resolving problems regarding health care services,
90 17 coverage, access, and rights. The proposal developed shall
90 18 include annual budget projections and shall be submitted to the
90 19 governor and the general assembly no later than December 15,
90 20 2015.
90 21 Sec. 65. FUNCTIONAL, LEVEL OF CARE, AND NEEDS=BASED
90 22 ASSESSMENTS ==== CASE MANAGEMENT.
90 23 1. The department of human services shall contract
90 24 with a conflict free third party to conduct initial and
90 25 subsequent functional, level of care, and needs assessments and
90 26 reassessments of consumers who may be eligible for long=term
90 27 services and supports and are subject to a Medicaid managed
90 28 care contract. Such assessments and reassessments shall not
90 29 be completed by a Medicaid managed care organization under
90 30 contract with the state or by any entity that is not deemed
90 31 conflict free. If a managed care contractor becomes aware that
90 32 an applicant may require long=term services and supports or
90 33 that an enrolled consumer's functional level of care, support
90 34 needs, or medical status has changed, the Medicaid managed care
90 35 contractor shall notify the department and the conflict free
91 1 third party shall administer any assessment or reassessment
91 2 in response to the notification. A case manager or Medicaid
91 3 managed care contractor shall not alter a consumer's service
91 4 plan independent of the prior administration of an assessment
91 5 or reassessment conducted by the conflict free third party.
91 6 The department of human services shall retain authority to
91 7 determine or redetermine a consumer's categorical, financial,
91 8 level of care or needs=based eligibility based on the conflict
91 9 free third party assessment or reassessment.
91 10 2. The department of human services shall provide for
91 11 administration of non=biased, community=based, in=person
91 12 options counseling by a conflict free third party for
91 13 applicants for a Medicaid managed care plan.
91 14 3. Case management under a Medicaid managed care contract
91 15 shall be administered in a conflict free manner.
91 16 4. For the purposes of this section, "conflict free" means
91 17 conflict free pursuant to specifications of the balancing
91 18 incentive program requirements.
91 19 DIVISION XI
91 20 AUTISM
91 21 Sec. 66. Section 225D.1, subsections 3 and 8, Code 2015, are
91 22 amended to read as follows:
91 23 3. "Autism service provider" means a person providing
91 24 applied behavioral analysis, who meets all of the following
91 25 criteria:
91 26 a. Is any of the following:
91 27 (1) Is certified as a behavior analyst by the behavior
91 28 analyst certification board or is a health professional
91 29 licensed under chapter 147.
91 30 (2) Is a board=certified assistant behavior analyst who
91 31 performs duties, identified by and based on the standards of
91 32 the behavior analyst certification board, under the supervision
91 33 of a board=certified behavior analyst.
91 34 b. Is approved as a member of the provider network by the
91 35 department.
92 1 8. "Eligible individual" means a child less than nine
92 2 fifteen years of age who has been diagnosed with autism based
92 3 on a diagnostic assessment of autism, is not otherwise eligible
92 4 for coverage for applied behavioral analysis treatment under
92 5 the medical assistance program, section 514C.28, or private
92 6 insurance coverage, and whose household income does not exceed
92 7 four hundred percent of the federal poverty level.
92 8 Sec. 67. Section 225D.2, subsection 2, paragraph c, Code
92 9 2015, is amended to read as follows:
92 10 c. Notwithstanding the age limitation for an eligible
92 11 individual, a provision that if an eligible individual reaches
92 12 nine fifteen years of age prior to completion of the maximum
92 13 applied behavioral analysis treatment period specified in
92 14 paragraph "b", the individual may complete such treatment in
92 15 accordance with the individual's treatment plan, not to exceed
92 16 the maximum treatment period.
92 17 Sec. 68. Section 225D.2, subsection 2, Code 2015, is amended
92 18 by adding the following new paragraph:
92 19 NEW PARAGRAPH. l. Proof of eligibility for the autism
92 20 support program that includes a written denial for coverage or
92 21 a benefits summary indicating that applied behavioral analysis
92 22 treatment is not a covered benefit for which the applicant
92 23 is eligible, under the Medicaid program, section 514C.28, or
92 24 private insurance coverage.
92 25 DIVISION XII
92 26 OFFICE OF SUBSTITUTE DECISION MAKER
92 27 Sec. 69. Section 231E.4, subsection 3, paragraph a, Code
92 28 2015, is amended to read as follows:
92 29 a. Select persons through a request for proposals process to
92 30 establish local offices of substitute decision maker in each
92 31 of the planning and service areas. Local offices shall be
92 32 established statewide on or before July 1, 2015 2017.
92 33 DIVISION XIII
92 34 DEMENTIA WORKFORCE
92 35 Sec. 70. INTERAGENCY DEMENTIA PROFICIENT WORKFORCE TASK
93 1 FORCE. The department on aging shall convene an interagency
93 2 task force, in collaboration with the office of long=term
93 3 care ombudsman, the office of substitute decision maker, the
93 4 departments of public health, human services, and inspections
93 5 and appeals, and the Alzheimer's association, to review the
93 6 recommendations for a standard curriculum model for dementia
93 7 education submitted by the Alzheimer's association dementia
93 8 education task force to the department on aging in June 2010,
93 9 in the Iowa dementia education project final report, and the
93 10 curricula=related recommendations submitted by the direct care
93 11 worker task force and the direct care worker advisory council;
93 12 identify staff, in settings in which individuals with dementia
93 13 may seek services and care, who should have some level of
93 14 dementia proficiency and analyze gaps in existing training
93 15 and educational requirements; and develop an implementation
93 16 plan to transition toward competency=based dementia curricula
93 17 and training that achieves dementia proficiency across a
93 18 broader care continuum. To the greatest extent possible,
93 19 the plan shall address training strategies for different
93 20 settings, levels of skill, and licensure. The plan shall
93 21 include a timeline for implementation, fiscal implications of
93 22 recommendations, and identification of key decision points
93 23 for the general assembly. The task force shall provide
93 24 opportunities for stakeholder input from affected industry,
93 25 education, professional, employee, and consumer organizations.
93 26 The task force shall submit its recommendations to the governor
93 27 and the general assembly no later than December 15, 2015.
93 28 DIVISION XIV
93 29 PHARMACEUTICAL COLLECTION AND DISPOSAL PROGRAM
93 30 Sec. 71. Section 155A.43, Code 2015, is amended to read as
93 31 follows:
93 32 155A.43 Pharmaceutical collection and disposal program ====
93 33 annual allocation.
93 34 Of the fees collected pursuant to sections 124.301 and
93 35 147.80 and chapter 155A by the board of pharmacy, and retained
94 1 by the board pursuant to section 147.82, not more than
94 2 one hundred twenty=five seventy=five thousand dollars may
94 3 be allocated annually by the board for administering the
94 4 pharmaceutical collection and disposal program originally
94 5 established pursuant to 2009 Iowa Acts, ch. 175, {9. The
94 6 program shall provide for the management and disposal of
94 7 unused, excess, and expired pharmaceuticals. The board of
94 8 pharmacy may cooperate with the Iowa pharmacy association and
94 9 may consult with the department and sanitary landfill operators
94 10 in administering the program.
94 11 DIVISION XV
94 12 MEDICAID STATE PLAN ==== FAMILY PLANNING
94 13 Sec. 72. MEDICAID STATE PLAN AMENDMENT ==== FAMILY
94 14 PLANNING. The department of human services shall amend the
94 15 medical assistance state plan to include, effective no later
94 16 than January 1, 2016, the eligibility provisions of the Iowa
94 17 family planning network section 1115 demonstration waiver in
94 18 effect on January 1, 2015. The department shall implement
94 19 the state plan amendment upon receipt of approval by the
94 20 centers for Medicare and Medicaid services of the United States
94 21 department of health and human services.
94 22 Sec. 73. EFFECTIVE DATE. This division of this Act, being
94 23 deemed of immediate importance, takes effect upon enactment.
94 24 DIVISION XVI
94 25 IOWA ABLE SAVINGS PLAN TRUST
94 26 Sec. 74. NEW SECTION. 12I.1 Purpose and definitions.
94 27 1. The general assembly finds that the general welfare
94 28 and well=being of the state are directly related to the
94 29 health, maintenance, independence, and quality of life of its
94 30 disabled residents, and that a vital and valid public purpose
94 31 is served by the creation and implementation of programs that
94 32 encourage and make possible savings to secure funding for
94 33 disability=related expenses on behalf of individuals with
94 34 disabilities that will supplement, but not supplant, other
94 35 benefits provided by various federal, state, and private
95 1 sources. The creation of the means of encouragement for
95 2 citizens to invest in such a program represents the carrying
95 3 out of a vital and valid public purpose. In order to make
95 4 available to the citizens of the state an opportunity to fund
95 5 future disability=related expenses of individuals, it is
95 6 necessary that a public trust be established in which moneys
95 7 may be invested for payment of future disability=related
95 8 expenses of an individual.
95 9 2. As used in this chapter, unless the context otherwise
95 10 requires:
95 11 a. "Account balance limit" means the maximum allowable
95 12 aggregate balance of an account established for a designated
95 13 beneficiary. Account earnings, if any, are included in the
95 14 account balance limit.
95 15 b. "Account owner" means an individual who enters into a
95 16 participation agreement under this chapter for the payment
95 17 of qualified disability expenses on behalf of a designated
95 18 beneficiary.
95 19 c. "Contracting state" means the same as defined in section
95 20 529A of the Internal Revenue Code.
95 21 d. "Designated beneficiary" means an individual who is a
95 22 resident of this state or a resident of a contracting state and
95 23 who meets the definition of "eligible individual" in section
95 24 529A of the Internal Revenue Code.
95 25 e. "Internal Revenue Code" means the Internal Revenue Code
95 26 of 1986, as amended, and regulations promulgated thereunder.
95 27 f. "Iowa ABLE savings plan trust" or "trust" means the trust
95 28 created under section 12I.2.
95 29 g. "Participation agreement" means an agreement between the
95 30 account owner and the trust entered into under this chapter.
95 31 h. "Qualified ABLE program" means the same as defined in
95 32 section 529A of the Internal Revenue Code.
95 33 i. "Qualified disability expenses" means the same as defined
95 34 in section 529A of the Internal Revenue Code.
95 35 j. "Resident" shall be defined by rules adopted by the
96 1 treasurer of state. The rules shall determine residency in
96 2 such manner as may be required or permitted under section
96 3 529A of the Internal Revenue Code, or, in the absence of any
96 4 guidance under federal law, as the treasurer of state deems
96 5 advisable for the purpose of satisfying the requirements of
96 6 section 529A of the Internal Revenue Code.
96 7 Sec. 75. NEW SECTION. 12I.2 Creation of Iowa ABLE savings
96 8 plan trust.
96 9 An Iowa ABLE savings plan trust is created. The treasurer of
96 10 state is the trustee of the trust, and has all powers necessary
96 11 to carry out and effectuate the purposes, objectives, and
96 12 provisions of this chapter pertaining to the trust, including
96 13 the power to do all of the following:
96 14 1. Make and enter into contracts necessary for the
96 15 administration of the trust created under this chapter.
96 16 2. Enter into agreements with this state or any other
96 17 state, or any federal or other state agency, or other entity as
96 18 required to implement this chapter.
96 19 3. Carry out the duties and obligations of the trust
96 20 pursuant to this chapter.
96 21 4. Accept any grants, gifts, legislative appropriations,
96 22 and other moneys from the state, any unit of federal, state, or
96 23 local government, or any other person, firm, partnership, or
96 24 corporation which the treasurer of state shall deposit into the
96 25 administrative fund or program fund.
96 26 5. Participate in any federal, state, or local governmental
96 27 program for the benefit of the trust.
96 28 6. Procure insurance against any loss in connection with the
96 29 property, assets, or activities of the trust.
96 30 7. Enter into participation agreements with account owners.
96 31 8. Make payments to designated beneficiaries pursuant to
96 32 participation agreements.
96 33 9. Make refunds to account owners upon the termination
96 34 of participation agreements, and partial nonqualified
96 35 distributions to account owners, pursuant to this chapter and
97 1 the limitations and restrictions set forth in this chapter.
97 2 10. Invest moneys from the program fund in any investments
97 3 that are determined by the treasurer of state to be
97 4 appropriate.
97 5 11. Engage investment advisors, if necessary, to assist in
97 6 the investment of trust assets.
97 7 12. Contract for goods and services and engage personnel
97 8 as necessary, including consultants, actuaries, managers,
97 9 legal counsel, and auditors for the purpose of rendering
97 10 professional, managerial, and technical assistance and advice
97 11 to the treasurer of state regarding trust administration and
97 12 operation.
97 13 13. Establish, impose, and collect administrative fees
97 14 and charges in connection with transactions of the trust, and
97 15 provide for reasonable service charges, including penalties for
97 16 cancellations and late payments with respect to participation
97 17 agreements.
97 18 14. Administer the funds of the trust.
97 19 15. Prepare and file reports and notices.
97 20 16. Enter into agreements with contracting states to permit
97 21 residents of the contracting state to participate in the Iowa
97 22 ABLE savings plan trust.
97 23 17. Adopt rules pursuant to chapter 17A for the
97 24 administration of this chapter.
97 25 Sec. 76. NEW SECTION. 12I.3 Participation agreements for
97 26 trust.
97 27 On or after July 1, 2016, the trust may enter into
97 28 participation agreements with account owners pursuant to the
97 29 following terms and agreements:
97 30 1. a. Unless otherwise permitted under section 529A of the
97 31 Internal Revenue Code, the treasurer of state shall allow only
97 32 one participation agreement per designated beneficiary.
97 33 b. Unless otherwise permitted under section 529A of the
97 34 Internal Revenue Code, the account owner must also be the
97 35 designated beneficiary of the account. However, a trustee or
98 1 legal guardian may be designated as custodian of an account for
98 2 a designated beneficiary who is a minor or who lacks capacity
98 3 to enter into a participation agreement if such designation is
98 4 not prohibited under section 529A of the Internal Revenue Code.
98 5 c. The treasurer of state shall set an annual contribution
98 6 limit and account balance limit to maintain compliance with
98 7 section 529A of the Internal Revenue Code. A contribution
98 8 shall not be permitted to the extent it exceeds the annual
98 9 contribution limit or causes the aggregate balance of the
98 10 account established for the designated beneficiary to exceed
98 11 the applicable account balance limit.
98 12 d. The maximum amount that may be deducted per year for
98 13 Iowa income tax purposes by an individual for contributions on
98 14 behalf of any one designated beneficiary that is a resident
98 15 of this state shall not exceed the maximum deductible amount
98 16 determined for the year pursuant to section 12D.3, subsection
98 17 1, paragraph "a".
98 18 e. Participation agreements may be amended to provide
98 19 for adjusted levels of contributions based upon changed
98 20 circumstances or changes in disability=related expenses.
98 21 f. Any person may make contributions pursuant to a
98 22 participation agreement on behalf of a designated beneficiary
98 23 under rules adopted by the treasurer of state.
98 24 2. The execution of a participation agreement by the trust
98 25 shall not guarantee in any way that future disability=related
98 26 expenses will be equal to projections and estimates provided by
98 27 the trust or that the account owner or designated beneficiary
98 28 is guaranteed any of the following:
98 29 a. A return of principal.
98 30 b. A rate of interest or other return from the trust.
98 31 c. Payment of interest or other return from the trust.
98 32 3. a. A designated beneficiary under a participation
98 33 agreement may be changed as permitted under rules adopted by
98 34 the treasurer of state upon written request of the account
98 35 owner as long as such change would be permitted by section 529A
99 1 of the Internal Revenue Code.
99 2 b. Participation agreements may otherwise be freely amended
99 3 throughout their terms in order to enable account owners to
99 4 increase or decrease the level of participation, change the
99 5 designated beneficiary, and carry out similar matters as
99 6 authorized by rule.
99 7 4. Each participation agreement shall provide that the
99 8 participation agreement may be canceled upon the terms and
99 9 conditions, and upon payment of applicable fees and costs set
99 10 forth and contained in the rules adopted by the treasurer of
99 11 state.
99 12 Sec. 77. NEW SECTION. 12I.4 Program and administrative
99 13 funds ==== investment and payment.
99 14 1. a. The treasurer of state shall segregate moneys
99 15 received by the trust into two funds: the program fund and the
99 16 administrative fund.
99 17 b. All moneys paid by account owners or other persons
99 18 on behalf of a designated beneficiary in connection with
99 19 participation agreements shall be deposited as received into
99 20 separate accounts for each designated beneficiary within the
99 21 program fund.
99 22 c. Contributions to the trust made on behalf of designated
99 23 beneficiaries may only be made in the form of cash.
99 24 d. An account owner or designated beneficiary is
99 25 not permitted to provide investment direction regarding
99 26 contributions or earnings held by the trust.
99 27 2. Moneys accrued by account owners in the program fund
99 28 of the trust may be used for payments of qualified disability
99 29 expenses.
99 30 3. Moneys in the account of a designated beneficiary may
99 31 be claimed by the Iowa Medicaid program as provided in section
99 32 529A(f) of the Internal Revenue Code and subject to limitations
99 33 imposed by the treasurer of state.
99 34 4. The trust shall comply with Pub. L. No. 113=295, {103,
99 35 regarding treatment of ABLE accounts under certain federal
100 1 programs.
100 2 5. Moneys in the funds are not subject to section 8.33.
100 3 Notwithstanding section 12C.7, interest or earnings on moneys
100 4 in the funds shall be credited to the funds.
100 5 Sec. 78. NEW SECTION. 12I.5 Cancellation of agreements.
100 6 An account owner may cancel a participation agreement at
100 7 will. Upon cancellation of a participation agreement, an
100 8 account owner shall be entitled to the return of the account
100 9 owner's account balance.
100 10 Sec. 79. NEW SECTION. 12I.6 Repayment and ownership of
100 11 payments and investment income ==== transfer of ownership rights.
100 12 1. a. An account owner retains ownership of all
100 13 contributions made on behalf of a designated beneficiary under
100 14 a participation agreement up to the date of utilization for
100 15 payment of qualified disability expenses of the designated
100 16 beneficiary.
100 17 b. All income derived from the investment of the
100 18 contributions made on behalf of a designated beneficiary shall
100 19 be considered to be held in trust for the benefit of the
100 20 designated beneficiary.
100 21 2. In the event the trust is terminated prior to payment of
100 22 qualified disability expenses for the designated beneficiary,
100 23 the account owner is entitled to a refund of the account
100 24 owner's account balance.
100 25 3. Any amounts which may be paid to any person or persons
100 26 pursuant to the Iowa ABLE savings plan trust but which are not
100 27 listed in this section are owned by the trust.
100 28 4. An account owner may transfer ownership rights to
100 29 another designated beneficiary, including a gift of the
100 30 ownership rights to a designated beneficiary who is a minor, in
100 31 accordance with rules adopted by the treasurer of state and the
100 32 terms of the participation agreement, so long as the transfer
100 33 would be permitted by section 529A of the Internal Revenue
100 34 Code.
100 35 5. An account owner or designated beneficiary shall not be
101 1 entitled to utilize any interest in the trust as security for
101 2 a loan.
101 3 Sec. 80. NEW SECTION. 12I.7 Reports ==== annual audited
101 4 financial report ==== reports under federal law.
101 5 1. a. The treasurer of state shall submit an annual
101 6 audited financial report, prepared in accordance with generally
101 7 accepted accounting principles, on the operations of the trust
101 8 by November 1 to the governor and the general assembly.
101 9 b. The annual audit shall be made either by the auditor
101 10 of state or by an independent certified public accountant
101 11 designated by the auditor of state and shall include direct and
101 12 indirect costs attributable to the use of outside consultants,
101 13 independent contractors, and any other persons who are not
101 14 state employees.
101 15 2. The annual audit shall be supplemented by all of the
101 16 following information prepared by the treasurer of state:
101 17 a. Any related studies or evaluations prepared in the
101 18 preceding year.
101 19 b. A summary of the benefits provided by the trust,
101 20 including the number of account owners and designated
101 21 beneficiaries in the trust, or, if the trust has caused this
101 22 state to become a contracting state pursuant to section 12I.10,
101 23 a summary of the benefits provided to Iowa residents by the
101 24 contracted qualified ABLE program, including the number of
101 25 account owners and designated beneficiaries in the contracted
101 26 qualified ABLE program who are Iowa residents.
101 27 c. Any other information deemed relevant by the treasurer of
101 28 state in order to make a full, fair, and effective disclosure
101 29 of the operations of the trust or the contracted qualified ABLE
101 30 program if applicable.
101 31 3. The treasurer of state shall prepare and submit to the
101 32 secretary of the United States treasury or other required party
101 33 any reports, notices, or statements required under section 529A
101 34 of the Internal Revenue Code.
101 35 Sec. 81. NEW SECTION. 12I.8 Tax considerations.
102 1 1. For federal income tax purposes, the Iowa ABLE savings
102 2 plan trust shall be considered a qualified ABLE program exempt
102 3 from taxation pursuant to section 529A of the Internal Revenue
102 4 Code and shall be operated so that it meets the requirements of
102 5 section 529A of the Internal Revenue Code.
102 6 2. State income tax treatment of the Iowa ABLE savings plan
102 7 trust shall be as provided in section 422.7, subsections 34 and
102 8 34A.
102 9 3. State inheritance tax treatment of interests in Iowa ABLE
102 10 savings plans shall be as provided in section 450.4, subsection
102 11 9.
102 12 Sec. 82. NEW SECTION. 12I.9 Property rights to assets in
102 13 trust.
102 14 1. The assets of the trust shall at all times be preserved,
102 15 invested, and expended solely and only for the purposes of the
102 16 trust and shall be held in trust for the account owners and
102 17 designated beneficiaries.
102 18 2. Except as provided in section 12I.4, subsection 3, no
102 19 property rights in the trust shall exist in favor of the state.
102 20 3. Except as provided in section 12I.4, subsection 3, the
102 21 assets of the trust shall not be transferred or used by the
102 22 state for any purposes other than the purposes of the trust.
102 23 Sec. 83. NEW SECTION. 12I.10 Implementation as a
102 24 contracting state ==== tax considerations.
102 25 1. The general assembly acknowledges that section 529A of
102 26 the Internal Revenue Code permits access to qualified ABLE
102 27 programs by residents of a state without such a program. The
102 28 general assembly finds that becoming a contracting state may
102 29 accomplish the public purpose set forth in section 12I.1,
102 30 subsection 1, in the same manner as if the qualified ABLE
102 31 program under the Iowa ABLE savings plan trust were to be
102 32 implemented and administered by this state. To that end,
102 33 the treasurer of state, as trustee of the trust, may defer
102 34 implementation of the qualified ABLE program under the trust
102 35 and alternatively cause this state to become a contracting
103 1 state by entering into an agreement with another state with a
103 2 qualified ABLE program to provide Iowa residents access to that
103 3 state's qualified ABLE program. The trust shall not enter into
103 4 an agreement pursuant to this section unless the treasurer,
103 5 as trustee of the trust, determines that all of the following
103 6 requirements are satisfied:
103 7 a. The program is a qualified ABLE program.
103 8 b. The qualified ABLE program provides comparable benefits
103 9 and protections to Iowa residents as would be provided under
103 10 the Iowa ABLE savings plan trust.
103 11 c. That entering into an agreement for access to the
103 12 qualified ABLE program would not result in increased costs to
103 13 the state or to account owners and designated beneficiaries as
103 14 compared to the costs of implementing and administering the
103 15 qualified ABLE program under the Iowa ABLE savings plan trust.
103 16 d. The qualified ABLE program will be audited annually by
103 17 an independent certified public accountant or by the state
103 18 auditor, or similar public official, of the state that has
103 19 implemented the qualified ABLE program.
103 20 e. The qualified ABLE program will provide information to
103 21 the treasurer of state as trustee of the trust so as to allow
103 22 the trustee to fulfill the reporting requirements in section
103 23 12I.7.
103 24 2. a. The maximum amount that may be deducted per year for
103 25 Iowa income tax purposes by an individual for contributions on
103 26 behalf of any one designated beneficiary that is a resident of
103 27 this state to the qualified ABLE program with which the state
103 28 has contracted pursuant to this section shall not exceed the
103 29 maximum deductible amount determined for the year pursuant to
103 30 section 12D.3, subsection 1, paragraph "a".
103 31 b. State income tax treatment of the qualified ABLE program
103 32 with which the state has contracted pursuant to this section
103 33 shall be as provided in section 422.7, subsections 34 and 34A.
103 34 3. State inheritance tax treatment of interests in the
103 35 qualified ABLE program with which the state has contracted
104 1 pursuant to this section shall be as provided in section 450.4,
104 2 subsection 9.
104 3 Sec. 84. NEW SECTION. 12I.11 Construction.
104 4 This chapter shall be construed liberally in order to
104 5 effectuate its purpose.
104 6 Sec. 85. Section 422.7, Code 2015, is amended by adding the
104 7 following new subsections:
104 8 NEW SUBSECTION. 34. a. Subtract the amount contributed
104 9 during the tax year on behalf of a designated beneficiary
104 10 that is a resident of this state to the Iowa ABLE savings
104 11 plan trust or to the qualified ABLE program with which the
104 12 state has contracted pursuant to section 12I.10, not to exceed
104 13 the maximum contribution level established in section 12I.3,
104 14 subsection 1, paragraph "d", or section 12I.10, subsection 2,
104 15 paragraph "a", as applicable.
104 16 b. Add the amount resulting from the cancellation of a
104 17 participation agreement refunded to the taxpayer as an account
104 18 owner in the Iowa ABLE savings plan trust or the qualified
104 19 ABLE program with which the state has contracted pursuant to
104 20 section 12I.10 to the extent previously deducted pursuant
104 21 to this subsection by the taxpayer or any other person as a
104 22 contribution to the trust or qualified ABLE program.
104 23 c. Add the amount resulting from a withdrawal made by a
104 24 taxpayer from the Iowa ABLE savings plan trust or the qualified
104 25 ABLE program with which the state has contracted pursuant to
104 26 section 12I.10 for purposes other than the payment of qualified
104 27 disability expenses to the extent previously deducted pursuant
104 28 to this subsection by the taxpayer or any other person as a
104 29 contribution to the trust or qualified ABLE program.
104 30 NEW SUBSECTION. 34A. Subtract, to the extent included,
104 31 income from interest and earnings received from the Iowa ABLE
104 32 savings plan trust created in chapter 12I, or received by a
104 33 resident account owner from a qualified ABLE program with which
104 34 the state has contracted pursuant to section 12I.10.
104 35 Sec. 86. Section 450.4, Code 2015, is amended by adding the
105 1 following new subsection:
105 2 NEW SUBSECTION. 9. On the value of any interest in the Iowa
105 3 ABLE savings plan trust created in chapter 12I, or any interest
105 4 held by a resident account owner in a qualified ABLE program
105 5 with which the state has contracted pursuant to section 12I.10.
105 6 Sec. 87. CONTINGENT IMPLEMENTATION. The implementation of
105 7 chapter 12I as enacted in this division of this Act is subject
105 8 to an appropriation with the stated purpose of the Iowa ABLE
105 9 Savings Plan Trust.
105 10 Sec. 88. APPLICABILITY. The section of this division of
105 11 this Act amending section 450.4 applies to estates of decedents
105 12 dying on or after January 1, 2016.
105 13 Sec. 89. APPLICABILITY. The section of this division of
105 14 this Act amending section 422.7 applies to tax years beginning
105 15 on or after January 1, 2016.
105 16 DIVISION XVII
105 17 STATE CHILD CARE ASSISTANCE ==== INCOME ELIGIBILITY
105 18 Sec. 90. Section 237A.13, subsection 7, paragraph c, Code
105 19 2015, is amended to read as follows:
105 20 c. Families with an income of more than one hundred
105 21 percent but not more than one hundred forty=five sixty percent
105 22 of the federal poverty level whose members, for at least
105 23 twenty=eight hours per week in the aggregate, are employed
105 24 or are participating at a satisfactory level in an approved
105 25 training program or educational program.
105 26 Sec. 91. DIRECTIVE TO DEPARTMENT OF HUMAN SERVICES ON
105 27 CHILD CARE ASSISTANCE. The department of human services shall
105 28 amend its administrative rules relating to income eligibility
105 29 for state child care assistance, according to family size for
105 30 children needing basic care, to families whose nonexempt gross
105 31 monthly income does not exceed 160 percent of the federal
105 32 poverty level.
105 33 DIVISION XVIII
105 34 COUNTY MENTAL HEALTH AND DISABILITIES SERVICES FUNDING ====
105 35 EQUALIZATION AND MEDICAID OFFSET
106 1 Sec. 92. Section 331.424A, subsection 8, unnumbered
106 2 paragraph 1, Code 2015, is amended to read as follows:
106 3 Notwithstanding subsection 6, for the fiscal years beginning
106 4 July 1, 2013, July 1, 2014, and July 1, 2015, and July 1, 2016,
106 5 county revenues from taxes levied by the county and credited
106 6 to the county services fund shall not exceed the lower of the
106 7 following amounts:
106 8 Sec. 93. Section 426B.3, subsection 1, Code 2015, is amended
106 9 to read as follows:
106 10 1. For the fiscal years beginning July 1, 2013, July
106 11 1, 2014, and July 1, 2015, and July 1, 2016, the state and
106 12 county funding for the mental health and disability services
106 13 administered or paid for by counties shall be provided based on
106 14 a statewide per capita expenditure target amount computed in
106 15 accordance with this section and section 331.424A.
106 16 Sec. 94. Section 426B.3, subsection 4, paragraph a, Code
106 17 2015, is amended to read as follows:
106 18 a. For the fiscal years beginning July 1, 2013, July 1,
106 19 2014, and July 1, 2015, and July 1, 2016, a county with a county
106 20 population expenditure target amount that exceeds the amount
106 21 of the county's base year expenditures for mental health and
106 22 disabilities services shall receive an equalization payment for
106 23 the difference.
106 24 Sec. 95. Section 426B.3, subsection 5, Code 2015, is amended
106 25 by striking the subsection.
106 26 DIVISION XIX
106 27 MEDICAID OFFSET PAYMENTS ==== PROPERTY TAX RELIEF FUND
106 28 APPROPRIATIONS
106 29 Sec. 96. MEDICAID OFFSET PAYMENTS ==== PROPERTY TAX RELIEF
106 30 FUND APPROPRIATION.
106 31 1. Of the moneys credited to the property tax relief fund
106 32 pursuant to section 426B.3, subsection 5, paragraph "e",
106 33 subparagraph (1), Code 2015, in the fiscal year beginning July
106 34 1, 2014, and ending June 30, 2015, there is appropriated to the
106 35 department of human services for the fiscal year beginning July
107 1 1, 2015, and ending June 30, 2016, the following amounts, to be
107 2 used for the purposes designated, notwithstanding any contrary
107 3 provision of chapter 426B:
107 4 a. For reductions in the waiting lists of all medical
107 5 assistance home and community=based services waivers:
107 6 .................................................. $ 5,092,000
107 7 b. For allocation to the department on aging for a grant
107 8 to a nationally affiliated organization providing support and
107 9 education to people living with Alzheimer's disease and other
107 10 related dementias to be used for a statewide public awareness
107 11 campaign regarding the signs of Alzheimer's disease and other
107 12 related dementias and the resources available to such people:
107 13 .................................................. $ 100,000
107 14 c. For development of an application for a planning
107 15 grant through the substance abuse and mental health services
107 16 administration of the United States department of health and
107 17 human services to participate in a two=year pilot project for
107 18 certified community behavioral health clinics under the federal
107 19 Protecting Access to Medicare Act of 2014, Pub. L. No. 113=93:
107 20 .................................................. $ 240,000
107 21 The department may use the funds allocated pursuant to this
107 22 paragraph to contract for necessary support to develop and
107 23 submit the application for the planning grant. The department
107 24 shall submit the application for the planning grant to the
107 25 centers for Medicare and Medicaid services of the United States
107 26 department of health and human services upon completion of the
107 27 application.
107 28 2. Of the moneys credited to the property tax relief
107 29 fund pursuant to section 426B.3, subsection 5, paragraph e,
107 30 subparagraph (1), Code 2015, in the fiscal year beginning July
107 31 1, 2014, and ending June 30, 2015, there is appropriated to
107 32 the department of human services for the fiscal year beginning
107 33 July 1, 2015, and ending June 30, 2016, the following amount,
107 34 or so much thereof as is necessary, to be used for the purpose
107 35 designated:
108 1 a. For distribution to a mental health and disability
108 2 services region where 25 percent of a region's projected
108 3 expenditures exceeds the region's projected fund balance:
108 4 .................................................. $ 4,554,651
108 5 b. For purposes of this section:
108 6 (1) "Available funds" means a county mental health and
108 7 services fund balance on June 30, 2015, plus the maximum amount
108 8 a county was allowed to levy for the fiscal year beginning July
108 9 1, 2015.
108 10 (2) "Projected expenditures" means the actual expenditures
108 11 of a mental health and disability services region as of June
108 12 30, 2015, multiplied by an annual inflation rate equal to
108 13 2 percent plus the projected costs for core services and
108 14 additional core services administered by the region as provided
108 15 in a region's regional service system management plan approved
108 16 pursuant to section 331.393 for the fiscal year beginning July
108 17 1, 2015.
108 18 (3) "Projected fund balance" means the difference between a
108 19 mental health and disability services region's available funds
108 20 and projected expenditures.
108 21 c. If sufficient funds are not available to implement this
108 22 subsection, the department of human services shall distribute
108 23 funds to a region in proportion to the availability of funds.
108 24 DIVISION XX
108 25 PROPERTY TAX RELIEF FUND ==== BLOCK GRANT MONEYS ==== MENTAL HEALTH
108 26 INSTITUTES
108 27 Sec. 97. MENTAL HEALTH INSTITUTES. The moneys transferred
108 28 to the property tax relief fund for the fiscal year beginning
108 29 July 1, 2015, from the federal social services block grant
108 30 pursuant to 2015 Iowa Acts, House File 630, if enacted, and
108 31 from the federal temporary assistance for needy families block
108 32 grant, totaling at least $11,774,275, are appropriated to the
108 33 department of human services for the fiscal year beginning July
108 34 1, 2015, and ending June 30, 2016, to be used for the purposes
108 35 designated:
109 1 1. For the state mental health institute at Clarinda for
109 2 salaries, support, maintenance, and miscellaneous purposes:
109 3 .................................................. $ 4,836,507
109 4 2. For the state mental health institute at Mount Pleasant
109 5 for salaries, support, maintenance, and miscellaneous purposes,
109 6 and for not more than the following full=time equivalent
109 7 positions:
109 8 .................................................. $ 6,937,768
109 9 ............................................... FTEs 97.68
109 10 DIVISION XXI
109 11 STUDY ==== CHILD WELFARE ADVISORY COMMITTEE
109 12 Sec. 98. STUDY ==== CHILD WELFARE ADVISORY COMMITTEE. The
109 13 child welfare advisory committee of the council on human
109 14 services established pursuant to section 217.3A shall study
109 15 procedures in the department of human services for receiving
109 16 complaints from families involved in guardianship, placement,
109 17 and custody proceedings; the specificity and clarity of court
109 18 orders issued in foster care placements pursuant to the State
109 19 of Iowa Primary Review of Tit. IV=E Foster Care Eligibility
109 20 Report of Findings for October 1, 2012, through March 31, 2013;
109 21 and caseload trends of social workers, including an analysis
109 22 of how Iowa compares nationally and with best practices as
109 23 utilized by other states. The study shall also identify
109 24 methods for decreasing social worker caseloads. The committee
109 25 shall submit a report with findings and recommendations to the
109 26 governor and general assembly on or before December 15, 2015.
109 27 DIVISION XXII
109 28 COVERAGE OF SERVICES PROVIDED BY A PHYSICAL THERAPIST,
109 29 OCCUPATIONAL THERAPIST, OR SPEECH PATHOLOGIST
109 30 Sec. 99. NEW SECTION. 514C.30 Services provided by
109 31 a physical therapist, occupational therapist, or speech
109 32 pathologist.
109 33 1. Notwithstanding the uniformity of treatment requirements
109 34 of section 514C.6, a policy, contract, or plan providing
109 35 for third=party payment or prepayment of health or medical
110 1 expenses shall not impose a copayment or coinsurance amount
110 2 on an insured for services provided by a physical therapist
110 3 licensed pursuant to chapter 148A, by an occupational therapist
110 4 licensed pursuant to chapter 148B, or by a speech pathologist
110 5 licensed pursuant to 154F that is greater than the copayment or
110 6 coinsurance amount imposed on the insured for services provided
110 7 by a person engaged in the practice of medicine and surgery
110 8 or osteopathic medicine and surgery under chapter 148 for the
110 9 same or a similar diagnosed condition even if a different
110 10 nomenclature is used to describe the condition for which the
110 11 services are provided.
110 12 2. This section applies to the following classes of
110 13 third=party payment provider policies, contracts, or plans
110 14 delivered, issued for delivery, continued, or renewed in this
110 15 state on or after July 1, 2015:
110 16 a. Individual or group accident and sickness insurance
110 17 providing coverage on an expense=incurred basis.
110 18 b. An individual or group hospital or medical service
110 19 contract issued pursuant to chapter 509, 514, or 514A.
110 20 c. An individual or group health maintenance organization
110 21 contract regulated under chapter 514B.
110 22 d. A plan established pursuant to chapter 509A for public
110 23 employees.
110 24 e. An organized delivery system licensed by the director of
110 25 public health.
110 26 3. This section shall not apply to accident=only,
110 27 specified disease, short=term hospital or medical, hospital
110 28 confinement indemnity, credit, dental, vision, Medicare
110 29 supplement, long=term care, basic hospital and medical=surgical
110 30 expense coverage as defined by the commissioner, disability
110 31 income insurance coverage, coverage issued as a supplement
110 32 to liability insurance, workers' compensation or similar
110 33 insurance, or automobile medical payment insurance.
110 34 DIVISION XXIII
110 35 CHILDREN'S MENTAL HEALTH AND WELL=BEING WORKGROUP
111 1 Sec. 100. CHILDREN'S MENTAL HEALTH AND WELL=BEING
111 2 WORKGROUP. The department of human services, in cooperation
111 3 with the departments of education and public health, shall
111 4 facilitate a workgroup of stakeholders to study and make
111 5 recommendations relating to children's mental health and
111 6 well=being in this state. The issues that may be considered
111 7 by the workgroup include developing a strategic plan for
111 8 data systems to provide for a comprehensive analysis of
111 9 the mental health and well=being of children in this state;
111 10 creating a comprehensive system of care for children that
111 11 incorporates a coordinated response to mental health issues
111 12 across many disciplines including education, public health,
111 13 mental health, child welfare, and child welfare systems
111 14 and services and that specifically addresses the effects of
111 15 adverse childhood experiences and extreme child poverty and
111 16 homelessness; and building interdepartmental awareness of
111 17 issues relating to child mental health and well=being and
111 18 creating interdepartmental strategies for helping improve
111 19 child mental health and well=being and understanding impacts
111 20 on education and employment outcomes; examining child care
111 21 quality and affordability; and determining how government can
111 22 create community partnerships to help address issues of child
111 23 mental health and well=being. In carrying out the charge
111 24 of the workgroup, the workgroup shall review a 2014 report
111 25 by the children's defense fund on the state of America's
111 26 children containing the most recent and reliable national and
111 27 state=by=state data on many complex issues affecting children's
111 28 health and well=being, including data on more than 7,000
111 29 homeless public school students in Iowa. The workgroup shall
111 30 develop and recommend proactive strategies across state systems
111 31 to address these most complex needs impacting children's mental
111 32 health and well=being which will also aid different populations
111 33 of children with fewer challenges. The workgroup shall submit
111 34 a report on the study and make recommendations to the governor
111 35 and the general assembly on or before December 15, 2015.
112 1 DIVISION XXIV
112 2 PREVENTION OF DISABILITIES POLICY COUNCIL
112 3 Sec. 101. NEW SECTION. 225B.101 Findings and intent.
112 4 1. The general assembly finds that:
112 5 a. Between ten and twenty percent of Iowans have a
112 6 disability that affects their ability to learn, work,
112 7 communicate, perform activities of daily living, and
112 8 participate in everyday community life. These disabilities
112 9 are the result of genetics, environmental factors, injury, or
112 10 illness; may occur at any point in life; may be mild, severe,
112 11 or intermittent; and are often very costly for the individuals
112 12 affected, their families, and government both in terms of
112 13 quality of life and financial expenditures.
112 14 b. Most disabilities are due to conditions that can be
112 15 prevented, can be minimized if recognized and treated early, or
112 16 can be reduced through appropriate accommodation.
112 17 c. A need exists to optimize the use of cost=effective
112 18 prevention of disability strategies in state policies and
112 19 programs in order to reduce the cost of disabilities to Iowa's
112 20 citizens and government.
112 21 2. It is the intent of the general assembly to establish
112 22 a structure and process to identify opportunities to enhance
112 23 prevention of disability efforts in Iowa, design cross=agency
112 24 strategies to address the prevention of disabilities, integrate
112 25 and coordinate proven prevention of disability strategies
112 26 within state programs, and inform the general assembly about
112 27 priority prevention of disability policies and programs.
112 28 Sec. 102. NEW SECTION. 225B.102 Definitions.
112 29 As used in this chapter, unless the context otherwise
112 30 requires:
112 31 1. "Council" means the prevention of disabilities policy
112 32 council.
112 33 2. "Disability" means an individual who meets the definition
112 34 in 42 U.S.C. {12102.
112 35 3. "Prevention" activities include policies, programs, and
113 1 practices that do any of the following:
113 2 a. Prevent a disability or a condition that leads to a
113 3 disability from occurring.
113 4 b. Identify a disability or a condition that leads to a
113 5 disability early on so that intervention can eliminate the risk
113 6 of a disability or minimize the disability's effect.
113 7 c. Reduce the effects of a disability on an individual's
113 8 health and independence.
113 9 Sec. 103. NEW SECTION. 225B.103 Prevention of disabilities
113 10 policy council established ==== membership ==== duties.
113 11 1. A prevention of disabilities policy council is
113 12 established to focus state prevention of disability efforts
113 13 and provide oversight in the development and operation of a
113 14 coordinated prevention of disabilities system. The council
113 15 shall consist of the following members:
113 16 a. Three providers of disability prevention services
113 17 appointed by the governor and confirmed by the senate. The
113 18 governor may consider recommendations from the prevention of
113 19 disabilities policy council in making appointments.
113 20 b. Three persons with expertise in priority prevention areas
113 21 appointed by the governor and confirmed by the senate. The
113 22 governor may consider recommendations from the prevention of
113 23 disabilities policy council in making appointments.
113 24 c. Three persons with disabilities or family members
113 25 of a person with disabilities appointed by the governor,
113 26 and confirmed by the senate. The governor may consider
113 27 recommendations from the prevention of disabilities policy
113 28 council in making appointments.
113 29 d. One representative each from the department on aging,
113 30 department of education, department of human services, and
113 31 department of public health appointed by the directors of the
113 32 respective agencies.
113 33 e. Two members of the senate appointed by the senate
113 34 majority leader and minority leader and two members of the
113 35 house of representatives appointed by the speaker of the house
114 1 and the house minority leader.
114 2 2. Members of the council appointed by the governor shall
114 3 serve three=year staggered terms for terms beginning and ending
114 4 as provided in section 69.19. Members representing the state
114 5 departments shall serve one=year terms and shall serve as ex
114 6 officio, nonvoting members. Members of the general assembly
114 7 appointed to the council shall serve two=year terms as provided
114 8 in section 69.16B and shall serve as ex officio, nonvoting
114 9 members. Vacancies on the council shall be filled in the same
114 10 manner as original appointments. Members are entitled to
114 11 reimbursement of actual expenses incurred in performance of
114 12 their official duties.
114 13 3. The council shall do all of the following:
114 14 a. Review the prevention of disabilities activities of
114 15 public and private entities and provide recommendations to
114 16 optimize the planning, implementation, and evaluation of
114 17 prevention of disabilities efforts.
114 18 b. Promote cooperative and complementary planning among the
114 19 public, nonpublic, and volunteer sectors involved in prevention
114 20 of disabilities activities.
114 21 c. Facilitate coordination of prevention of disabilities
114 22 activities among state departments to develop an integrated
114 23 system of care.
114 24 d. Provide support and technical assistance to public
114 25 or nonpublic entities to identify, seek, implement, and
114 26 evaluate state, federal, and private grants for prevention of
114 27 disabilities activities.
114 28 e. Encourage research into the causes and prevention of
114 29 disabilities, including methods to evaluate the effectiveness
114 30 of prevention efforts.
114 31 f. Promote professional and provider training in
114 32 evidence=based prevention of disabilities measures and assure
114 33 adequate dissemination of such to appropriate entities.
114 34 g. Submit to the governor and general assembly annually by
114 35 November 1 a report that includes all of the following:
115 1 (1) A summary of all disabilities prevention activities
115 2 conducted since the preceding annual report.
115 3 (2) Recommendations for policy and priorities for the
115 4 prevention of disabilities.
115 5 4. The council shall meet at least six times during the
115 6 year. A majority of the members of the council constitutes a
115 7 quorum and a quorum is necessary to act on matters within the
115 8 purview of the council.
115 9 Sec. 104. NEW SECTION. 225B.104 Rules.
115 10 The department of human services shall adopt and update
115 11 administrative rules as necessary to implement the provisions
115 12 of this chapter. All rules adopted by the department of human
115 13 services pursuant to this section are subject to approval by
115 14 the council.
115 15 Sec. 105. NEW SECTION. 225B.105 Coordination with state
115 16 agencies.
115 17 1. The directors or deputy directors of the state
115 18 departments on aging, and of education, human services, and
115 19 public health shall meet at least annually with the council and
115 20 shall do all of the following:
115 21 a. Provide an update to the council regarding the status
115 22 of prevention of disabilities policies and programs with
115 23 each respective department and provide recommendations about
115 24 priorities the council should consider in the next year.
115 25 b. Receive new policy and program recommendations from the
115 26 council regarding the prevention of disabilities.
115 27 2. The council may seek and receive data from state
115 28 departments that will aid in developing, implementing, and
115 29 evaluating prevention of disabilities efforts and systems in
115 30 Iowa.
115 31 Sec. 106. NEW SECTION. 225B.106 Coordination with
115 32 disability groups.
115 33 The chairpersons and designated staff of chairpersons of
115 34 public and private state disabilities prevention groups shall
115 35 meet with the council at least annually to do all of the
116 1 following:
116 2 1. Identify ways to incorporate prevention of disabilities
116 3 activities within Iowa's disabilities services system.
116 4 2. Assist in developing a policy agenda for prevention of
116 5 disabilities services system improvements.
116 6 Sec. 107. NEW SECTION. 225B.107 Evaluation.
116 7 The state's prevention of disability effort and the council
116 8 are subject to review and evaluation by the governor and the
116 9 general assembly.
116 10 DIVISION XXV
116 11 FACILITY FOR PERSONS WITH AGGRESSIVE OR PSYCHIATRIC BEHAVIORS
116 12 ==== INTERIM COMMITTEE
116 13 Sec. 108. FACILITY FOR PERSONS WITH AGGRESSIVE OR
116 14 PSYCHIATRIC BEHAVIORS ==== INTERIM COMMITTEE ==== REPORT.
116 15 1. The legislative council is requested to establish an
116 16 interim study committee relating to the establishment of one
116 17 or more facilities to provide care and treatment for persons
116 18 who are sexually aggressive, combative, or who have unmet
116 19 geropsychiatric needs.
116 20 2. The study committee shall be composed of ten members
116 21 of the general assembly. Five members shall be members of
116 22 the senate, three of whom shall be appointed by the majority
116 23 leader of the senate, and two of whom shall be appointed by
116 24 the minority leader of the senate. Five members shall be
116 25 members of the house of representatives, three of whom shall
116 26 be appointed by the speaker of the house of representatives,
116 27 and two of whom shall be appointed by the minority leader of
116 28 the house of representatives.
116 29 3. The study committee shall receive testimony from
116 30 stakeholders with an interest or expertise relating to the
116 31 care and treatment of persons who are sexually aggressive,
116 32 combative, or who have unmet geropsychiatric needs including
116 33 health care providers, long=term care facilities, hospitals,
116 34 health systems, and other entities; consumers and families of
116 35 consumers; individuals involved in the delivery and financing
117 1 of related services and supports; and representatives of
117 2 agencies responsible for oversight, funding, and regulation of
117 3 such services and supports.
117 4 4. The study committee shall specifically address and
117 5 make recommendations relating to the characteristics of the
117 6 residents for such a facility and the size of the resident
117 7 populations to be served; options for creating a new facility
117 8 or expanding an existing facility; workforce recruitment,
117 9 training, and compensation issues; requirements that the
117 10 facility or facilities must meet in order to qualify for
117 11 Medicaid reimbursement; and any other information deemed
117 12 appropriate by the committee.
117 13 5. The study committee shall meet during the 2015
117 14 legislative interim and shall submit a report and
117 15 recommendations to the general assembly by January 1, 2016.
117 16 DIVISION XXVI
117 17 ANATOMICAL GIFT PUBLIC AWARENESS AND TRANSPLANTATION FUND
117 18 Sec. 109. Section 142C.15, subsection 4, paragraph c,
117 19 unnumbered paragraph 1, Code 2015, is amended to read as
117 20 follows:
117 21 Not more than fifty percent of the Any unobligated moneys
117 22 in the fund annually may be expended in the form of grants to
117 23 transplant recipients, transplant candidates, living organ
117 24 donors, or to legal representatives on behalf of transplant
117 25 recipients, transplant candidates, or living organ donors.
117 26 Transplant recipients, transplant candidates, living organ
117 27 donors, or the legal representatives of transplant recipients,
117 28 transplant candidates, or living organ donors shall submit
117 29 grant applications with supporting documentation provided
117 30 by a hospital that performs transplants, verifying that the
117 31 person by or for whom the application is submitted requires a
117 32 transplant or is a living organ donor and specifying the amount
117 33 of the costs associated with the following, if funds are not
117 34 available from any other third=party payor:
117 35 DIVISION XXVII
118 1 HOSPITAL AND LONG=TERM CARE PHARMACY PRACTICE ====
118 2 PNEUMOCOCCAL VACCINES ==== BOARD OF PHARMACY RULES
118 3 Sec. 110. HOSPITAL AND LONG=TERM CARE PHARMACY PRACTICE ====
118 4 PNEUMOCOCCAL VACCINES ==== BOARD OF PHARMACY RULES. The board
118 5 of pharmacy shall adopt rules pursuant to chapter 17A relating
118 6 to hospital and long=term care pharmacy practices that allow,
118 7 as authorized by federal law, in addition to influenza and
118 8 pneumococcal polysaccharide vaccines, that a written or verbal
118 9 patient=specific medication administration order shall not
118 10 be required prior to administration to an adult patient of
118 11 pneumococcal conjugate vaccine pursuant to physician=approved
118 12 hospital or facility policy and after the patient has been
118 13 assessed for contraindications.
118 14 DIVISION XXVIII
118 15 HEALTHY AND WELL KIDS IN IOWA PROGRAM ==== CONTINUED ENROLLMENT
118 16 Sec. 111. Section 514I.8, subsection 3, Code 2015, is
118 17 amended to read as follows:
118 18 3. In accordance with the rules adopted by the board, a
118 19 child may be determined to be presumptively eligible for the
118 20 program pending a final eligibility determination. Following
118 21 final determination of eligibility, a child shall be eligible
118 22 for a twelve=month period. At the end of the twelve=month
118 23 period, a review of the circumstances of the child's family
118 24 shall be conducted to establish eligibility and cost sharing
118 25 for the subsequent twelve=month period. Pending such review
118 26 of the circumstances of the child's family, the child shall
118 27 continue to be eligible for and remain enrolled in the same
118 28 plan if the family complies with requirements to provide
118 29 information and verification of income, otherwise cooperates
118 30 in the annual review process, and submits the completed
118 31 review form and any information necessary to establish
118 32 continued eligibility in a timely manner in accordance with
118 33 administrative rules.
118 34 DIVISION XXIX
118 35 PERSONNEL SETTLEMENT AGREEMENT PAYMENTS
119 1 Sec. 112. PERSONNEL SETTLEMENT AGREEMENT PAYMENTS. As a
119 2 condition of the appropriations in this 2015 Act, the moneys
119 3 appropriated and any other moneys available shall not be used
119 4 for payment of a personnel settlement agreement that contains a
119 5 confidentiality provision intended to prevent public disclosure
119 6 of the agreement or any terms of the agreement.
119 7 DIVISION XXX
119 8 MEDICAID REIMBURSEMENT == PSYCHOLOGISTS
119 9 Sec. 113. Section 249A.15, Code 2015, is amended to read as
119 10 follows:
119 11 249A.15 Licensed psychologists eligible for payment.
119 12 The department shall adopt rules pursuant to chapter 17A
119 13 entitling psychologists who are licensed pursuant to chapter
119 14 154B and psychologists who are licensed in the state where
119 15 the services are provided and have a doctorate degree in
119 16 psychology, have had at least two years of clinical experience
119 17 in a recognized health setting, or have met the standards of a
119 18 national register of health service providers in psychology,
119 19 to payment for services provided to recipients of medical
119 20 assistance, subject to limitations and exclusions the
119 21 department finds necessary on the basis of federal laws and
119 22 regulations and of funds available for the medical assistance
119 23 program.
119 24 DIVISION XXXI
119 25 HOME MODIFICATION ASSISTANCE PROGRAM PLAN
119 26 Sec. 114. HOME MODIFICATION ASSISTANCE PROGRAM PLAN.
119 27 1. The aging and disability resource center and the mental
119 28 health and disability services commission shall jointly
119 29 develop a plan for a home modification assistance program to
119 30 provide grants and individual income tax credits to assist with
119 31 expenses related to the making of permanent home modifications
119 32 that permit individuals with a disability in this state to
119 33 remain in their homes and age in place. The plan shall include
119 34 the following components:
119 35 a. The plan shall develop criteria and procedures for
120 1 establishing eligibility of individuals with a disability
120 2 under the program, and in doing so the plan shall utilize the
120 3 definition of disability found in 42 U.S.C. {12102 and shall
120 4 require appropriate certifications from the primary health care
120 5 providers of individuals with a disability.
120 6 b. The plan shall establish criteria for determining the
120 7 type of home modification expenses that will be eligible for a
120 8 grant or tax credit award under the program.
120 9 c. The plan shall develop criteria and procedures for
120 10 receiving grants and tax credits under the program, and shall
120 11 determine the maximum amount of grants and tax credits that
120 12 may be provided to an individual with a disability under the
120 13 program.
120 14 d. The plan shall provide that individuals with a disability
120 15 shall utilize any funding for home modification under the
120 16 Medicaid program to the fullest extent possible before becoming
120 17 eligible to participate in the home modification assistance
120 18 program to ensure that the program's grants and tax credits do
120 19 not supplant available Medicaid program resources.
120 20 e. The plan shall provide that grants under the program
120 21 shall be available to individuals with a disability with annual
120 22 incomes that do not exceed 250 percent of the federal poverty
120 23 level, and that individual income tax credits under the program
120 24 shall be available to individuals with a disability with annual
120 25 incomes exceeding 250 percent but not exceeding 450 percent of
120 26 the federal poverty level.
120 27 f. The plan shall avoid placing unrealistic expectations
120 28 and overly burdensome requirements on individuals with a
120 29 disability and their families, particularly those living in
120 30 rural areas.
120 31 2. In developing the plan for the home modification
120 32 assistance program, the aging and disability resource center
120 33 and the mental health and disability services commission shall
120 34 seek input from and consult with the department on aging, the
120 35 department of human services, the department of revenue, and
121 1 other interested public and private stakeholders.
121 2 3. The aging and disability resource center and the mental
121 3 health and disability services commission shall submit the plan
121 4 on or before December 15, 2015, to the chairpersons and ranking
121 5 members of the joint appropriations subcommittee on health and
121 6 human services, to the chairpersons and ranking members of the
121 7 senate and house standing committees on human resources, to
121 8 the chairpersons and ranking members of the senate and house
121 9 standing committees on ways and means, and to the governor.
121 10 DIVISION XXXII
121 11 MEDICAID PROGRAM ELIGIBILITY VERIFICATION
121 12 Sec. 115. MEDICAID PROGRAM=ELIGIBILITY VERIFICATION. The
121 13 department of human services shall establish an electronic
121 14 asset, income, and identity eligibility verification system
121 15 for the purposes of compliance with 42 U.S.C. {1396w requiring
121 16 determination or redetermination of the eligibility of an
121 17 individual who is an applicant for or recipient of medical
121 18 assistance under the Medicaid state plan on the basis of
121 19 being aged, blind, or disabled in accordance with 42 U.S.C.
121 20 {1396w. The department may issue a request for proposals to
121 21 select a third=party vendor to administer such an eligibility
121 22 verification system. If a third=party vendor is selected,
121 23 such vendor must be able to demonstrate in writing its current
121 24 relationships or contracts with financial institutions in the
121 25 state and nationally. Participation by financial institutions
121 26 in providing account balances for asset verification
121 27 shall remain voluntary. This section shall not result in
121 28 the displacement of existing asset, income, or identity
121 29 verification workers.
121 30 Sec. 116. EFFECTIVE UPON ENACTMENT. This division of this
121 31 Act, being deemed of immediate importance, takes effect upon
121 32 enactment.
121 33 DIVISION XXXIII
121 34 DEPARTMENT ON AGING ==== FY 2016=2017
121 35 Sec. 117. DEPARTMENT ON AGING. There is appropriated from
122 1 the general fund of the state to the department on aging for
122 2 the fiscal year beginning July 1, 2016, and ending June 30,
122 3 2017, the following amount, or so much thereof as is necessary,
122 4 to be used for the purposes designated:
122 5 For aging programs for the department on aging and area
122 6 agencies on aging to provide citizens of Iowa who are 60 years
122 7 of age and older with case management for frail elders, Iowa's
122 8 aging and disabilities resource center, and other services
122 9 which may include but are not limited to adult day services,
122 10 respite care, chore services, information and assistance,
122 11 and material aid, for information and options counseling for
122 12 persons with disabilities who are 18 years of age or older,
122 13 and for salaries, support, administration, maintenance, and
122 14 miscellaneous purposes, and for not more than the following
122 15 full=time equivalent positions:
122 16 .................................................. $ 5,718,033
122 17 ............................................... FTEs 31.00
122 18 1. Funds appropriated in this section may be used to
122 19 supplement federal funds under federal regulations. To
122 20 receive funds appropriated in this section, a local area
122 21 agency on aging shall match the funds with moneys from other
122 22 sources according to rules adopted by the department. Funds
122 23 appropriated in this section may be used for elderly services
122 24 not specifically enumerated in this section only if approved
122 25 by an area agency on aging for provision of the service within
122 26 the area.
122 27 2. Of the funds appropriated in this section, $139,973 is
122 28 transferred to the economic development authority for the Iowa
122 29 commission on volunteer services to be used for the retired and
122 30 senior volunteer program.
122 31 3. a. The department on aging shall establish and enforce
122 32 procedures relating to expenditure of state and federal funds
122 33 by area agencies on aging that require compliance with both
122 34 state and federal laws, rules, and regulations, including but
122 35 not limited to all of the following:
123 1 (1) Requiring that expenditures are incurred only for goods
123 2 or services received or performed prior to the end of the
123 3 fiscal period designated for use of the funds.
123 4 (2) Prohibiting prepayment for goods or services not
123 5 received or performed prior to the end of the fiscal period
123 6 designated for use of the funds.
123 7 (3) Prohibiting the prepayment for goods or services
123 8 not defined specifically by good or service, time period, or
123 9 recipient.
123 10 (4) Prohibiting the establishment of accounts from which
123 11 future goods or services which are not defined specifically by
123 12 good or service, time period, or recipient, may be purchased.
123 13 b. The procedures shall provide that if any funds are
123 14 expended in a manner that is not in compliance with the
123 15 procedures and applicable federal and state laws, rules, and
123 16 regulations, and are subsequently subject to repayment, the
123 17 area agency on aging expending such funds in contravention of
123 18 such procedures, laws, rules and regulations, not the state,
123 19 shall be liable for such repayment.
123 20 4. Of the funds appropriated in this section, at least
123 21 $125,000 shall be used to fund the unmet needs identified
123 22 through Iowa's aging and disability resource center network.
123 23 5. Of the funds appropriated in this section, at least
123 24 $300,000 shall be used to fund home and community=based
123 25 services through the area agencies on aging that enable older
123 26 individuals to avoid more costly utilization of residential or
123 27 institutional services and remain in their own homes.
123 28 6. Of the funds appropriated in this section, $425,000
123 29 shall be used for the purposes of chapter 231E and section
123 30 231.56A, of which $162,500 shall be used for the office of
123 31 substitute decision maker pursuant to chapter 231E, and the
123 32 remainder shall be distributed equally to the area agencies on
123 33 aging to administer the prevention of elder abuse, neglect, and
123 34 exploitation program pursuant to section 231.56A, in accordance
123 35 with the requirements of the federal Older Americans Act of
124 1 1965, 42 U.S.C. {3001 et seq., as amended.
124 2 DIVISION XXXIV
124 3 OFFICE OF LONG=TERM CARE OMBUDSMAN ==== FY 2016=2017
124 4 Sec. 118. OFFICE OF LONG=TERM CARE OMBUDSMAN.
124 5 1. There is appropriated from the general fund of the state
124 6 to the office of long=term care ombudsman for the fiscal year
124 7 beginning July 1, 2016, and ending June 30, 2017, the following
124 8 amount, or so much thereof as is necessary, to be used for the
124 9 purposes designated:
124 10 For salaries, support, administration, maintenance, and
124 11 miscellaneous purposes, and for not more than the following
124 12 full=time equivalent positions:
124 13 .................................................. $ 753,392
124 14 ............................................... FTEs 21.00
124 15 2. Of the funds appropriated in this section, $225,000 shall
124 16 be used to continue to provide for additional local long=term
124 17 care ombudsmen.
124 18 DIVISION XXXV
124 19 DEPARTMENT OF PUBLIC HEALTH ==== FY 2016=2017
124 20 Sec. 119. DEPARTMENT OF PUBLIC HEALTH. There is
124 21 appropriated from the general fund of the state to the
124 22 department of public health for the fiscal year beginning July
124 23 1, 2016, and ending June 30, 2017, the following amounts, or
124 24 so much thereof as is necessary, to be used for the purposes
124 25 designated:
124 26 1. ADDICTIVE DISORDERS
124 27 For reducing the prevalence of the use of tobacco, alcohol,
124 28 and other drugs, and treating individuals affected by addictive
124 29 behaviors, including gambling, and for not more than the
124 30 following full=time equivalent positions:
124 31 .................................................. $ 13,631,845
124 32 ............................................... FTEs 10.00
124 33 a. (1) Of the funds appropriated in this subsection,
124 34 $2,624,181 shall be used for the tobacco use prevention
124 35 and control initiative, including efforts at the state and
125 1 local levels, as provided in chapter 142A. The commission
125 2 on tobacco use prevention and control established pursuant
125 3 to section 142A.3 shall advise the director of public health
125 4 in prioritizing funding needs and the allocation of moneys
125 5 appropriated for the programs and initiatives. Activities
125 6 of the programs and initiatives shall be in alignment with
125 7 the United States centers for disease control and prevention
125 8 best practices for comprehensive tobacco control programs that
125 9 include the goals of preventing youth initiation of tobacco
125 10 usage, reducing exposure to secondhand smoke, and promotion of
125 11 tobacco cessation.
125 12 (2) (a) Of the funds allocated in this paragraph "a",
125 13 $226,534 is transferred to the alcoholic beverages division of
125 14 the department of commerce for enforcement of tobacco laws,
125 15 regulations, and ordinances and to engage in tobacco control
125 16 activities approved by the division of tobacco use prevention
125 17 and control of the department of public health as specified
125 18 in the memorandum of understanding entered into between the
125 19 divisions.
125 20 (b) For the fiscal year beginning July 1, 2016, and ending
125 21 June 30, 2017, the terms of the memorandum of understanding,
125 22 entered into between the division of tobacco use prevention
125 23 and control of the department of public health and the
125 24 alcoholic beverages division of the department of commerce,
125 25 governing compliance checks conducted to ensure licensed retail
125 26 tobacco outlet conformity with tobacco laws, regulations, and
125 27 ordinances relating to persons under eighteen years of age,
125 28 shall continue to restrict the number of such checks to one
125 29 check per retail outlet, and one additional check for any
125 30 retail outlet found to be in violation during the first check.
125 31 b. Of the funds appropriated in this subsection,
125 32 $11,007,664 shall be used for problem gambling and
125 33 substance=related disorder prevention, treatment, and recovery
125 34 services, including a 24=hour helpline, public information
125 35 resources, professional training, and program evaluation.
126 1 (1) Of the funds allocated in this paragraph "b", $9,451,857
126 2 shall be used for substance=related disorder prevention and
126 3 treatment.
126 4 (a) Of the funds allocated in this subparagraph (1),
126 5 $449,650 shall be used for the public purpose of a grant
126 6 program to provide substance=related disorder prevention
126 7 programming for children.
126 8 (i) Of the funds allocated in this subparagraph division
126 9 (a), $213,770 shall be used for grant funding for organizations
126 10 that provide programming for children by utilizing mentors.
126 11 Programs approved for such grants shall be certified or must
126 12 be certified within six months of receiving the grant award
126 13 by the Iowa commission on volunteer services as utilizing the
126 14 standards for effective practice for mentoring programs.
126 15 (ii) Of the funds allocated in this subparagraph division
126 16 (a), $213,420 shall be used for grant funding for organizations
126 17 providing programming that includes youth development and
126 18 leadership services. The programs shall also be recognized as
126 19 being programs that are scientifically based with evidence of
126 20 their effectiveness in reducing substance=related disorders in
126 21 children.
126 22 (iii) The department of public health shall utilize a
126 23 request for proposals process to implement the grant program.
126 24 (iv) All grant recipients shall participate in a program
126 25 evaluation as a requirement for receiving grant funds.
126 26 (v) Of the funds allocated in this subparagraph division
126 27 (a), up to $22,461 may be used to administer substance=related
126 28 disorder prevention grants and for program evaluations.
126 29 (b) Of the funds allocated in this subparagraph
126 30 (1), $136,302 shall be used for culturally competent
126 31 substance=related disorder treatment pilot projects.
126 32 (i) The department shall utilize the amount allocated
126 33 in this subparagraph division (b) for at least three pilot
126 34 projects to provide culturally competent substance=related
126 35 disorder treatment in various areas of the state. Each pilot
127 1 project shall target a particular ethnic minority population.
127 2 The populations targeted shall include but are not limited to
127 3 African American, Asian, and Latino.
127 4 (ii) The pilot project requirements shall provide for
127 5 documentation or other means to ensure access to the cultural
127 6 competence approach used by a pilot project so that such
127 7 approach can be replicated and improved upon in successor
127 8 programs.
127 9 (2) Of the funds allocated in this paragraph "b", up
127 10 to $1,555,807 may be used for problem gambling prevention,
127 11 treatment, and recovery services.
127 12 (a) Of the funds allocated in this subparagraph (2),
127 13 $1,286,881 shall be used for problem gambling prevention and
127 14 treatment.
127 15 (b) Of the funds allocated in this subparagraph (2), up to
127 16 $218,926 may be used for a 24=hour helpline, public information
127 17 resources, professional training, and program evaluation.
127 18 (c) Of the funds allocated in this subparagraph (2), up
127 19 to $50,000 may be used for the licensing of problem gambling
127 20 treatment programs.
127 21 (3) It is the intent of the general assembly that from the
127 22 moneys allocated in this paragraph "b", persons with a dual
127 23 diagnosis of substance=related disorder and gambling addiction
127 24 shall be given priority in treatment services.
127 25 c. Notwithstanding any provision of law to the contrary,
127 26 to standardize the availability, delivery, cost of delivery,
127 27 and accountability of problem gambling and substance=related
127 28 disorder treatment services statewide, the department shall
127 29 continue implementation of a process to create a system
127 30 for delivery of treatment services in accordance with the
127 31 requirements specified in 2008 Iowa Acts, chapter 1187, section
127 32 3, subsection 4. To ensure the system provides a continuum
127 33 of treatment services that best meets the needs of Iowans,
127 34 the problem gambling and substance=related disorder treatment
127 35 services in any area may be provided either by a single agency
128 1 or by separate agencies submitting a joint proposal.
128 2 (1) The system for delivery of substance=related disorder
128 3 and problem gambling treatment shall include problem gambling
128 4 prevention.
128 5 (2) The system for delivery of substance=related disorder
128 6 and problem gambling treatment shall include substance=related
128 7 disorder prevention by July 1, 2017.
128 8 (3) Of the funds allocated in paragraph "b", the department
128 9 may use up to $50,000 for administrative costs to continue
128 10 developing and implementing the process in accordance with this
128 11 paragraph "c".
128 12 d. The requirement of section 123.53, subsection 5, is met
128 13 by the appropriations and allocations made in this division of
128 14 this Act for purposes of substance=related disorder treatment
128 15 and addictive disorders for the fiscal year beginning July 1,
128 16 2016.
128 17 e. The department of public health shall work with all
128 18 other departments that fund substance=related disorder
128 19 prevention and treatment services and all such departments
128 20 shall, to the extent necessary, collectively meet the state
128 21 maintenance of effort requirements for expenditures for
128 22 substance=related disorder services as required under the
128 23 federal substance=related disorder prevention and treatment
128 24 block grant.
128 25 2. HEALTHY CHILDREN AND FAMILIES
128 26 For promoting the optimum health status for children,
128 27 adolescents from birth through 21 years of age, and families,
128 28 and for not more than the following full=time equivalent
128 29 positions:
128 30 .................................................. $ 3,665,801
128 31 ............................................... FTEs 13.00
128 32 a. Of the funds appropriated in this subsection, not more
128 33 than $367,421 shall be used for the healthy opportunities for
128 34 parents to experience success (HOPES)=healthy families Iowa
128 35 (HFI) program established pursuant to section 135.106. The
129 1 funding shall be distributed to renew the grants that were
129 2 provided to the grantees that operated the program during the
129 3 fiscal year ending June 30, 2016.
129 4 b. In order to implement the legislative intent stated in
129 5 sections 135.106 and 256I.9, that priority for home visitation
129 6 program funding be given to programs using evidence=based or
129 7 promising models for home visitation, it is the intent of the
129 8 general assembly to phase in the funding priority in accordance
129 9 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2,
129 10 paragraph 0b.
129 11 c. Of the funds appropriated in this subsection, $2,456,444
129 12 shall be used to continue to expand statewide the department's
129 13 initiative to provide for adequate developmental surveillance
129 14 and screening during a child's first five years. The funds
129 15 shall be used first to fully fund the current sites to ensure
129 16 that the sites are fully operational, with the remaining
129 17 funds to be used for expansion to additional sites. The full
129 18 implementation and expansion shall include enhancing the scope
129 19 of the program through collaboration with the child health
129 20 specialty clinics to promote healthy child development through
129 21 early identification and response to both biomedical and social
129 22 determinants of healthy development; by monitoring child
129 23 health metrics to inform practice, document long=term health
129 24 impacts and savings, and provide for continuous improvement
129 25 through training, education, and evaluation; and by providing
129 26 for practitioner consultation particularly for children with
129 27 behavioral conditions and needs. The department of public
129 28 health shall also collaborate with the Iowa Medicaid enterprise
129 29 and the child health specialty clinics to integrate the
129 30 activities of the first five initiative into the establishment
129 31 of patient=centered medical homes, community utilities,
129 32 accountable care organizations, and other integrated care
129 33 models developed to improve health quality and population
129 34 health while reducing health care costs. To the maximum extent
129 35 possible, funding allocated in this paragraph shall be utilized
130 1 as matching funds for medical assistance program reimbursement.
130 2 d. Of the funds appropriated in this subsection, $37,320
130 3 shall be distributed to a statewide dental carrier to provide
130 4 funds to continue the donated dental services program patterned
130 5 after the projects developed by the lifeline network to provide
130 6 dental services to indigent individuals who are elderly or with
130 7 disabilities.
130 8 e. Of the funds appropriated in this subsection, $55,998
130 9 shall be used for childhood obesity prevention.
130 10 f. Of the funds appropriated in this subsection, $81,384
130 11 shall be used to provide audiological services and hearing
130 12 aids for children. The department may enter into a contract
130 13 to administer this paragraph.
130 14 g. Of the funds appropriated in this subsection, $12,500 is
130 15 transferred to the university of Iowa college of dentistry for
130 16 provision of primary dental services to children. State funds
130 17 shall be matched on a dollar=for=dollar basis. The university
130 18 of Iowa college of dentistry shall coordinate efforts with the
130 19 department of public health, bureau of oral and health delivery
130 20 systems, to provide dental care to underserved populations
130 21 throughout the state.
130 22 h. Of the funds appropriated in this subsection, $25,000
130 23 shall be used to address youth suicide prevention.
130 24 i. Of the funds appropriated in this subsection, $25,000
130 25 shall be used to support the Iowa effort to address the survey
130 26 of children who experience adverse childhood experiences known
130 27 as ACEs.
130 28 3. CHRONIC CONDITIONS
130 29 For serving individuals identified as having chronic
130 30 conditions or special health care needs, and for not more than
130 31 the following full=time equivalent positions:
130 32 .................................................. $ 2,552,931
130 33 ............................................... FTEs 5.00
130 34 a. Of the funds appropriated in this subsection, $79,966
130 35 shall be used for grants to individual patients who have an
131 1 inherited metabolic disorder to assist with the costs of
131 2 medically necessary foods and formula.
131 3 b. Of the funds appropriated in this subsection, $445,822
131 4 shall be used for the brain injury services program pursuant to
131 5 section 135.22B, including for continuation of the contracts
131 6 for resource facilitator services in accordance with section
131 7 135.22B, subsection 9, and to enhance brain injury training and
131 8 recruitment of service providers on a statewide basis. Of the
131 9 amount allocated in this paragraph, $47,500 shall be used to
131 10 fund one full=time equivalent position to serve as the state
131 11 brain injury services program manager.
131 12 c. Of the funds appropriated in this subsection, $273,991
131 13 shall be used as additional funding to leverage federal funding
131 14 through the federal Ryan White Care Act, Tit. II, AIDS drug
131 15 assistance program supplemental drug treatment grants.
131 16 d. Of the funds appropriated in this subsection, $74,912
131 17 shall be used for the public purpose of continuing to contract
131 18 with an existing national=affiliated organization to provide
131 19 education, client=centered programs, and client and family
131 20 support for people living with epilepsy and their families.
131 21 The amount allocated in this paragraph in excess of $50,000
131 22 shall be matched dollar=for=dollar by the organization
131 23 specified.
131 24 e. Of the funds appropriated in this subsection, $392,557
131 25 shall be used for child health specialty clinics.
131 26 f. Of the funds appropriated in this subsection, $200,000
131 27 shall be used by the regional autism assistance program
131 28 established pursuant to section 256.35, and administered by
131 29 the child health specialty clinic located at the university of
131 30 Iowa hospitals and clinics. The funds shall be used to enhance
131 31 interagency collaboration and coordination of educational,
131 32 medical, and other human services for persons with autism,
131 33 their families, and providers of services, including delivering
131 34 regionalized services of care coordination, family navigation,
131 35 and integration of services through the statewide system of
132 1 regional child health specialty clinics and fulfilling other
132 2 requirements as specified in chapter 225D. The university of
132 3 Iowa shall not receive funds allocated under this paragraph for
132 4 indirect costs associated with the regional autism assistance
132 5 program.
132 6 g. Of the funds appropriated in this subsection, $285,497
132 7 shall be used for the comprehensive cancer control program to
132 8 reduce the burden of cancer in Iowa through prevention, early
132 9 detection, effective treatment, and ensuring quality of life.
132 10 Of the funds allocated in this paragraph "g", $75,000 shall
132 11 be used to support a melanoma research symposium, a melanoma
132 12 biorepository and registry, basic and translational melanoma
132 13 research, and clinical trials.
132 14 h. Of the funds appropriated in this subsection, $63,225
132 15 shall be used for cervical and colon cancer screening, and
132 16 $150,000 shall be used to enhance the capacity of the cervical
132 17 cancer screening program to include provision of recommended
132 18 prevention and early detection measures to a broader range of
132 19 low=income women.
132 20 i. Of the funds appropriated in this subsection, $338,432
132 21 shall be used for the center for congenital and inherited
132 22 disorders including to provide for surveillance of stillbirths
132 23 as defined in section 136A.2.
132 24 j. Of the funds appropriated in this subsection, $64,706
132 25 shall be used for the prescription drug donation repository
132 26 program created in chapter 135M.
132 27 k. Of the funds appropriated in this subsection,
132 28 $107,632 shall be used by the department of public health
132 29 for reform=related activities, including but not limited to
132 30 facilitation of communication to stakeholders at the state and
132 31 local level, administering the patient=centered health advisory
132 32 council pursuant to section 135.159, and involvement in health
132 33 care system innovation activities occurring across the state.
132 34 l. Of the funds appropriated in this subsection, $12,500
132 35 shall be used for administration of chapter 124D, the medical
133 1 cannabidiol Act, or other Code provisions authorizing the
133 2 compassionate medical use of cannabis, if enacted by the 2016
133 3 regular session of the Eighty=sixth General Assembly.
133 4 4. COMMUNITY CAPACITY
133 5 For strengthening the health care delivery system at the
133 6 local level, and for not more than the following full=time
133 7 equivalent positions:
133 8 .................................................. $ 4,359,858
133 9 ............................................... FTEs 11.00
133 10 a. Of the funds appropriated in this subsection, $49,707
133 11 is allocated for continuation of the child vision screening
133 12 program implemented through the university of Iowa hospitals
133 13 and clinics in collaboration with early childhood Iowa areas.
133 14 The program shall submit a report to the individuals identified
133 15 in this Act for submission of reports regarding the use of
133 16 funds allocated under this paragraph "a". The report shall
133 17 include the objectives and results for the program year
133 18 including the target population and how the funds allocated
133 19 assisted the program in meeting the objectives; the number,
133 20 age, and location within the state of individuals served;
133 21 the type of services provided to the individuals served; the
133 22 distribution of funds based on service provided; and the
133 23 continuing needs of the program.
133 24 b. Of the funds appropriated in this subsection, $55,328 is
133 25 allocated for continuation of an initiative implemented at the
133 26 university of Iowa and $49,952 is allocated for continuation of
133 27 an initiative at the state mental health institute at Cherokee
133 28 to expand and improve the workforce engaged in mental health
133 29 treatment and services. The initiatives shall receive input
133 30 from the university of Iowa, the department of human services,
133 31 the department of public health, and the mental health and
133 32 disability services commission to address the focus of the
133 33 initiatives.
133 34 c. Of the funds appropriated in this subsection, $582,314
133 35 shall be used for essential public health services that promote
134 1 healthy aging throughout one's lifespan, contracted through a
134 2 formula for local boards of health, to enhance health promotion
134 3 and disease prevention services.
134 4 d. Of the funds appropriated in this section, $49,643 shall
134 5 be deposited in the governmental public health system fund
134 6 created in section 135A.8 to be used for the purposes of the
134 7 fund.
134 8 e. Of the funds appropriated in this subsection, $52,724
134 9 shall be used to continue to address the shortage of mental
134 10 health professionals in the state.
134 11 f. Of the funds appropriated in this subsection,
134 12 $25,000 shall be used for a grant to a statewide association
134 13 of psychologists that is affiliated with the American
134 14 psychological association to be used for continuation of a
134 15 program to rotate intern psychologists in placements in urban
134 16 and rural mental health professional shortage areas, as defined
134 17 in section 135.180.
134 18 g. (1) Of the funds appropriated in this subsection,
134 19 $1,441,485 shall be allocated as a grant to the Iowa primary
134 20 care association to be used pursuant to section 135.153 for
134 21 the statewide coordination of the Iowa collaborative safety
134 22 net provider network. Coordination of the network shall
134 23 focus on increasing access by underserved populations to
134 24 health care services, increasing integration of the health
134 25 system and collaboration across the continuum of care with
134 26 a focus on safety net services, and enhancing the Iowa
134 27 collaborative safety net provider network's communication and
134 28 education efforts. The amount allocated as a grant under this
134 29 subparagraph (1) shall be used as follows to support the Iowa
134 30 collaborative safety net provider network goals of increased
134 31 access, health system integration, and engagement:
134 32 (a) For distribution to safety net partners in the state
134 33 that work to increase access of the underserved population to
134 34 health services:
134 35 .................................................. $ 512,743
135 1 (i) Of the amount allocated in this subparagraph
135 2 division (a), up to $206,708 shall be distributed to the
135 3 Iowa prescription drug corporation for continuation of the
135 4 pharmaceutical infrastructure for safety net providers as
135 5 described in 2007 Iowa Acts, chapter 218, section 108.
135 6 (ii) Of the amount allocated in this subparagraph division
135 7 (a), up to $174,161 shall be distributed to free clinics and
135 8 free clinics of Iowa for necessary infrastructure, statewide
135 9 coordination, provider recruitment, service delivery, and
135 10 provision of assistance to patients in securing a medical home
135 11 inclusive of oral health care.
135 12 (iii) Of the amount allocated in this subparagraph
135 13 division (a), up to $25,000 shall be distributed to the
135 14 Iowa coalition against sexual assault to continue a training
135 15 program for sexual assault response team (SART) members,
135 16 including representatives of law enforcement, victim advocates,
135 17 prosecutors, and certified medical personnel.
135 18 (iv) Of the amount allocated in this subparagraph division
135 19 (a), up to $106,874 shall be distributed to the Polk county
135 20 medical society for continuation of the safety net provider
135 21 patient access to a specialty health care initiative as
135 22 described in 2007 Iowa Acts, chapter 218, section 109.
135 23 (b) For distribution to safety net partners in the
135 24 state that work to increase health system integration, care
135 25 coordination, and collaboration across the continuum of care
135 26 with a focus on safety net services. Such efforts shall
135 27 include but not be limited to community care coordination team
135 28 development and integration of medical and behavioral health
135 29 services. Efforts shall also include working, in conjunction
135 30 with the department of human services and the department
135 31 of public health, to support Medicaid managed care efforts
135 32 inclusive of the state innovation model through the continued
135 33 development and implementation of community care coordination
135 34 teams. Implementation of the community care coordination
135 35 teams shall be accomplished through a statewide regionally
136 1 based network that provides an integrated approach to health
136 2 care delivery through care coordination that supports primary
136 3 care providers and links patients with community resources
136 4 necessary to empower patients in addressing biomedical and
136 5 social determinants of health to improve health outcomes:
136 6 .................................................. $ 836,100
136 7 (c) For distribution to safety net partners in the state
136 8 that work to serve as a resource for credible, accurate
136 9 information on health care=related needs and services
136 10 for vulnerable populations in the state including the
136 11 Iowa association of rural health clinics for necessary
136 12 infrastructure and service delivery transformation and the Iowa
136 13 primary care association to support partner engagement, program
136 14 management, and statewide coordination of the network:
136 15 .................................................. $ 92,643
136 16 (2) The amount allocated under this paragraph "g" shall
136 17 not be reduced for administrative or other costs prior to
136 18 distribution. The Iowa collaborative safety net provider
136 19 network may continue to distribute funds allocated pursuant to
136 20 this paragraph "g" through existing contracts or renewal of
136 21 existing contracts.
136 22 (3) For each goal of the Iowa collaborative safety net
136 23 provider network, the Iowa primary care association shall
136 24 submit a progress report to the individuals designated in this
136 25 Act for submission of reports by December 15, 2016, including
136 26 progress in developing and implementing the network, how the
136 27 funds were distributed and used in developing and implementing
136 28 the network, and the remaining needs identified to fully
136 29 develop and implement the network.
136 30 h. Of the funds appropriated in this subsection, $106,700
136 31 shall be used for continuation of the work of the direct care
136 32 worker advisory council established pursuant to 2008 Iowa Acts,
136 33 chapter 1188, section 69, in implementing the recommendations
136 34 in the final report submitted by the advisory council to the
136 35 governor and the general assembly in March 2012, including
137 1 by continuing to develop, promote, and make available on a
137 2 statewide basis the prepare=to=care core curriculum and its
137 3 associated modules and specialties through various formats
137 4 including online access, community colleges, and other venues;
137 5 exploring new and maintaining existing specialties including
137 6 but not limited to oral health and dementia care; supporting
137 7 instructor training; and assessing and making recommendations
137 8 concerning the Iowa care book and information technology
137 9 systems and infrastructure uses and needs.
137 10 i. (1) Of the funds appropriated in this subsection,
137 11 $108,188 shall be used for allocation to an independent
137 12 statewide direct care worker organization under continuation
137 13 of the contract in effect during the fiscal year ending June
137 14 30, 2016.
137 15 (2) Of the funds appropriated in this subsection,
137 16 $52,500 shall be used to provide scholarships or other
137 17 forms of subsidization for direct care worker educational
137 18 conferences, training, or outreach activities, and for the
137 19 mouth=care=matters oral health care project.
137 20 j. Of the funds appropriated in this subsection, the
137 21 department may use up to $29,088 for up to one full=time
137 22 equivalent position to administer the volunteer health care
137 23 provider program pursuant to section 135.24.
137 24 k. Of the funds appropriated in this subsection, $50,000
137 25 shall be used for a matching dental education loan repayment
137 26 program to be allocated to a dental nonprofit health service
137 27 corporation to continue to develop the criteria and implement
137 28 the loan repayment program.
137 29 l. Of the funds appropriated in this subsection, $52,912 is
137 30 transferred to the college student aid commission for deposit
137 31 in the rural Iowa primary care trust fund created in section
137 32 261.113 to be used for the purposes of the fund.
137 33 m. Of the funds appropriated in this subsection, $125,000
137 34 shall be used for the purposes of the Iowa donor registry as
137 35 specified in section 142C.18.
138 1 n. Of the funds appropriated in this subsection, $50,000
138 2 shall be used for continuation of a grant to a nationally
138 3 affiliated volunteer eye organization that has an established
138 4 program for children and adults and that is solely dedicated to
138 5 preserving sight and preventing blindness through education,
138 6 nationally certified vision screening and training, and
138 7 community and patient service programs. The organization
138 8 shall submit a report to the individuals identified in this
138 9 Act for submission of reports regarding the use of funds
138 10 allocated under this paragraph "n". The report shall include
138 11 the objectives and results for the program year including
138 12 the target population and how the funds allocated assisted
138 13 the program in meeting the objectives; the number, age, and
138 14 location within the state of individuals served; the type of
138 15 services provided to the individuals served; the distribution
138 16 of funds based on services provided; and the continuing needs
138 17 of the program.
138 18 o. Of the funds appropriated in this subsection, $12,500
138 19 shall be used for the continuation of a wellness council under
138 20 the direction of the director of public health to increase
138 21 support for wellness activities in the state.
138 22 p. Of the funds appropriated in this subsection, $1,000,000
138 23 shall be deposited in the medical residency training account
138 24 created in section 135.175, subsection 5, paragraph "a", and
138 25 is appropriated from the account to the department of public
138 26 health to be used for the purposes of the medical residency
138 27 training state matching grants program as specified in section
138 28 135.176. However, notwithstanding any provision to the
138 29 contrary in section 135.176, priority in the awarding of grants
138 30 shall be given to sponsors that propose preference in the use
138 31 of the grant funds for psychiatric residency positions and
138 32 family practice residency positions.
138 33 5. HEALTHY AGING
138 34 To provide public health services that reduce risks and
138 35 invest in promoting and protecting good health over the
139 1 course of a lifetime with a priority given to older Iowans and
139 2 vulnerable populations:
139 3 .................................................. $ 3,648,571
139 4 6. INFECTIOUS DISEASES
139 5 For reducing the incidence and prevalence of communicable
139 6 diseases, and for not more than the following full=time
139 7 equivalent positions:
139 8 .................................................. $ 667,578
139 9 ............................................... FTEs 4.00
139 10 7. PUBLIC PROTECTION
139 11 For protecting the health and safety of the public through
139 12 establishing standards and enforcing regulations, and for not
139 13 more than the following full=time equivalent positions:
139 14 .................................................. $ 2,169,596
139 15 ............................................... FTEs 135.50
139 16 a. Of the funds appropriated in this subsection, not more
139 17 than $227,350 shall be credited to the emergency medical
139 18 services fund created in section 135.25. Moneys in the
139 19 emergency medical services fund are appropriated to the
139 20 department to be used for the purposes of the fund.
139 21 b. Of the funds appropriated in this subsection, $101,516
139 22 shall be used for sexual violence prevention programming
139 23 through a statewide organization representing programs
139 24 serving victims of sexual violence through the department's
139 25 sexual violence prevention program. The amount allocated
139 26 in this paragraph "b" shall not be used to supplant funding
139 27 administered for other sexual violence prevention or victims
139 28 assistance programs.
139 29 c. Of the funds appropriated in this subsection, $299,376
139 30 shall be used for the state poison control center. Pursuant
139 31 to the directive under 2014 Iowa Acts, chapter 1140, section
139 32 102, the federal matching funds available to the state poison
139 33 control center from the department of human services under the
139 34 federal Children's Health Insurance Program Reauthorization Act
139 35 allotment shall be subject to the federal administrative cap
140 1 rule of 10 percent applicable to funding provided under Tit.
140 2 XXI of the federal Social Security Act and included within the
140 3 department's calculations of the cap.
140 4 d. Of the funds appropriated in this subsection, $268,875
140 5 shall be used for childhood lead poisoning provisions.
140 6 8. RESOURCE MANAGEMENT
140 7 For establishing and sustaining the overall ability of the
140 8 department to deliver services to the public, and for not more
140 9 than the following full=time equivalent positions:
140 10 .................................................. $ 427,536
140 11 ............................................... FTEs 4.00
140 12 The university of Iowa hospitals and clinics under the
140 13 control of the state board of regents shall not receive
140 14 indirect costs from the funds appropriated in this section.
140 15 The university of Iowa hospitals and clinics billings to the
140 16 department shall be on at least a quarterly basis.
140 17 DIVISION XXXVI
140 18 DEPARTMENT OF VETERANS AFFAIRS ==== FY 2016=2017
140 19 Sec. 120. DEPARTMENT OF VETERANS AFFAIRS. There is
140 20 appropriated from the general fund of the state to the
140 21 department of veterans affairs for the fiscal year beginning
140 22 July 1, 2016, and ending June 30, 2017, the following amounts,
140 23 or so much thereof as is necessary, to be used for the purposes
140 24 designated:
140 25 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION
140 26 For salaries, support, maintenance, and miscellaneous
140 27 purposes, and for not more than the following full=time
140 28 equivalent positions:
140 29 .................................................. $ 600,273
140 30 ............................................... FTEs 15.00
140 31 2. IOWA VETERANS HOME
140 32 For salaries, support, maintenance, and miscellaneous
140 33 purposes:
140 34 .................................................. $ 3,797,498
140 35 a. The Iowa veterans home billings involving the department
141 1 of human services shall be submitted to the department on at
141 2 least a monthly basis.
141 3 b. If there is a change in the employer of employees
141 4 providing services at the Iowa veterans home under a collective
141 5 bargaining agreement, such employees and the agreement shall
141 6 be continued by the successor employer as though there had not
141 7 been a change in employer.
141 8 c. Within available resources and in conformance with
141 9 associated state and federal program eligibility requirements,
141 10 the Iowa veterans home may implement measures to provide
141 11 financial assistance to or on behalf of veterans or their
141 12 spouses who are participating in the community reentry program.
141 13 d. The Iowa veterans home expenditure report shall be
141 14 submitted monthly to the legislative services agency.
141 15 3. HOME OWNERSHIP ASSISTANCE PROGRAM
141 16 For transfer to the Iowa finance authority for the
141 17 continuation of the home ownership assistance program for
141 18 persons who are or were eligible members of the armed forces of
141 19 the United States, pursuant to section 16.54:
141 20 .................................................. $ 1,250,000
141 21 Sec. 121. LIMITATION OF COUNTY COMMISSIONS OF VETERAN
141 22 AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the
141 23 standing appropriation in section 35A.16 for the fiscal year
141 24 beginning July 1, 2016, and ending June 30, 2017, the amount
141 25 appropriated from the general fund of the state pursuant to
141 26 that section for the following designated purposes shall not
141 27 exceed the following amount:
141 28 For the county commissions of veteran affairs fund under
141 29 section 35A.16:
141 30 .................................................. $ 495,000
141 31 DIVISION XXXVII
141 32 DEPARTMENT OF HUMAN SERVICES ==== FY 2016=2017
141 33 Sec. 122. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK
141 34 GRANT. There is appropriated from the fund created in section
141 35 8.41 to the department of human services for the fiscal year
142 1 beginning July 1, 2016, and ending June 30, 2017, from moneys
142 2 received under the federal temporary assistance for needy
142 3 families (TANF) block grant pursuant to the federal Personal
142 4 Responsibility and Work Opportunity Reconciliation Act of 1996,
142 5 Pub. L. No. 104=193, and successor legislation, the following
142 6 amounts, or so much thereof as is necessary, to be used for the
142 7 purposes designated:
142 8 1. To be credited to the family investment program account
142 9 and used for assistance under the family investment program
142 10 under chapter 239B:
142 11 .................................................. $ 2,568,498
142 12 2. To be credited to the family investment program account
142 13 and used for the job opportunities and basic skills (JOBS)
142 14 program and implementing family investment agreements in
142 15 accordance with chapter 239B:
142 16 .................................................. $ 5,069,089
142 17 3. To be used for the family development and
142 18 self=sufficiency grant program in accordance with section
142 19 216A.107:
142 20 .................................................. $ 1,449,490
142 21 Notwithstanding section 8.33, moneys appropriated in this
142 22 subsection that remain unencumbered or unobligated at the close
142 23 of the fiscal year shall not revert but shall remain available
142 24 for expenditure for the purposes designated until the close of
142 25 the succeeding fiscal year. However, unless such moneys are
142 26 encumbered or obligated on or before September 30, 2016, the
142 27 moneys shall revert.
142 28 4. For field operations:
142 29 .................................................. $ 15,648,116
142 30 5. For general administration:
142 31 .................................................. $ 1,872,000
142 32 6. For state child care assistance:
142 33 .................................................. $ 17,523,555
142 34 a. Of the funds appropriated in this subsection,
142 35 $13,164,049 is transferred to the child care and development
143 1 block grant appropriation made by the Eighty=sixth General
143 2 Assembly, 2016 Session, for the federal fiscal year beginning
143 3 October 1, 2016, and ending September 30, 2017. Of this
143 4 amount, $100,000 shall be used for provision of educational
143 5 opportunities to registered child care home providers in order
143 6 to improve services and programs offered by this category
143 7 of providers and to increase the number of providers. The
143 8 department may contract with institutions of higher education
143 9 or child care resource and referral centers to provide
143 10 the educational opportunities. Allowable administrative
143 11 costs under the contracts shall not exceed 5 percent. The
143 12 application for a grant shall not exceed two pages in length.
143 13 b. Any funds appropriated in this subsection remaining
143 14 unallocated shall be used for state child care assistance
143 15 payments for families who are employed including but not
143 16 limited to individuals enrolled in the family investment
143 17 program.
143 18 7. For distribution to counties and regions through the
143 19 property tax relief fund for mental health and disability
143 20 services as provided in an appropriation made for this purpose:
143 21 .................................................. $ 2,447,026
143 22 8. For child and family services:
143 23 .................................................. $ 16,042,215
143 24 9. For child abuse prevention grants:
143 25 .................................................. $ 62,500
143 26 10. For pregnancy prevention grants on the condition that
143 27 family planning services are funded:
143 28 .................................................. $ 965,034
143 29 Pregnancy prevention grants shall be awarded to programs
143 30 in existence on or before July 1, 2016, if the programs have
143 31 demonstrated positive outcomes. Grants shall be awarded to
143 32 pregnancy prevention programs which are developed after July
143 33 1, 2016, if the programs are based on existing models that
143 34 have demonstrated positive outcomes. Grants shall comply with
143 35 the requirements provided in 1997 Iowa Acts, chapter 208,
144 1 section 14, subsections 1 and 2, including the requirement that
144 2 grant programs must emphasize sexual abstinence. Priority in
144 3 the awarding of grants shall be given to programs that serve
144 4 areas of the state which demonstrate the highest percentage of
144 5 unplanned pregnancies of females of childbearing age within the
144 6 geographic area to be served by the grant.
144 7 11. For technology needs and other resources necessary
144 8 to meet federal welfare reform reporting, tracking, and case
144 9 management requirements:
144 10 .................................................. $ 518,593
144 11 12. For the family investment program share of the costs to
144 12 continue to develop and maintain a new, integrated eligibility
144 13 determination system:
144 14 .................................................. $ 3,327,440
144 15 13. a. Notwithstanding any provision to the contrary,
144 16 including but not limited to requirements in section 8.41 or
144 17 provisions in 2015 or 2016 Iowa Acts regarding the receipt and
144 18 appropriation of federal block grants, federal funds from the
144 19 temporary assistance for needy families block grant received by
144 20 the state and not otherwise appropriated in this section and
144 21 remaining available for the fiscal year beginning July 1, 2016,
144 22 are appropriated to the department of human services to the
144 23 extent as may be necessary to be used in the following priority
144 24 order: the family investment program, for state child care
144 25 assistance program payments for families who are employed, and
144 26 for the family investment program share of costs to develop and
144 27 maintain a new, integrated eligibility determination system.
144 28 The federal funds appropriated in this paragraph "a" shall be
144 29 expended only after all other funds appropriated in subsection
144 30 1 for the assistance under the family investment program,
144 31 in subsection 6 for child care assistance, or in subsection
144 32 12 for the family investment program share of the costs to
144 33 continue to develop and maintain a new, integrated eligibility
144 34 determination system, as applicable, have been expended. For
144 35 the purposes of this subsection, the funds appropriated in
145 1 subsection 6, paragraph "a", for transfer to the child care
145 2 and development block grant appropriation are considered fully
145 3 expended when the full amount has been transferred.
145 4 b. The department shall, on a quarterly basis, advise the
145 5 legislative services agency and department of management of
145 6 the amount of funds appropriated in this subsection that was
145 7 expended in the prior quarter.
145 8 14. Of the amounts appropriated in this section, $6,481,004
145 9 for the fiscal year beginning July 1, 2016, is transferred to
145 10 the appropriation of the federal social services block grant
145 11 made to the department of human services for that fiscal year.
145 12 15. For continuation of the program providing categorical
145 13 eligibility for the food assistance program as specified for
145 14 the program in the section of this division of this 2016 Act
145 15 relating to the family investment program account:
145 16 .................................................. $ 12,500
145 17 16. The department may transfer funds allocated in this
145 18 section to the appropriations made in this division of this Act
145 19 for the same fiscal year for general administration and field
145 20 operations for resources necessary to implement and operate the
145 21 services referred to in this section and those funded in the
145 22 appropriation made in this division of this Act for the same
145 23 fiscal year for the family investment program from the general
145 24 fund of the state.
145 25 Sec. 123. FAMILY INVESTMENT PROGRAM ACCOUNT.
145 26 1. Moneys credited to the family investment program (FIP)
145 27 account for the fiscal year beginning July 1, 2016, and
145 28 ending June 30, 2017, shall be used to provide assistance in
145 29 accordance with chapter 239B.
145 30 2. The department may use a portion of the moneys credited
145 31 to the FIP account under this section as necessary for
145 32 salaries, support, maintenance, and miscellaneous purposes.
145 33 3. The department may transfer funds allocated in
145 34 subsection 4 to the appropriations made in this division of
145 35 this Act for the same fiscal year for general administration
146 1 and field operations for resources necessary to implement and
146 2 operate the family investment program services referred to in
146 3 this section and those funded in the appropriation made in this
146 4 division of this Act for the same fiscal year for the family
146 5 investment program from the general fund of the state.
146 6 4. Moneys appropriated in this division of this Act and
146 7 credited to the FIP account for the fiscal year beginning July
146 8 1, 2016, and ending June 30, 2017, are allocated as follows:
146 9 a. To be retained by the department of human services to
146 10 be used for coordinating with the department of human rights
146 11 to more effectively serve participants in FIP and other shared
146 12 clients and to meet federal reporting requirements under the
146 13 federal temporary assistance for needy families block grant:
146 14 .................................................. $ 10,000
146 15 b. To the department of human rights for staffing,
146 16 administration, and implementation of the family development
146 17 and self=sufficiency grant program in accordance with section
146 18 216A.107:
146 19 .................................................. $ 3,196,417
146 20 (1) Of the funds allocated for the family development
146 21 and self=sufficiency grant program in this paragraph "b",
146 22 not more than 5 percent of the funds shall be used for the
146 23 administration of the grant program.
146 24 (2) The department of human rights may continue to implement
146 25 the family development and self=sufficiency grant program
146 26 statewide during fiscal year 2016=2017.
146 27 (3) The department of human rights may engage in activities
146 28 to strengthen and improve family outcomes measures and
146 29 data collection systems under the family development and
146 30 self=sufficiency grant program.
146 31 c. For the diversion subaccount of the FIP account:
146 32 .................................................. $ 407,500
146 33 A portion of the moneys allocated for the subaccount may
146 34 be used for field operations, salaries, data management
146 35 system development, and implementation costs and support
147 1 deemed necessary by the director of human services in order
147 2 to administer the FIP diversion program. To the extent
147 3 moneys allocated in this paragraph "c" are not deemed by the
147 4 department to be necessary to support diversion activities,
147 5 such moneys may be used for other efforts intended to increase
147 6 engagement by family investment program participants in work,
147 7 education, or training activities.
147 8 d. For the food assistance employment and training program:
147 9 .................................................. $ 33,294
147 10 (1) The department shall apply the federal supplemental
147 11 nutrition assistance program (SNAP) employment and training
147 12 state plan in order to maximize to the fullest extent permitted
147 13 by federal law the use of the 50 percent federal reimbursement
147 14 provisions for the claiming of allowable federal reimbursement
147 15 funds from the United States department of agriculture
147 16 pursuant to the federal SNAP employment and training program
147 17 for providing education, employment, and training services
147 18 for eligible food assistance program participants, including
147 19 but not limited to related dependent care and transportation
147 20 expenses.
147 21 (2) The department shall continue the categorical federal
147 22 food assistance program eligibility at 160 percent of the
147 23 federal poverty level and continue to eliminate the asset test
147 24 from eligibility requirements, consistent with federal food
147 25 assistance program requirements. The department shall include
147 26 as many food assistance households as is allowed by federal
147 27 law. The eligibility provisions shall conform to all federal
147 28 requirements including requirements addressing individuals who
147 29 are incarcerated or otherwise ineligible.
147 30 e. For the JOBS program:
147 31 .................................................. $ 8,770,199
147 32 5. Of the child support collections assigned under FIP,
147 33 an amount equal to the federal share of support collections
147 34 shall be credited to the child support recovery appropriation
147 35 made in this division of this Act. Of the remainder of the
148 1 assigned child support collections received by the child
148 2 support recovery unit, a portion shall be credited to the FIP
148 3 account, a portion may be used to increase recoveries, and a
148 4 portion may be used to sustain cash flow in the child support
148 5 payments account. If as a consequence of the appropriations
148 6 and allocations made in this section the resulting amounts
148 7 are insufficient to sustain cash assistance payments and meet
148 8 federal maintenance of effort requirements, the department
148 9 shall seek supplemental funding. If child support collections
148 10 assigned under FIP are greater than estimated or are otherwise
148 11 determined not to be required for maintenance of effort, the
148 12 state share of either amount may be transferred to or retained
148 13 in the child support payments account.
148 14 6. The department may adopt emergency rules for the family
148 15 investment, JOBS, food assistance, and medical assistance
148 16 programs if necessary to comply with federal requirements.
148 17 Sec. 124. FAMILY INVESTMENT PROGRAM GENERAL FUND. There
148 18 is appropriated from the general fund of the state to the
148 19 department of human services for the fiscal year beginning July
148 20 1, 2016, and ending June 30, 2017, the following amount, or
148 21 so much thereof as is necessary, to be used for the purpose
148 22 designated:
148 23 To be credited to the family investment program (FIP)
148 24 account and used for family investment program assistance under
148 25 chapter 239B:
148 26 .................................................. $ 24,546,938
148 27 1. Of the funds appropriated in this section, $3,701,110 is
148 28 allocated for the JOBS program.
148 29 2. Of the funds appropriated in this section, $1,756,927 is
148 30 allocated for the family development and self=sufficiency grant
148 31 program.
148 32 3. Notwithstanding section 8.39, for the fiscal year
148 33 beginning July 1, 2016, if necessary to meet federal
148 34 maintenance of effort requirements or to transfer federal
148 35 temporary assistance for needy families block grant funding
149 1 to be used for purposes of the federal social services block
149 2 grant or to meet cash flow needs resulting from delays in
149 3 receiving federal funding or to implement, in accordance with
149 4 this division of this Act, activities currently funded with
149 5 juvenile court services, county, or community moneys and state
149 6 moneys used in combination with such moneys, the department
149 7 of human services may transfer funds within or between any
149 8 of the appropriations made in this division of this Act and
149 9 appropriations in law for the federal social services block
149 10 grant to the department for the following purposes, provided
149 11 that the combined amount of state and federal temporary
149 12 assistance for needy families block grant funding for each
149 13 appropriation remains the same before and after the transfer:
149 14 a. For the family investment program.
149 15 b. For child care assistance.
149 16 c. For child and family services.
149 17 d. For field operations.
149 18 e. For general administration.
149 19 f. For distribution to counties or regions through the
149 20 property tax relief fund for mental health and disability
149 21 services as provided in an appropriation for this purpose.
149 22 This subsection shall not be construed to prohibit the use
149 23 of existing state transfer authority for other purposes. The
149 24 department shall report any transfers made pursuant to this
149 25 subsection to the legislative services agency.
149 26 4. Of the funds appropriated in this section, $97,839 shall
149 27 be used for continuation of a grant to an Iowa=based nonprofit
149 28 organization with a history of providing tax preparation
149 29 assistance to low=income Iowans in order to expand the usage of
149 30 the earned income tax credit. The purpose of the grant is to
149 31 supply this assistance to underserved areas of the state.
149 32 5. Of the funds appropriated in this section, $40,000 shall
149 33 be used for the continuation of an unfunded pilot project, as
149 34 defined in 441 IAC 100.1, relating to parental obligations,
149 35 in which the child support recovery unit participates, to
150 1 support the efforts of a nonprofit organization committed to
150 2 strengthening the community through youth development, healthy
150 3 living, and social responsibility headquartered in a county
150 4 with a population over 350,000. The funds allocated in this
150 5 subsection shall be used by the recipient organization to
150 6 develop a larger community effort, through public and private
150 7 partnerships, to support a broad=based multi=county fatherhood
150 8 initiative that promotes payment of child support obligations,
150 9 improved family relationships, and full=time employment.
150 10 6. Of the funds appropriated in this section, $100,000
150 11 shall be used to continue a grant to a nonprofit organization
150 12 organized under section 501(c)(4) of the Internal Revenue Code
150 13 to continue a youth development strategy through after=school
150 14 programming that promotes academic success, healthy lifestyles,
150 15 good character, and citizenship. The organization shall meet
150 16 all of the following criteria:
150 17 a. Operate statewide and provide services through more than
150 18 one location.
150 19 b. Provide the after=school programming for students ages
150 20 five through eighteen years of age who are members of families
150 21 eligible for the federal temporary assistance for needy
150 22 families program.
150 23 c. Provide evidence, based on measurable outcomes, that the
150 24 after=school programming provided results in increased student
150 25 achievement.
150 26 7. The department may transfer funds appropriated in this
150 27 section to the appropriations made in this division of this Act
150 28 for general administration and field operations as necessary
150 29 to administer this section and the overall family investment
150 30 program.
150 31 Sec. 125. CHILD SUPPORT RECOVERY. There is appropriated
150 32 from the general fund of the state to the department of human
150 33 services for the fiscal year beginning July 1, 2016, and ending
150 34 June 30, 2017, the following amount, or so much thereof as is
150 35 necessary, to be used for the purposes designated:
151 1 For child support recovery, including salaries, support,
151 2 maintenance, and miscellaneous purposes, and for not more than
151 3 the following full=time equivalent positions:
151 4 .................................................. $ 7,331,687
151 5 ............................................... FTEs 464.00
151 6 1. The department shall expend up to $12,165, including
151 7 federal financial participation, for the fiscal year beginning
151 8 July 1, 2016, for a child support public awareness campaign.
151 9 The department and the office of the attorney general shall
151 10 cooperate in continuation of the campaign. The public
151 11 awareness campaign shall emphasize, through a variety of
151 12 media activities, the importance of maximum involvement of
151 13 both parents in the lives of their children as well as the
151 14 importance of payment of child support obligations.
151 15 2. Federal access and visitation grant moneys shall be
151 16 issued directly to private not=for=profit agencies that provide
151 17 services designed to increase compliance with the child access
151 18 provisions of court orders, including but not limited to
151 19 neutral visitation sites and mediation services.
151 20 3. The appropriation made to the department for child
151 21 support recovery may be used throughout the fiscal year in the
151 22 manner necessary for purposes of cash flow management, and for
151 23 cash flow management purposes the department may temporarily
151 24 draw more than the amount appropriated, provided the amount
151 25 appropriated is not exceeded at the close of the fiscal year.
151 26 4. With the exception of the funding amount specified, the
151 27 requirements established under 2001 Iowa Acts, chapter 191,
151 28 section 3, subsection 5, paragraph "c", subparagraph (3), shall
151 29 be applicable to parental obligation pilot projects for the
151 30 fiscal year beginning July 1, 2016, and ending June 30, 2017.
151 31 Notwithstanding 441 IAC 100.8, providing for termination of
151 32 rules relating to the pilot projects, the rules shall remain
151 33 in effect until June 30, 2017.
151 34 Sec. 126. HEALTH CARE TRUST FUND ==== MEDICAL ASSISTANCE ====
151 35 FY 2016=2017. Any funds remaining in the health care trust
152 1 fund created in section 453A.35A for the fiscal year beginning
152 2 July 1, 2016, and ending June 30, 2017, are appropriated to
152 3 the department of human services to supplement the medical
152 4 assistance program appropriations made in this division of this
152 5 Act, for medical assistance reimbursement and associated costs,
152 6 including program administration and costs associated with
152 7 program implementation.
152 8 Sec. 127. MEDICAID FRAUD FUND ==== MEDICAL ASSISTANCE ==== FY
152 9 2016=2017. Any funds remaining in the Medicaid fraud fund
152 10 created in section 249A.50 for the fiscal year beginning
152 11 July 1, 2016, and ending June 30, 2017, are appropriated to
152 12 the department of human services to supplement the medical
152 13 assistance appropriations made in this division of this Act,
152 14 for medical assistance reimbursement and associated costs,
152 15 including program administration and costs associated with
152 16 program implementation.
152 17 Sec. 128. MEDICAL ASSISTANCE.
152 18 1. There is appropriated from the general fund of the
152 19 state to the department of human services for the fiscal year
152 20 beginning July 1, 2016, and ending June 30, 2017, the following
152 21 amount, or so much thereof as is necessary, to be used for the
152 22 purpose designated:
152 23 For medical assistance program reimbursement and associated
152 24 costs as specifically provided in the reimbursement
152 25 methodologies in effect on June 30, 2016, except as otherwise
152 26 expressly authorized by law, including reimbursement for
152 27 abortion services which shall be available under the medical
152 28 assistance program only for those abortions which are medically
152 29 necessary:
152 30 .................................................. $673,176,820
152 31 2. Medically necessary abortions are those performed under
152 32 any of the following conditions:
152 33 a. The attending physician certifies that continuing the
152 34 pregnancy would endanger the life of the pregnant woman.
152 35 b. The attending physician certifies that the fetus is
153 1 physically deformed, mentally deficient, or afflicted with a
153 2 congenital illness.
153 3 c. The pregnancy is the result of a rape which is reported
153 4 within 45 days of the incident to a law enforcement agency or
153 5 public or private health agency which may include a family
153 6 physician.
153 7 d. The pregnancy is the result of incest which is reported
153 8 within 150 days of the incident to a law enforcement agency
153 9 or public or private health agency which may include a family
153 10 physician.
153 11 e. Any spontaneous abortion, commonly known as a
153 12 miscarriage, if not all of the products of conception are
153 13 expelled.
153 14 3. a. Iowans support reducing the number of abortions
153 15 performed in our state. For an abortion covered under the
153 16 program, except in the case of a medical emergency, as defined
153 17 in section 135L.1, for any woman, the physician shall certify
153 18 both of the following:
153 19 (1) That the woman has been given the opportunity to view an
153 20 ultrasound image of the fetus as part of the standard of care
153 21 before an abortion is performed.
153 22 (2) That the woman has been provided information regarding
153 23 the options relative to a pregnancy, including continuing the
153 24 pregnancy to term and retaining parental rights following the
153 25 child's birth, continuing the pregnancy to term and placing the
153 26 child for adoption, and terminating the pregnancy.
153 27 b. The provisions of this section relating to abortions
153 28 shall also apply to the Iowa health and wellness plan created
153 29 pursuant to chapter 249N.
153 30 4. The department shall utilize not more than $30,000 of
153 31 the funds appropriated in this section to continue the AIDS/HIV
153 32 health insurance premium payment program as established in 1992
153 33 Iowa Acts, Second Extraordinary Session, chapter 1001, section
153 34 409, subsection 6. Of the funds allocated in this subsection,
153 35 not more than $2,500 may be expended for administrative
154 1 purposes.
154 2 5. Of the funds appropriated in this Act to the department
154 3 of public health for addictive disorders, $475,000 for
154 4 the fiscal year beginning July 1, 2016, is transferred
154 5 to the department of human services for an integrated
154 6 substance=related disorder managed care system. The department
154 7 shall not assume management of the substance=related disorder
154 8 system in place of the managed care contractor unless such
154 9 a change in approach is specifically authorized in law.
154 10 The departments of human services and public health shall
154 11 work together to maintain the level of mental health and
154 12 substance=related disorder treatment services provided by the
154 13 managed care contractor through the Iowa plan for behavioral
154 14 health. Each department shall take the steps necessary to
154 15 continue the federal waivers as necessary to maintain the level
154 16 of services.
154 17 6. a. The department shall aggressively pursue options for
154 18 providing medical assistance or other assistance to individuals
154 19 with special needs who become ineligible to continue receiving
154 20 services under the early and periodic screening, diagnostic,
154 21 and treatment program under the medical assistance program
154 22 due to becoming 21 years of age who have been approved for
154 23 additional assistance through the department's exception to
154 24 policy provisions, but who have health care needs in excess
154 25 of the funding available through the exception to policy
154 26 provisions.
154 27 b. Of the funds appropriated in this section, $50,000
154 28 shall be used for participation in one or more pilot projects
154 29 operated by a private provider to allow the individual or
154 30 individuals to receive service in the community in accordance
154 31 with principles established in Olmstead v. L.C., 527 U.S. 581
154 32 (1999), for the purpose of providing medical assistance or
154 33 other assistance to individuals with special needs who become
154 34 ineligible to continue receiving services under the early and
154 35 periodic screening, diagnostic, and treatment program under
155 1 the medical assistance program due to becoming 21 years of
155 2 age who have been approved for additional assistance through
155 3 the department's exception to policy provisions, but who have
155 4 health care needs in excess of the funding available through
155 5 the exception to the policy provisions.
155 6 7. Of the funds appropriated in this section, up to
155 7 $1,525,041 may be transferred to the field operations or
155 8 general administration appropriations in this division of this
155 9 Act for operational costs associated with Part D of the federal
155 10 Medicare Prescription Drug Improvement and Modernization Act
155 11 of 2003, Pub. L. No. 108=173.
155 12 8. Of the funds appropriated in this section, up to $221,050
155 13 may be transferred to the appropriation in this division
155 14 of this Act for medical contracts to be used for clinical
155 15 assessment services and prior authorization of services.
155 16 9. A portion of the funds appropriated in this section
155 17 may be transferred to the appropriations in this division of
155 18 this Act for general administration, medical contracts, the
155 19 children's health insurance program, or field operations to be
155 20 used for the state match cost to comply with the payment error
155 21 rate measurement (PERM) program for both the medical assistance
155 22 and children's health insurance programs as developed by the
155 23 centers for Medicare and Medicaid services of the United States
155 24 department of health and human services to comply with the
155 25 federal Improper Payments Information Act of 2002, Pub. L. No.
155 26 107=300.
155 27 10. The department shall continue to implement the
155 28 recommendations of the assuring better child health and
155 29 development initiative II (ABCDII) clinical panel to the
155 30 Iowa early and periodic screening, diagnostic, and treatment
155 31 services healthy mental development collaborative board
155 32 regarding changes to billing procedures, codes, and eligible
155 33 service providers.
155 34 11. Of the funds appropriated in this section, a sufficient
155 35 amount is allocated to supplement the incomes of residents of
156 1 nursing facilities, intermediate care facilities for persons
156 2 with mental illness, and intermediate care facilities for
156 3 persons with an intellectual disability, with incomes of less
156 4 than $50 in the amount necessary for the residents to receive a
156 5 personal needs allowance of $50 per month pursuant to section
156 6 249A.30A.
156 7 12. Of the funds appropriated in this section, the following
156 8 amounts are transferred to the appropriations made in this
156 9 division of this Act for the state mental health institutes:
156 10 a. Cherokee mental health institute ................. $ 4,549,213
156 11 b. Clarinda mental health institute ................. $ 988,653
156 12 c. Independence mental health institute ............. $ 4,522,947
156 13 13. a. Of the funds appropriated in this section,
156 14 $4,298,325 is allocated for the state match for a
156 15 disproportionate share hospital payment of $9,566,715 to
156 16 hospitals that meet both of the conditions specified in
156 17 subparagraphs (1) and (2). In addition, the hospitals that
156 18 meet the conditions specified shall either certify public
156 19 expenditures or transfer to the medical assistance program
156 20 an amount equal to provide the nonfederal share for a
156 21 disproportionate share hospital payment of $3,750,000. The
156 22 hospitals that meet the conditions specified shall receive and
156 23 retain 100 percent of the total disproportionate share hospital
156 24 payment of $13,316,715.
156 25 (1) The hospital qualifies for disproportionate share and
156 26 graduate medical education payments.
156 27 (2) The hospital is an Iowa state=owned hospital with more
156 28 than 500 beds and eight or more distinct residency specialty
156 29 or subspecialty programs recognized by the American college of
156 30 graduate medical education.
156 31 b. Distribution of the disproportionate share payments
156 32 shall be made on a monthly basis. The total amount of
156 33 disproportionate share payments including graduate medical
156 34 education, enhanced disproportionate share, and Iowa
156 35 state=owned teaching hospital payments shall not exceed the
157 1 amount of the state's allotment under Pub. L. No. 102=234.
157 2 In addition, the total amount of all disproportionate
157 3 share payments shall not exceed the hospital=specific
157 4 disproportionate share limits under Pub. L. No. 103=66.
157 5 c. The university of Iowa hospitals and clinics shall either
157 6 certify public expenditures or transfer to the appropriations
157 7 made in this division of this Act for medical assistance an
157 8 amount equal to provide the nonfederal share for increased
157 9 medical assistance payments for inpatient and outpatient
157 10 hospital services of $4,950,000. The university of Iowa
157 11 hospitals and clinics shall receive and retain 100 percent of
157 12 the total increase in medical assistance payments.
157 13 d. Program payments for disproportionate share hospitals
157 14 and graduate medical education, and the upper payment limits
157 15 applicable to these programs shall be held harmless from the
157 16 impacts of Medicaid managed care and the governor's Medicaid
157 17 modernization initiative. Payment methodologies utilized
157 18 for these programs may be adjusted or converted to other
157 19 methodologies or payment types in order to comply with this
157 20 hold harmless requirement.
157 21 14. One hundred percent of the nonfederal share of payments
157 22 to area education agencies that are medical assistance
157 23 providers for medical assistance=covered services provided to
157 24 medical assistance=covered children, shall be made from the
157 25 appropriation made in this section.
157 26 15. Any new or renewed contract entered into by the
157 27 department with a third party to administer behavioral health
157 28 services under the medical assistance program shall provide
157 29 that any interest earned on payments from the state during
157 30 the state fiscal year shall be remitted to the department
157 31 and treated as recoveries to offset the costs of the medical
157 32 assistance program.
157 33 16. A portion of the funds appropriated in this section
157 34 may be transferred to the appropriation in this division of
157 35 this Act for medical contracts to be used for administrative
158 1 activities associated with the money follows the person
158 2 demonstration project.
158 3 17. Of the funds appropriated in this section, $174,506
158 4 shall be used for the administration of the health insurance
158 5 premium payment program, including salaries, support,
158 6 maintenance, and miscellaneous purposes.
158 7 18. a. The department may increase the amounts allocated
158 8 for salaries, support, maintenance, and miscellaneous purposes
158 9 associated with the medical assistance program, as necessary,
158 10 to implement cost containment strategies. The department shall
158 11 report any such increase to the legislative services agency and
158 12 the department of management.
158 13 b. If the savings to the medical assistance program from
158 14 cost containment efforts exceed the cost for the fiscal
158 15 year beginning July 1, 2016, the department may transfer any
158 16 savings generated for the fiscal year due to medical assistance
158 17 program cost containment efforts to the appropriation
158 18 made in this division of this Act for medical contracts or
158 19 general administration to defray the increased contract costs
158 20 associated with implementing such efforts.
158 21 c. The department of human services shall not implement
158 22 the following cost containment measures as recommended by the
158 23 governor for the fiscal year beginning July 1, 2016:
158 24 (1) A measure to provide uniform rates of $.575 per mile
158 25 based on the 2015 Internal Revenue Service mileage rate and
158 26 of $9.29, the current statewide average, per one=way trip for
158 27 Medicaid program home and community=based services waivers.
158 28 (2) A measure to cap the total costs of all services
158 29 received by a recipient of the home and community=based
158 30 services waiver for individuals with an intellectual disability
158 31 at the daily intermediate care facility for persons with an
158 32 intellectual disability (ICF/ID) per diem rate of $346.39 per
158 33 day based on the 80th percentile of all ICF/ID rates.
158 34 (3) A measure to align individual requests for exceptions to
158 35 policy with the capped total cost of services for a recipient
159 1 of the home and community=based services waiver for individuals
159 2 with an intellectual disability as computed under subparagraph
159 3 (2).
159 4 (4) A measure to utilize the supports intensity scale
159 5 to determine payment amounts and a tiered payment system
159 6 for the services provided to adults served under the home
159 7 and community=based services waiver for individuals with an
159 8 intellectual disability.
159 9 (5) A measure to reallocate funding for community=based
159 10 systems of care to instead support integrated health homes.
159 11 (6) A measure to increase the university of Iowa hospitals
159 12 and clinics state share responsibility for the supplemental
159 13 disproportionate share hospital payment to the university of
159 14 Iowa hospitals and clinics for the fiscal year beginning July
159 15 1, 2016.
159 16 d. The department shall report the implementation of
159 17 any cost containment strategies under this subsection to
159 18 the individuals specified in this division of this Act for
159 19 submission of reports on a quarterly basis.
159 20 19. For the fiscal year beginning July 1, 2016, and ending
159 21 June 30, 2017, the replacement generation tax revenues required
159 22 to be deposited in the property tax relief fund pursuant to
159 23 section 437A.8, subsection 4, paragraph "d", and section
159 24 437A.15, subsection 3, paragraph "f", shall instead be credited
159 25 to and supplement the appropriation made in this section and
159 26 used for the allocations made in this section.
159 27 20. The department shall continue to administer the state
159 28 balancing incentive payments program as specified in 2012 Iowa
159 29 Acts, chapter 1133, section 14.
159 30 21. a. Of the funds appropriated in this section, $450,000
159 31 shall be used for continued implementation of the children's
159 32 mental health home project proposed by the department of human
159 33 services and reported to the general assembly's mental health
159 34 and disability services study committee in December 2011. Of
159 35 this amount, up to $25,000 may be transferred by the department
160 1 to the appropriation made in this division of this Act to the
160 2 department for the same fiscal year for general administration
160 3 to be used for associated administrative expenses and for not
160 4 more than one full=time equivalent position, in addition to
160 5 those authorized for the same fiscal year, to be assigned to
160 6 implementing the project.
160 7 b. Of the funds appropriated in this section, up to $200,000
160 8 may be transferred by the department to the appropriation made
160 9 to the department in this division of this Act for the same
160 10 fiscal year for Medicaid program=related general administration
160 11 planning and implementation activities. The funds may be used
160 12 for contracts or for personnel in addition to the amounts
160 13 appropriated for and the positions authorized for general
160 14 administration for the fiscal year.
160 15 c. Of the funds appropriated in this section, up to
160 16 $1,500,000 may be transferred by the department to the
160 17 appropriations made in this division of this Act for the same
160 18 fiscal year for general administration or medical contracts
160 19 to be used to support the development and implementation of
160 20 standardized assessment tools for persons with mental illness,
160 21 an intellectual disability, a developmental disability, or a
160 22 brain injury.
160 23 22. Of the funds appropriated in this section, $125,000
160 24 shall be used for lodging expenses associated with care
160 25 provided at the university of Iowa hospitals and clinics for
160 26 patients with cancer whose travel distance is 30 miles or more
160 27 and whose income is at or below 200 percent of the federal
160 28 poverty level as defined by the most recently revised poverty
160 29 income guidelines published by the United States department of
160 30 health and human services. The department of human services
160 31 shall establish the maximum number of overnight stays and the
160 32 maximum rate reimbursed for overnight lodging, which may be
160 33 based on the state employee rate established by the department
160 34 of administrative services. The funds allocated in this
160 35 subsection shall not be used as nonfederal share matching
161 1 funds.
161 2 23. a. For inpatient and outpatient services provided by
161 3 hospitals on or after July 1, 2016, the department of human
161 4 services shall continue to recalculate and prospectively
161 5 apply an updated cost=to=charge ratio upon the request of a
161 6 hospital to implement price or charge reductions, if all of the
161 7 following criteria are met:
161 8 (1) The recalculation of an updated cost=to=charge ratio is
161 9 budget neutral to the state funding amount appropriated for the
161 10 respective fiscal year and maintains budget neutral payments or
161 11 revenue to all hospitals.
161 12 (2) The hospital requesting the price or charge reduction
161 13 submits a proforma cost report and charge master that reflects
161 14 the anticipated cost=to=charge reduction.
161 15 b. Based upon the proforma cost report submitted by the
161 16 requesting hospital, the department of human services shall
161 17 prospectively apply the recalculated cost=to=charge ratio as
161 18 appropriate to submitted claims for health care services.
161 19 24. The department of human services shall not adopt
161 20 emergency rules to implement Medicaid managed care or the
161 21 governor's Medicaid modernization initiative.
161 22 25. The number of home and community=based services waiver
161 23 slots available during the fiscal year beginning July 1, 2016,
161 24 shall not be reduced below the number of such slots available
161 25 on January 1, 2015.
161 26 Sec. 129. MEDICAL CONTRACTS. There is appropriated from the
161 27 general fund of the state to the department of human services
161 28 for the fiscal year beginning July 1, 2016, and ending June 30,
161 29 2017, the following amount, or so much thereof as is necessary,
161 30 to be used for the purpose designated:
161 31 For medical contracts:
161 32 .................................................. $ 11,076,792
161 33 1. The department of inspections and appeals shall
161 34 provide all state matching funds for survey and certification
161 35 activities performed by the department of inspections
162 1 and appeals. The department of human services is solely
162 2 responsible for distributing the federal matching funds for
162 3 such activities.
162 4 2. Of the funds appropriated in this section, $25,000 shall
162 5 be used for continuation of home and community=based services
162 6 waiver quality assurance programs, including the review and
162 7 streamlining of processes and policies related to oversight and
162 8 quality management to meet state and federal requirements.
162 9 3. Of the amount appropriated in this section, up to
162 10 $100,000 may be transferred to the appropriation for general
162 11 administration in this division of this Act to be used for
162 12 additional full=time equivalent positions in the development of
162 13 key health initiatives such as cost containment, development
162 14 and oversight of managed care programs, and development of
162 15 health strategies targeted toward improved quality and reduced
162 16 costs in the Medicaid program.
162 17 4. Of the funds appropriated in this section, $500,000 shall
162 18 be used for planning and development, in cooperation with the
162 19 department of public health, of a phased=in program to provide
162 20 a dental home for children.
162 21 5. Of the funds appropriated in this section, $1,000,000
162 22 shall be used for the autism support program created in chapter
162 23 225D.
162 24 Sec. 130. STATE SUPPLEMENTARY ASSISTANCE.
162 25 1. There is appropriated from the general fund of the
162 26 state to the department of human services for the fiscal year
162 27 beginning July 1, 2016, and ending June 30, 2017, the following
162 28 amount, or so much thereof as is necessary, to be used for the
162 29 purpose designated:
162 30 For the state supplementary assistance program:
162 31 .................................................. $ 6,498,594
162 32 2. The department shall increase the personal needs
162 33 allowance for residents of residential care facilities by the
162 34 same percentage and at the same time as federal supplemental
162 35 security income and federal social security benefits are
163 1 increased due to a recognized increase in the cost of living.
163 2 The department may adopt emergency rules to implement this
163 3 subsection.
163 4 3. If during the fiscal year beginning July 1, 2016,
163 5 the department projects that state supplementary assistance
163 6 expenditures for a calendar year will not meet the federal
163 7 pass=through requirement specified in Tit. XVI of the federal
163 8 Social Security Act, section 1618, as codified in 42 U.S.C.
163 9 {1382g, the department may take actions including but not
163 10 limited to increasing the personal needs allowance for
163 11 residential care facility residents and making programmatic
163 12 adjustments or upward adjustments of the residential care
163 13 facility or in=home health=related care reimbursement rates
163 14 prescribed in this division of this Act to ensure that federal
163 15 requirements are met. In addition, the department may make
163 16 other programmatic and rate adjustments necessary to remain
163 17 within the amount appropriated in this section while ensuring
163 18 compliance with federal requirements. The department may adopt
163 19 emergency rules to implement the provisions of this subsection.
163 20 Sec. 131. CHILDREN'S HEALTH INSURANCE PROGRAM.
163 21 1. There is appropriated from the general fund of the
163 22 state to the department of human services for the fiscal year
163 23 beginning July 1, 2016, and ending June 30, 2017, the following
163 24 amount, or so much thereof as is necessary, to be used for the
163 25 purpose designated:
163 26 For maintenance of the healthy and well kids in Iowa (hawk=i)
163 27 program pursuant to chapter 514I, including supplemental dental
163 28 services, for receipt of federal financial participation under
163 29 Tit. XXI of the federal Social Security Act, which creates the
163 30 children's health insurance program:
163 31 .................................................. $ 10,581,922
163 32 2. Of the funds appropriated in this section, $21,400 is
163 33 allocated for continuation of the contract for outreach with
163 34 the department of public health.
163 35 Sec. 132. CHILD CARE ASSISTANCE. There is appropriated
164 1 from the general fund of the state to the department of human
164 2 services for the fiscal year beginning July 1, 2016, and ending
164 3 June 30, 2017, the following amount, or so much thereof as is
164 4 necessary, to be used for the purpose designated:
164 5 For child care programs:
164 6 .................................................. $ 28,319,015
164 7 1. Of the funds appropriated in this section, $24,409,301
164 8 shall be used for state child care assistance in accordance
164 9 with section 237A.13.
164 10 2. Nothing in this section shall be construed or is
164 11 intended as or shall imply a grant of entitlement for services
164 12 to persons who are eligible for assistance due to an income
164 13 level consistent with the waiting list requirements of section
164 14 237A.13. Any state obligation to provide services pursuant to
164 15 this section is limited to the extent of the funds appropriated
164 16 in this section.
164 17 3. Of the funds appropriated in this section, $216,227
164 18 is allocated for the statewide grant program for child care
164 19 resource and referral services under section 237A.26. A list
164 20 of the registered and licensed child care facilities operating
164 21 in the area served by a child care resource and referral
164 22 service shall be made available to the families receiving state
164 23 child care assistance in that area.
164 24 4. Of the funds appropriated in this section, $468,487
164 25 is allocated for child care quality improvement initiatives
164 26 including but not limited to the voluntary quality rating
164 27 system in accordance with section 237A.30.
164 28 5. Of the funds appropriated in this section, $3,175,000
164 29 shall be credited to the early childhood programs grants
164 30 account in the early childhood Iowa fund created in section
164 31 256I.11. The moneys shall be distributed for funding of
164 32 community=based early childhood programs targeted to children
164 33 from birth through five years of age developed by early
164 34 childhood Iowa areas in accordance with approved community
164 35 plans as provided in section 256I.8.
165 1 6. The department may use any of the funds appropriated
165 2 in this section as a match to obtain federal funds for use in
165 3 expanding child care assistance and related programs. For
165 4 the purpose of expenditures of state and federal child care
165 5 funding, funds shall be considered obligated at the time
165 6 expenditures are projected or are allocated to the department's
165 7 service areas. Projections shall be based on current and
165 8 projected caseload growth, current and projected provider
165 9 rates, staffing requirements for eligibility determination
165 10 and management of program requirements including data systems
165 11 management, staffing requirements for administration of the
165 12 program, contractual and grant obligations and any transfers
165 13 to other state agencies, and obligations for decategorization
165 14 or innovation projects.
165 15 7. A portion of the state match for the federal child care
165 16 and development block grant shall be provided as necessary to
165 17 meet federal matching funds requirements through the state
165 18 general fund appropriation made for child development grants
165 19 and other programs for at=risk children in section 279.51.
165 20 8. If a uniform reduction ordered by the governor under
165 21 section 8.31 or other operation of law, transfer, or federal
165 22 funding reduction reduces the appropriation made in this
165 23 section for the fiscal year, the percentage reduction in the
165 24 amount paid out to or on behalf of the families participating
165 25 in the state child care assistance program shall be equal to or
165 26 less than the percentage reduction made for any other purpose
165 27 payable from the appropriation made in this section and the
165 28 federal funding relating to it. The percentage reduction to
165 29 the other allocations made in this section shall be the same as
165 30 the uniform reduction ordered by the governor or the percentage
165 31 change of the federal funding reduction, as applicable.
165 32 If there is an unanticipated increase in federal funding
165 33 provided for state child care assistance, the entire amount
165 34 of the increase shall be used for state child care assistance
165 35 payments. If the appropriations made for purposes of the
166 1 state child care assistance program for the fiscal year are
166 2 determined to be insufficient, it is the intent of the general
166 3 assembly to appropriate sufficient funding for the fiscal year
166 4 in order to avoid establishment of waiting list requirements.
166 5 9. Notwithstanding section 8.33, moneys advanced for
166 6 purposes of the programs developed by early childhood Iowa
166 7 areas, advanced for purposes of wraparound child care, or
166 8 received from the federal appropriations made for the purposes
166 9 of this section that remain unencumbered or unobligated at the
166 10 close of the fiscal year shall not revert to any fund but shall
166 11 remain available for expenditure for the purposes designated
166 12 until the close of the succeeding fiscal year.
166 13 10. Of the funds appropriated in this section, $50,000
166 14 is transferred to the department of public health to be used
166 15 to continue a program to assist parents in this state with
166 16 costs resulting from the death of a child in accordance with
166 17 this subsection. If it is less costly than administering the
166 18 program directly, the department shall issue a request for
166 19 proposals and issue a grant to an appropriate organization to
166 20 administer the program.
166 21 a. The program funding shall be used to assist parents who
166 22 reside in this state with costs incurred for a funeral, burial
166 23 or cremation, cemetery costs, or grave marker costs associated
166 24 with the unintended death of a child of the parent or a child
166 25 under the care of a guardian or custodian. The department
166 26 shall consider the following eligibility factors in developing
166 27 program requirements:
166 28 (1) The child was a stillborn infant or was less than age
166 29 eighteen at the time of death.
166 30 (2) The request for assistance was approved by the local
166 31 board or department of health or the county general assistance
166 32 director and may have been referred by a local funeral home.
166 33 (3) To be eligible, the parent, guardian, or custodian must
166 34 have an annual household income that is less than 145 percent
166 35 of the federal poverty level based on the number of people
167 1 in the applicant's household as defined by the most recently
167 2 revised poverty income guidelines published by the United
167 3 States department of health and human services.
167 4 (4) The maximum amount of grant assistance provided to a
167 5 parent, guardian, or custodian associated with the death of
167 6 a child is $2,000. If the death is a multiple death and the
167 7 infants or children are being cremated, or buried together, the
167 8 same limitation applies.
167 9 (5) To the extent the overall amount of assistance received
167 10 by a recipient for the costs addressed under this subsection
167 11 does not exceed the overall total of the costs, the recipient
167 12 may receive other public or private assistance in addition to
167 13 grant assistance under this section.
167 14 b. Notwithstanding section 8.33, moneys transferred by this
167 15 subsection that remain unencumbered or unobligated at the close
167 16 of the fiscal year shall not revert but shall remain available
167 17 for expenditure for the purposes designated until expended.
167 18 Sec. 133. JUVENILE INSTITUTIONS. There is appropriated
167 19 from the general fund of the state to the department of human
167 20 services for the fiscal year beginning July 1, 2016, and ending
167 21 June 30, 2017, the following amounts, or so much thereof as is
167 22 necessary, to be used for the purposes designated:
167 23 1. For the costs of security, building and grounds
167 24 maintenance, utilities, salary, and support for the facilities
167 25 located at the Iowa juvenile home at Toledo and for salaries,
167 26 support, maintenance, and miscellaneous purposes, and for not
167 27 more than the following full=time equivalent positions:
167 28 .................................................. $ 186,383
167 29 ............................................... FTEs 2.00
167 30 2. For operation of the state training school at Eldora and
167 31 for salaries, support, maintenance, and miscellaneous purposes,
167 32 and for not more than the following full=time equivalent
167 33 positions:
167 34 .................................................. $ 6,222,776
167 35 ............................................... FTEs 169.30
168 1 Of the funds appropriated in this subsection, $45,575 shall
168 2 be used for distribution to licensed classroom teachers at this
168 3 and other institutions under the control of the department of
168 4 human services based upon the average student yearly enrollment
168 5 at each institution as determined by the department.
168 6 Sec. 134. CHILD AND FAMILY SERVICES.
168 7 1. There is appropriated from the general fund of the
168 8 state to the department of human services for the fiscal year
168 9 beginning July 1, 2016, and ending June 30, 2017, the following
168 10 amount, or so much thereof as is necessary, to be used for the
168 11 purpose designated:
168 12 For child and family services:
168 13 .................................................. $ 49,091,090
168 14 2. Up to $2,600,000 of the amount of federal temporary
168 15 assistance for needy families block grant funding appropriated
168 16 in this division of this Act for child and family services
168 17 shall be made available for purposes of juvenile delinquent
168 18 graduated sanction services.
168 19 3. The department may transfer funds appropriated in this
168 20 section as necessary to pay the nonfederal costs of services
168 21 reimbursed under the medical assistance program, state child
168 22 care assistance program, or the family investment program which
168 23 are provided to children who would otherwise receive services
168 24 paid under the appropriation in this section. The department
168 25 may transfer funds appropriated in this section to the
168 26 appropriations made in this division of this Act for general
168 27 administration and for field operations for resources necessary
168 28 to implement and operate the services funded in this section.
168 29 4. a. Of the funds appropriated in this section, up to
168 30 $17,910,893 is allocated as the statewide expenditure target
168 31 under section 232.143 for group foster care maintenance and
168 32 services. If the department projects that such expenditures
168 33 for the fiscal year will be less than the target amount
168 34 allocated in this paragraph "a", the department may reallocate
168 35 the excess to provide additional funding for shelter care
169 1 or the child welfare emergency services addressed with the
169 2 allocation for shelter care.
169 3 b. If at any time after September 30, 2016, annualization
169 4 of a service area's current expenditures indicates a service
169 5 area is at risk of exceeding its group foster care expenditure
169 6 target under section 232.143 by more than 5 percent, the
169 7 department and juvenile court services shall examine all
169 8 group foster care placements in that service area in order to
169 9 identify those which might be appropriate for termination.
169 10 In addition, any aftercare services believed to be needed
169 11 for the children whose placements may be terminated shall be
169 12 identified. The department and juvenile court services shall
169 13 initiate action to set dispositional review hearings for the
169 14 placements identified. In such a dispositional review hearing,
169 15 the juvenile court shall determine whether needed aftercare
169 16 services are available and whether termination of the placement
169 17 is in the best interest of the child and the community.
169 18 5. In accordance with the provisions of section 232.188,
169 19 the department shall continue the child welfare and juvenile
169 20 justice funding initiative during fiscal year 2016=2017. Of
169 21 the funds appropriated in this section, $858,877 is allocated
169 22 specifically for expenditure for fiscal year 2016=2017 through
169 23 the decategorization services funding pools and governance
169 24 boards established pursuant to section 232.188.
169 25 6. A portion of the funds appropriated in this section
169 26 may be used for emergency family assistance to provide other
169 27 resources required for a family participating in a family
169 28 preservation or reunification project or successor project to
169 29 stay together or to be reunified.
169 30 7. Notwithstanding section 234.35 or any other provision
169 31 of law to the contrary, state funding for shelter care and
169 32 the child welfare emergency services contracting implemented
169 33 to provide for or prevent the need for shelter care shall be
169 34 limited to $4,034,237.
169 35 8. Federal funds received by the state during the fiscal
170 1 year beginning July 1, 2016, as the result of the expenditure
170 2 of state funds appropriated during a previous state fiscal
170 3 year for a service or activity funded under this section are
170 4 appropriated to the department to be used as additional funding
170 5 for services and purposes provided for under this section.
170 6 Notwithstanding section 8.33, moneys received in accordance
170 7 with this subsection that remain unencumbered or unobligated at
170 8 the close of the fiscal year shall not revert to any fund but
170 9 shall remain available for the purposes designated until the
170 10 close of the succeeding fiscal year.
170 11 9. a. Of the funds appropriated in this section, up to
170 12 $1,645,000 is allocated for the payment of the expenses of
170 13 court=ordered services provided to juveniles who are under
170 14 the supervision of juvenile court services, which expenses
170 15 are a charge upon the state pursuant to section 232.141,
170 16 subsection 4. Of the amount allocated in this paragraph "a",
170 17 up to $778,144 shall be made available to provide school=based
170 18 supervision of children adjudicated under chapter 232, of which
170 19 not more than $7,500 may be used for the purpose of training.
170 20 A portion of the cost of each school=based liaison officer
170 21 shall be paid by the school district or other funding source as
170 22 approved by the chief juvenile court officer.
170 23 b. Of the funds appropriated in this section, up to $374,493
170 24 is allocated for the payment of the expenses of court=ordered
170 25 services provided to children who are under the supervision
170 26 of the department, which expenses are a charge upon the state
170 27 pursuant to section 232.141, subsection 4.
170 28 c. Notwithstanding section 232.141 or any other provision
170 29 of law to the contrary, the amounts allocated in this
170 30 subsection shall be distributed to the judicial districts
170 31 as determined by the state court administrator and to the
170 32 department's service areas as determined by the administrator
170 33 of the department of human services' division of child and
170 34 family services. The state court administrator and the
170 35 division administrator shall make the determination of the
171 1 distribution amounts on or before June 15, 2016.
171 2 d. Notwithstanding chapter 232 or any other provision of
171 3 law to the contrary, a district or juvenile court shall not
171 4 order any service which is a charge upon the state pursuant
171 5 to section 232.141 if there are insufficient court=ordered
171 6 services funds available in the district court or departmental
171 7 service area distribution amounts to pay for the service. The
171 8 chief juvenile court officer and the departmental service area
171 9 manager shall encourage use of the funds allocated in this
171 10 subsection such that there are sufficient funds to pay for
171 11 all court=related services during the entire year. The chief
171 12 juvenile court officers and departmental service area managers
171 13 shall attempt to anticipate potential surpluses and shortfalls
171 14 in the distribution amounts and shall cooperatively request the
171 15 state court administrator or division administrator to transfer
171 16 funds between the judicial districts' or departmental service
171 17 areas' distribution amounts as prudent.
171 18 e. Notwithstanding any provision of law to the contrary,
171 19 a district or juvenile court shall not order a county to pay
171 20 for any service provided to a juvenile pursuant to an order
171 21 entered under chapter 232 which is a charge upon the state
171 22 under section 232.141, subsection 4.
171 23 f. Of the funds allocated in this subsection, not more than
171 24 $41,500 may be used by the judicial branch for administration
171 25 of the requirements under this subsection.
171 26 g. Of the funds allocated in this subsection, $8,500
171 27 shall be used by the department of human services to support
171 28 the interstate commission for juveniles in accordance with
171 29 the interstate compact for juveniles as provided in section
171 30 232.173.
171 31 10. Of the funds appropriated in this section, $4,026,614 is
171 32 allocated for juvenile delinquent graduated sanctions services.
171 33 Any state funds saved as a result of efforts by juvenile court
171 34 services to earn a federal Tit. IV=E match for juvenile court
171 35 services administration may be used for the juvenile delinquent
172 1 graduated sanctions services.
172 2 11. Of the funds appropriated in this section, $804,143 is
172 3 transferred to the department of public health to be used for
172 4 the child protection center grant program for child protection
172 5 centers located in Iowa in accordance with section 135.118.
172 6 The grant amounts under the program shall be equalized so that
172 7 each center receives a uniform base amount of $122,500, and
172 8 the remaining funds shall be awarded through a funding formula
172 9 based upon the volume of children served.
172 10 12. If the department receives federal approval to
172 11 implement a waiver under Tit. IV=E of the federal Social
172 12 Security Act to enable providers to serve children who remain
172 13 in the children's families and communities, for purposes of
172 14 eligibility under the medical assistance program through 25
172 15 years of age, children who participate in the waiver shall be
172 16 considered to be placed in foster care.
172 17 13. Of the funds appropriated in this section, $2,012,584 is
172 18 allocated for the preparation for adult living program pursuant
172 19 to section 234.46.
172 20 14. Of the funds appropriated in this section, $260,075
172 21 shall be used for juvenile drug courts. The amount allocated
172 22 in this subsection shall be distributed as follows:
172 23 To the judicial branch for salaries to assist with the
172 24 operation of juvenile drug court programs operated in the
172 25 following jurisdictions:
172 26 a. Marshall county:
172 27 .................................................. $ 31,354
172 28 b. Woodbury county:
172 29 .................................................. $ 62,841
172 30 c. Polk county:
172 31 .................................................. $ 97,946
172 32 d. The third judicial district:
172 33 .................................................. $ 33,967
172 34 e. The eighth judicial district:
172 35 .................................................. $ 33,967
173 1 15. Of the funds appropriated in this section, $113,669
173 2 shall be used for the public purpose of continuing a grant to
173 3 a nonprofit human services organization providing services to
173 4 individuals and families in multiple locations in southwest
173 5 Iowa and Nebraska for support of a project providing immediate,
173 6 sensitive support and forensic interviews, medical exams, needs
173 7 assessments, and referrals for victims of child abuse and their
173 8 nonoffending family members.
173 9 16. Of the funds appropriated in this section, $150,310
173 10 is allocated for the foster care youth council approach of
173 11 providing a support network to children placed in foster care.
173 12 17. Of the funds appropriated in this section, $101,000 is
173 13 allocated for use pursuant to section 235A.1 for continuation
173 14 of the initiative to address child sexual abuse implemented
173 15 pursuant to 2007 Iowa Acts, chapter 218, section 18, subsection
173 16 21.
173 17 18. Of the funds appropriated in this section, $315,120 is
173 18 allocated for the community partnership for child protection
173 19 sites.
173 20 19. Of the funds appropriated in this section, $185,625
173 21 is allocated for the department's minority youth and family
173 22 projects under the redesign of the child welfare system.
173 23 20. Of the funds appropriated in this section, $593,298
173 24 is allocated for funding of the community circle of care
173 25 collaboration for children and youth in northeast Iowa.
173 26 21. Of the funds appropriated in this section, at least
173 27 $73,579 shall be used for the continuation of the child
173 28 welfare provider training academy, a collaboration between the
173 29 coalition for family and children's services in Iowa and the
173 30 department.
173 31 22. Of the funds appropriated in this section, $12,500
173 32 shall be used for the public purpose of continuation of a
173 33 grant to a child welfare services provider headquartered in a
173 34 county with a population between 205,000 and 215,000 in the
173 35 latest certified federal census that provides multiple services
174 1 including but not limited to a psychiatric medical institution
174 2 for children, shelter, residential treatment, after school
174 3 programs, school=based programming, and an Asperger's syndrome
174 4 program, to be used for support services for children with
174 5 autism spectrum disorder and their families.
174 6 23. Of the funds appropriated in this section, $12,500
174 7 shall be used for the public purpose of continuing a grant to
174 8 a hospital=based provider headquartered in a county with a
174 9 population between 90,000 and 95,000 in the latest certified
174 10 federal census that provides multiple services including
174 11 but not limited to diagnostic, therapeutic, and behavioral
174 12 services to individuals with autism spectrum disorder across
174 13 one's lifespan. The grant recipient shall utilize the funds
174 14 to continue the pilot project to determine the necessary
174 15 support services for children with autism spectrum disorder and
174 16 their families to be included in the children's disabilities
174 17 services system. The grant recipient shall submit findings and
174 18 recommendations based upon the results of the pilot project
174 19 to the individuals specified in this division of this Act for
174 20 submission of reports by December 31, 2016.
174 21 24. Of the funds appropriated in this section, $105,936
174 22 shall be used for continuation of the central Iowa system of
174 23 care program grant through June 30, 2017.
174 24 25. Of the funds appropriated in this section, $125,000
174 25 shall be used for the public purpose of the continuation
174 26 and expansion of a system of care program grant implemented
174 27 in Cerro Gordo and Linn counties to utilize a comprehensive
174 28 and long=term approach for helping children and families by
174 29 addressing the key areas in a child's life of childhood basic
174 30 needs, education and work, family, and community.
174 31 26. Of the funds appropriated in this section, at least
174 32 $12,500 shall be used to continue and to expand the foster
174 33 care respite pilot program in which postsecondary students in
174 34 social work and other human services=related programs receive
174 35 experience by assisting family foster care providers with
175 1 respite and other support.
175 2 27. Of the funds appropriated in this section, $55,000
175 3 shall be used for the public purpose of funding community=based
175 4 services and other supports with a system of care approach
175 5 for children with a serious emotional disturbance and their
175 6 families through a nonprofit provider of child welfare services
175 7 that has been in existence for more than 115 years, is located
175 8 in a county with a population of more than 200,000 but less
175 9 than 220,000 according to the latest census information
175 10 issued by the United States census bureau, is licensed as a
175 11 psychiatric medical institution for children, and was a system
175 12 of care grantee prior to July 1, 2016.
175 13 Sec. 135. ADOPTION SUBSIDY.
175 14 1. There is appropriated from the general fund of the
175 15 state to the department of human services for the fiscal year
175 16 beginning July 1, 2016, and ending June 30, 2017, the following
175 17 amount, or so much thereof as is necessary, to be used for the
175 18 purpose designated:
175 19 For adoption subsidy payments and services:
175 20 .................................................. $ 21,499,143
175 21 2. The department may transfer funds appropriated in
175 22 this section to the appropriation made in this division of
175 23 this Act for general administration for costs paid from the
175 24 appropriation relating to adoption subsidy.
175 25 3. Federal funds received by the state during the
175 26 fiscal year beginning July 1, 2016, as the result of the
175 27 expenditure of state funds during a previous state fiscal
175 28 year for a service or activity funded under this section are
175 29 appropriated to the department to be used as additional funding
175 30 for the services and activities funded under this section.
175 31 Notwithstanding section 8.33, moneys received in accordance
175 32 with this subsection that remain unencumbered or unobligated
175 33 at the close of the fiscal year shall not revert to any fund
175 34 but shall remain available for expenditure for the purposes
175 35 designated until the close of the succeeding fiscal year.
176 1 Sec. 136. JUVENILE DETENTION HOME FUND. Moneys deposited
176 2 in the juvenile detention home fund created in section 232.142
176 3 during the fiscal year beginning July 1, 2016, and ending June
176 4 30, 2017, are appropriated to the department of human services
176 5 for the fiscal year beginning July 1, 2016, and ending June 30,
176 6 2017, for distribution of an amount equal to a percentage of
176 7 the costs of the establishment, improvement, operation, and
176 8 maintenance of county or multicounty juvenile detention homes
176 9 in the fiscal year beginning July 1, 2015. Moneys appropriated
176 10 for distribution in accordance with this section shall be
176 11 allocated among eligible detention homes, prorated on the basis
176 12 of an eligible detention home's proportion of the costs of all
176 13 eligible detention homes in the fiscal year beginning July
176 14 1, 2015. The percentage figure shall be determined by the
176 15 department based on the amount available for distribution for
176 16 the fund. Notwithstanding section 232.142, subsection 3, the
176 17 financial aid payable by the state under that provision for the
176 18 fiscal year beginning July 1, 2016, shall be limited to the
176 19 amount appropriated for the purposes of this section.
176 20 Sec. 137. FAMILY SUPPORT SUBSIDY PROGRAM.
176 21 1. There is appropriated from the general fund of the
176 22 state to the department of human services for the fiscal year
176 23 beginning July 1, 2016, and ending June 30, 2017, the following
176 24 amount, or so much thereof as is necessary, to be used for the
176 25 purpose designated:
176 26 For the family support subsidy program subject to the
176 27 enrollment restrictions in section 225C.37, subsection 3:
176 28 .................................................. $ 536,966
176 29 2. The department shall use at least $320,750 of the moneys
176 30 appropriated in this section for the family support center
176 31 component of the comprehensive family support program under
176 32 section 225C.47. Not more than $12,500 of the amount allocated
176 33 in this subsection shall be used for administrative costs.
176 34 3. If at any time during the fiscal year, the amount of
176 35 funding available for the family support subsidy program
177 1 is reduced from the amount initially used to establish the
177 2 figure for the number of family members for whom a subsidy
177 3 is to be provided at any one time during the fiscal year,
177 4 notwithstanding section 225C.38, subsection 2, the department
177 5 shall revise the figure as necessary to conform to the amount
177 6 of funding available.
177 7 Sec. 138. CONNER DECREE. There is appropriated from the
177 8 general fund of the state to the department of human services
177 9 for the fiscal year beginning July 1, 2016, and ending June 30,
177 10 2017, the following amount, or so much thereof as is necessary,
177 11 to be used for the purpose designated:
177 12 For building community capacity through the coordination
177 13 and provision of training opportunities in accordance with the
177 14 consent decree of Conner v. Branstad, No. 4=86=CV=30871(S.D.
177 15 Iowa, July 14, 1994):
177 16 .................................................. $ 16,816
177 17 Sec. 139. MENTAL HEALTH INSTITUTES. There is appropriated
177 18 from the general fund of the state to the department of human
177 19 services for the fiscal year beginning July 1, 2016, and ending
177 20 June 30, 2017, the following amounts, or so much thereof as is
177 21 necessary, to be used for the purposes designated:
177 22 1. For the state mental health institute at Cherokee for
177 23 salaries, support, maintenance, and miscellaneous purposes, and
177 24 for not more than the following full=time equivalent positions:
177 25 .................................................. $ 2,772,808
177 26 ............................................... FTEs 169.20
177 27 2. For the state mental health institute at Clarinda for
177 28 salaries, support, maintenance, and miscellaneous purposes, and
177 29 for not more than the following full=time equivalent positions:
177 30 .................................................. $ 906,450
177 31 ............................................... FTEs 86.10
177 32 3. For the state mental health institute at Independence for
177 33 salaries, support, maintenance, and miscellaneous purposes, and
177 34 for not more than the following full=time equivalent positions:
177 35 .................................................. $ 5,195,387
178 1 ............................................... FTEs 233.00
178 2 Sec. 140. STATE RESOURCE CENTERS.
178 3 1. There is appropriated from the general fund of the
178 4 state to the department of human services for the fiscal year
178 5 beginning July 1, 2016, and ending June 30, 2017, the following
178 6 amounts, or so much thereof as is necessary, to be used for the
178 7 purposes designated:
178 8 a. For the state resource center at Glenwood for salaries,
178 9 support, maintenance, and miscellaneous purposes:
178 10 .................................................. $ 11,012,241
178 11 b. For the state resource center at Woodward for salaries,
178 12 support, maintenance, and miscellaneous purposes:
178 13 .................................................. $ 7,466,903
178 14 2. The department may continue to bill for state resource
178 15 center services utilizing a scope of services approach used for
178 16 private providers of intermediate care facilities for persons
178 17 with an intellectual disability services, in a manner which
178 18 does not shift costs between the medical assistance program,
178 19 counties, or other sources of funding for the state resource
178 20 centers.
178 21 3. The state resource centers may expand the time=limited
178 22 assessment and respite services during the fiscal year.
178 23 4. If the department's administration and the department
178 24 of management concur with a finding by a state resource
178 25 center's superintendent that projected revenues can reasonably
178 26 be expected to pay the salary and support costs for a new
178 27 employee position, or that such costs for adding a particular
178 28 number of new positions for the fiscal year would be less
178 29 than the overtime costs if new positions would not be added,
178 30 the superintendent may add the new position or positions. If
178 31 the vacant positions available to a resource center do not
178 32 include the position classification desired to be filled, the
178 33 state resource center's superintendent may reclassify any
178 34 vacant position as necessary to fill the desired position. The
178 35 superintendents of the state resource centers may, by mutual
179 1 agreement, pool vacant positions and position classifications
179 2 during the course of the fiscal year in order to assist one
179 3 another in filling necessary positions.
179 4 5. If existing capacity limitations are reached in
179 5 operating units, a waiting list is in effect for a service or
179 6 a special need for which a payment source or other funding
179 7 is available for the service or to address the special need,
179 8 and facilities for the service or to address the special need
179 9 can be provided within the available payment source or other
179 10 funding, the superintendent of a state resource center may
179 11 authorize opening not more than two units or other facilities
179 12 and begin implementing the service or addressing the special
179 13 need during fiscal year 2016=2017.
179 14 Sec. 141. SEXUALLY VIOLENT PREDATORS.
179 15 1. There is appropriated from the general fund of the
179 16 state to the department of human services for the fiscal year
179 17 beginning July 1, 2016, and ending June 30, 2017, the following
179 18 amount, or so much thereof as is necessary, to be used for the
179 19 purpose designated:
179 20 For costs associated with the commitment and treatment of
179 21 sexually violent predators in the unit located at the state
179 22 mental health institute at Cherokee, including costs of legal
179 23 services and other associated costs, including salaries,
179 24 support, maintenance, and miscellaneous purposes, and for not
179 25 more than the following full=time equivalent positions:
179 26 .................................................. $ 4,946,540
179 27 ............................................... FTEs 132.50
179 28 2. Unless specifically prohibited by law, if the amount
179 29 charged provides for recoupment of at least the entire amount
179 30 of direct and indirect costs, the department of human services
179 31 may contract with other states to provide care and treatment
179 32 of persons placed by the other states at the unit for sexually
179 33 violent predators at Cherokee. The moneys received under
179 34 such a contract shall be considered to be repayment receipts
179 35 and used for the purposes of the appropriation made in this
180 1 section.
180 2 Sec. 142. FIELD OPERATIONS. There is appropriated from the
180 3 general fund of the state to the department of human services
180 4 for the fiscal year beginning July 1, 2016, and ending June 30,
180 5 2017, the following amount, or so much thereof as is necessary,
180 6 to be used for the purposes designated:
180 7 For field operations, including salaries, support,
180 8 maintenance, and miscellaneous purposes, and for not more than
180 9 the following full=time equivalent positions:
180 10 .................................................. $ 29,460,488
180 11 ............................................... FTEs 1,837.00
180 12 1. As a condition of this appropriation, the department
180 13 shall make every possible effort to fill the entire number of
180 14 positions authorized by this section and, unless specifically
180 15 provided otherwise by an applicable collective bargaining
180 16 agreement, the department is not subject to any approval
180 17 requirement external to the department to fill a field
180 18 operations vacancy within the number of full=time equivalent
180 19 positions authorized by this section. The department shall
180 20 report on the first of each month to the chairpersons and
180 21 ranking members of the appropriations committees of the senate
180 22 and house of representatives, and the persons designated by
180 23 this Act for submission of reports concerning the status of
180 24 filling the positions.
180 25 2. Priority in filling full=time equivalent positions
180 26 shall be given to those positions related to child protection
180 27 services and eligibility determination for low=income families.
180 28 Sec. 143. GENERAL ADMINISTRATION. There is appropriated
180 29 from the general fund of the state to the department of human
180 30 services for the fiscal year beginning July 1, 2016, and ending
180 31 June 30, 2017, the following amount, or so much thereof as is
180 32 necessary, to be used for the purpose designated:
180 33 For general administration, including salaries, support,
180 34 maintenance, and miscellaneous purposes, and for not more than
180 35 the following full=time equivalent positions:
181 1 .................................................. $ 7,580,871
181 2 ............................................... FTEs 309.00
181 3 1. Of the funds appropriated in this section, $19,272 is
181 4 allocated for the prevention of disabilities policy council
181 5 created in section 225B.103, if enacted in this or any other
181 6 Act.
181 7 2. The department shall report at least monthly to the
181 8 legislative services agency concerning the department's
181 9 operational and program expenditures.
181 10 3. Of the funds appropriated in this section, $75,000 shall
181 11 be used to continue the contract for the provision of a program
181 12 to provide technical assistance, support, and consultation to
181 13 providers of habilitation services and home and community=based
181 14 services waiver services for adults with disabilities under the
181 15 medical assistance program.
181 16 4. Of the funds appropriated in this section, $25,000
181 17 is transferred to the Iowa finance authority to be used
181 18 for administrative support of the council on homelessness
181 19 established in section 16.2D and for the council to fulfill its
181 20 duties in addressing and reducing homelessness in the state.
181 21 5. Of the funds appropriated in this section, $125,000
181 22 is allocated to an Iowa food bank association selected by
181 23 the department for the purchase of food on behalf of an Iowa
181 24 emergency feeding organization or for the distribution of
181 25 moneys to the Iowa emergency feeding organization for the
181 26 purchase of food. The moneys allocated in this subsection
181 27 shall be allocated only to the extent that the allocated moneys
181 28 are matched on a dollar=for=dollar basis. Notwithstanding
181 29 section 8.33, moneys allocated in this subsection that remain
181 30 unencumbered or unobligated at the close of the fiscal year
181 31 shall not revert but shall remain available for expenditure for
181 32 the purposes designated until the close of the following fiscal
181 33 year.
181 34 6. Of the funds appropriated in this section, $125,000 shall
181 35 be transferred to and deposited in the administrative fund of
182 1 the Iowa ABLE savings plan trust created in section 12I.4, if
182 2 enacted in this or any other Act, to be used for implementation
182 3 and administration activities of the Iowa ABLE savings plan
182 4 trust.
182 5 Sec. 144. VOLUNTEERS. There is appropriated from the
182 6 general fund of the state to the department of human services
182 7 for the fiscal year beginning July 1, 2016, and ending June 30,
182 8 2017, the following amount, or so much thereof as is necessary,
182 9 to be used for the purpose designated:
182 10 For development and coordination of volunteer services:
182 11 .................................................. $ 42,343
182 12 Sec. 145. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY
182 13 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE
182 14 DEPARTMENT OF HUMAN SERVICES.
182 15 1. a. (1) For the fiscal year beginning July 1, 2016,
182 16 the total state funding amount for the nursing facility budget
182 17 shall not exceed $160,950,003.
182 18 (2) The department, in cooperation with nursing facility
182 19 representatives, shall review projections for state funding
182 20 expenditures for reimbursement of nursing facilities on a
182 21 quarterly basis and the department shall determine if an
182 22 adjustment to the medical assistance reimbursement rate is
182 23 necessary in order to provide reimbursement within the state
182 24 funding amount for the fiscal year. Notwithstanding 2001
182 25 Iowa Acts, chapter 192, section 4, subsection 2, paragraph
182 26 "c", and subsection 3, paragraph "a", subparagraph (2),
182 27 if the state funding expenditures for the nursing facility
182 28 budget for the fiscal year are projected to exceed the amount
182 29 specified in subparagraph (1), the department shall adjust
182 30 the reimbursement for nursing facilities reimbursed under the
182 31 case=mix reimbursement system to maintain expenditures of the
182 32 nursing facility budget within the specified amount for the
182 33 fiscal year.
182 34 (3) For the fiscal year beginning July 1, 2016, special
182 35 population nursing facilities shall be reimbursed in accordance
183 1 with the methodology in effect on June 30, 2016.
183 2 (4) For any open or unsettled nursing facility cost report
183 3 for a fiscal year prior to and including the fiscal year
183 4 beginning July 1, 2015, including any cost report remanded on
183 5 judicial review for inclusion of prescription drug, laboratory,
183 6 or x=ray costs, the department shall offset all reported
183 7 prescription drug, laboratory, and x=ray costs with any revenue
183 8 received from Medicare or other revenue source for any purpose.
183 9 For purposes of this subparagraph, a nursing facility cost
183 10 report is not considered open or unsettled if the facility did
183 11 not initiate an administrative appeal under chapter 17A or if
183 12 any appeal rights initiated have been exhausted.
183 13 b. (1) For the fiscal year beginning July 1, 2016,
183 14 the department shall establish the pharmacy dispensing fee
183 15 reimbursement at $11.73 per prescription, until a cost of
183 16 dispensing survey is completed. The actual dispensing fee
183 17 shall be determined by a cost of dispensing survey performed
183 18 by the department and required to be completed by all medical
183 19 assistance program participating pharmacies every two years,
183 20 adjusted as necessary to maintain expenditures within the
183 21 amount appropriated to the department for this purpose for the
183 22 fiscal year.
183 23 (2) The department shall utilize an average acquisition
183 24 cost reimbursement methodology for all drugs covered under the
183 25 medical assistance program in accordance with 2012 Iowa Acts,
183 26 chapter 1133, section 33.
183 27 (3) Notwithstanding subparagraph (2), if the centers for
183 28 Medicare and Medicaid services of the United States department
183 29 of health and human services (CMS) requires, as a condition
183 30 of federal Medicaid funding, that the department implement an
183 31 aggregate federal upper limit (FUL) for drug reimbursement
183 32 based on the average manufacturer's price (AMP), the department
183 33 may utilize a reimbursement methodology for all drugs covered
183 34 under the Medicaid program based on the national average drug
183 35 acquisition cost (NADAC) methodology published by CMS, in order
184 1 to assure compliance with the aggregate FUL, minimize outcomes
184 2 of drug reimbursements below pharmacy acquisition costs, limit
184 3 administrative costs, and minimize any change in the aggregate
184 4 reimbursement for drugs. The department may adopt emergency
184 5 rules to implement this subparagraph.
184 6 c. (1) For the fiscal year beginning July 1, 2016,
184 7 reimbursement rates for outpatient hospital services shall
184 8 remain at the rates in effect on June 30, 2016, subject
184 9 to Medicaid program upper payment limit rules and adjusted
184 10 as necessary to maintain expenditures within the amount
184 11 appropriated to the department for this purpose for the fiscal
184 12 year.
184 13 (2) For the fiscal year beginning July 1, 2016,
184 14 reimbursement rates for inpatient hospital services shall
184 15 remain at the rates in effect on June 30, 2016, subject
184 16 to Medicaid program upper payment limit rules and adjusted
184 17 as necessary to maintain expenditures within the amount
184 18 appropriated to the department for this purpose for the fiscal
184 19 year.
184 20 (3) For the fiscal year beginning July 1, 2016, the graduate
184 21 medical education and disproportionate share hospital fund
184 22 shall remain at the amount in effect on June 30, 2016, except
184 23 that the portion of the fund attributable to graduate medical
184 24 education shall be reduced in an amount that reflects the
184 25 elimination of graduate medical education payments made to
184 26 out=of=state hospitals.
184 27 (4) In order to ensure the efficient use of limited state
184 28 funds in procuring health care services for low=income Iowans,
184 29 funds appropriated in this Act for hospital services shall
184 30 not be used for activities which would be excluded from a
184 31 determination of reasonable costs under the federal Medicare
184 32 program pursuant to 42 U.S.C. {1395x(v)(1)(N).
184 33 d. For the fiscal year beginning July 1, 2016, reimbursement
184 34 rates for rural health clinics, hospices, and acute mental
184 35 hospitals shall be increased in accordance with increases under
185 1 the federal Medicare program or as supported by their Medicare
185 2 audited costs.
185 3 e. For the fiscal year beginning July 1, 2016, independent
185 4 laboratories and rehabilitation agencies shall be reimbursed
185 5 using the same methodology in effect on June 30, 2016.
185 6 f. (1) For the fiscal year beginning July 1, 2016,
185 7 reimbursement rates for home health agencies shall continue to
185 8 be based on the Medicare low utilization payment adjustment
185 9 (LUPA) methodology with state geographic wage adjustments, and
185 10 updated to reflect the most recent Medicare LUPA rates.
185 11 (2) For the fiscal year beginning July 1, 2016, rates for
185 12 private duty nursing and personal care services under the early
185 13 and periodic screening, diagnostic, and treatment program
185 14 benefit shall be calculated based on the methodology in effect
185 15 on June 30, 2016.
185 16 g. For the fiscal year beginning July 1, 2016, federally
185 17 qualified health centers shall receive cost=based reimbursement
185 18 for 100 percent of the reasonable costs for the provision of
185 19 services to recipients of medical assistance.
185 20 h. For the fiscal year beginning July 1, 2016, the
185 21 reimbursement rates for dental services shall remain at the
185 22 rates in effect on June 30, 2016.
185 23 i. (1) For the fiscal year beginning July 1, 2016,
185 24 state=owned psychiatric medical institutions for children shall
185 25 receive cost=based reimbursement for 100 percent of the actual
185 26 and allowable costs for the provision of services to recipients
185 27 of medical assistance.
185 28 (2) For the nonstate=owned psychiatric medical institutions
185 29 for children, reimbursement rates shall be based on the
185 30 reimbursement methodology developed by the department as
185 31 required for federal compliance.
185 32 (3) As a condition of participation in the medical
185 33 assistance program, enrolled providers shall accept the medical
185 34 assistance reimbursement rate for any covered goods or services
185 35 provided to recipients of medical assistance who are children
186 1 under the custody of a psychiatric medical institution for
186 2 children.
186 3 j. For the fiscal year beginning July 1, 2016, unless
186 4 otherwise specified in this Act, all noninstitutional medical
186 5 assistance provider reimbursement rates shall remain at the
186 6 rates in effect on June 30, 2016, except for area education
186 7 agencies, local education agencies, infant and toddler
186 8 services providers, home and community=based services providers
186 9 including consumer=directed attendant care providers under a
186 10 section 1915(c) or 1915(i) waiver, targeted case management
186 11 providers, and those providers whose rates are required to be
186 12 determined pursuant to section 249A.20.
186 13 k. Notwithstanding any provision to the contrary, for the
186 14 fiscal year beginning July 1, 2016, the reimbursement rate for
186 15 anesthesiologists shall remain at the rate in effect on June
186 16 30, 2016.
186 17 l. Notwithstanding section 249A.20, for the fiscal year
186 18 beginning July 1, 2016, the average reimbursement rate for
186 19 health care providers eligible for use of the federal Medicare
186 20 resource=based relative value scale reimbursement methodology
186 21 under section 249A.20 shall remain at the rate in effect on
186 22 June 30, 2016; however, this rate shall not exceed the maximum
186 23 level authorized by the federal government.
186 24 m. For the fiscal year beginning July 1, 2016, the
186 25 reimbursement rate for residential care facilities shall not
186 26 be less than the minimum payment level as established by the
186 27 federal government to meet the federally mandated maintenance
186 28 of effort requirement. The flat reimbursement rate for
186 29 facilities electing not to file annual cost reports shall not
186 30 be less than the minimum payment level as established by the
186 31 federal government to meet the federally mandated maintenance
186 32 of effort requirement.
186 33 n. For the fiscal year beginning July 1, 2016, the
186 34 reimbursement rates for inpatient mental health services
186 35 provided at hospitals shall remain at the rates in effect on
187 1 June 30, 2016, subject to Medicaid program upper payment limit
187 2 rules; and psychiatrists shall be reimbursed at the medical
187 3 assistance program fee=for=service rate in effect on June 30,
187 4 2016.
187 5 o. For the fiscal year beginning July 1, 2016, community
187 6 mental health centers may choose to be reimbursed for the
187 7 services provided to recipients of medical assistance through
187 8 either of the following options:
187 9 (1) For 100 percent of the reasonable costs of the services.
187 10 (2) In accordance with the alternative reimbursement rate
187 11 methodology established by the medical assistance program's
187 12 managed care contractor for mental health services and approved
187 13 by the department of human services.
187 14 p. For the fiscal year beginning July 1, 2016, the
187 15 reimbursement rate for providers of family planning services
187 16 that are eligible to receive a 90 percent federal match shall
187 17 remain at the rates in effect on June 30, 2016.
187 18 q. For the fiscal year beginning July 1, 2016, the upper
187 19 limits on reimbursement rates for providers of home and
187 20 community=based services waiver services shall remain at the
187 21 limits in effect on June 30, 2016.
187 22 r. For the fiscal year beginning July 1, 2016, the
187 23 reimbursement rates for emergency medical service providers
187 24 shall remain at the rates in effect on June 30, 2016.
187 25 s. For the fiscal year beginning July 1, 2016, reimbursement
187 26 rates for substance=related disorder treatment programs
187 27 licensed under section 125.13 shall remain at the rates in
187 28 effect on June 30, 2016.
187 29 2. For the fiscal year beginning July 1, 2016, the
187 30 reimbursement rate for providers reimbursed under the
187 31 in=home=related care program shall not be less than the minimum
187 32 payment level as established by the federal government to meet
187 33 the federally mandated maintenance of effort requirement.
187 34 3. Unless otherwise directed in this section, when the
187 35 department's reimbursement methodology for any provider
188 1 reimbursed in accordance with this section includes an
188 2 inflation factor, this factor shall not exceed the amount
188 3 by which the consumer price index for all urban consumers
188 4 increased during the calendar year ending December 31, 2002.
188 5 4. For the fiscal year beginning July 1, 2016, the foster
188 6 family basic daily maintenance rate and the maximum adoption
188 7 subsidy rate for children ages 0 through 5 years shall be
188 8 $16.78, the rate for children ages 6 through 11 years shall be
188 9 $17.45, the rate for children ages 12 through 15 years shall
188 10 be $19.10, and the rate for children and young adults ages 16
188 11 and older shall be $19.35. For youth ages 18 to 21 who have
188 12 exited foster care, the preparation for adult living program
188 13 maintenance rate shall be $602.70 per month. The maximum
188 14 payment for adoption subsidy nonrecurring expenses shall be
188 15 limited to $500 and the disallowance of additional amounts
188 16 for court costs and other related legal expenses implemented
188 17 pursuant to 2010 Iowa Acts, chapter 1031, section 408, shall
188 18 be continued.
188 19 5. For the fiscal year beginning July 1, 2016, the maximum
188 20 reimbursement rates for social services providers under
188 21 contract shall remain at the rates in effect on June 30, 2016,
188 22 or the provider's actual and allowable cost plus inflation for
188 23 each service, whichever is less. However, if a new service
188 24 or service provider is added after June 30, 2016, the initial
188 25 reimbursement rate for the service or provider shall be based
188 26 upon a weighted average of provider rates for similar services.
188 27 6. For the fiscal year beginning July 1, 2016, the
188 28 reimbursement rates for resource family recruitment and
188 29 retention contractors, child welfare emergency services
188 30 contractors, and supervised apartment living foster care
188 31 providers shall remain at the rates in effect on June 30, 2016.
188 32 7. For the fiscal year beginning July 1, 2016, the
188 33 reimbursement rate for safety plan services and family safety,
188 34 risk, and permanency services (family=centered) shall be as
188 35 follows:
189 1 a. The statewide base monthly payment amount for all
189 2 family safety, risk, and permanency services (family=centered)
189 3 contractors shall be the rate in effect on June 30, 2016.
189 4 (1) Family safety, risk, and permanency services
189 5 Performance Measure 1 payments shall be the rate in effect on
189 6 June 30, 2016.
189 7 (2) Family safety, risk, and permanency services
189 8 Performance Measure 2 payments shall be the rate in effect on
189 9 June 30, 2016.
189 10 (3) Family safety, risk, and permanency services
189 11 Performance Measure 3 payments shall be the rate in effect on
189 12 June 30, 2016.
189 13 (4) Family safety, risk, and permanency services
189 14 Performance Measure 4 payments shall be the rate in effect on
189 15 June 30, 2016.
189 16 b. The maximum reimbursement unit rate for safety plan
189 17 services shall be the rate in effect on June 30, 2016.
189 18 (1) Safety plan services Performance Measure 1 payments
189 19 shall be the rate in effect on June 30, 2016.
189 20 (2) Safety plan services Performance Measure 2 payments
189 21 shall be the rate in effect on June 30, 2016.
189 22 8. a. For the purposes of this subsection, "combined
189 23 reimbursement rate" means the combined service and maintenance
189 24 reimbursement rate for a service level under the department's
189 25 reimbursement methodology. Effective July 1, 2016, the
189 26 combined reimbursement rate for a group foster care service
189 27 level shall be the amount designated in this subsection.
189 28 However, if a group foster care provider's reimbursement rate
189 29 for a service level as of June 30, 2016, is more than the rate
189 30 designated in this subsection, the provider's reimbursement
189 31 shall remain at the higher rate.
189 32 b. Unless a group foster care provider is subject to the
189 33 exception provided in paragraph "a", effective July 1, 2016,
189 34 the combined reimbursement rates for the service levels under
189 35 the department's reimbursement methodology shall be as follows:
190 1 (1) For service level, community = D1, the daily rate shall
190 2 be at least $84.17.
190 3 (2) For service level, comprehensive = D2, the daily rate
190 4 shall be at least $119.09.
190 5 (3) For service level, enhanced = D3, the daily rate shall
190 6 be at least $131.09.
190 7 9. The group foster care reimbursement rates paid for
190 8 placement of children out of state shall be calculated
190 9 according to the same rate=setting principles as those used for
190 10 in=state providers, unless the director of human services or
190 11 the director's designee determines that appropriate care cannot
190 12 be provided within the state. The payment of the daily rate
190 13 shall be based on the number of days in the calendar month in
190 14 which service is provided.
190 15 10. a. For the fiscal year beginning July 1, 2016, the
190 16 reimbursement rate paid for shelter care and the child welfare
190 17 emergency services implemented to provide or prevent the need
190 18 for shelter care shall be established by contract.
190 19 b. For the fiscal year beginning July 1, 2016, the combined
190 20 service and maintenance components of the reimbursement rate
190 21 paid for shelter care services shall be based on the financial
190 22 and statistical report submitted to the department. The
190 23 maximum reimbursement rate shall be $101.83 per day. The
190 24 department shall reimburse a shelter care provider at the
190 25 provider's actual and allowable unit cost, plus inflation, not
190 26 to exceed the maximum reimbursement rate.
190 27 c. Notwithstanding section 232.141, subsection 8, for the
190 28 fiscal year beginning July 1, 2016, the amount of the statewide
190 29 average of the actual and allowable rates for reimbursement of
190 30 juvenile shelter care homes that is utilized for the limitation
190 31 on recovery of unpaid costs shall remain at the amount in
190 32 effect for this purpose in the fiscal year beginning July 1,
190 33 2015.
190 34 11. For the fiscal year beginning July 1, 2016, the
190 35 department shall calculate reimbursement rates for intermediate
191 1 care facilities for persons with an intellectual disability
191 2 at the 80th percentile. Beginning July 1, 2016, the rate
191 3 calculation methodology shall utilize the consumer price index
191 4 inflation factor applicable to the fiscal year beginning July
191 5 1, 2016.
191 6 12. For the fiscal year beginning July 1, 2016, for child
191 7 care providers reimbursed under the state child care assistance
191 8 program, the department shall set provider reimbursement
191 9 rates based on the rate reimbursement survey completed in
191 10 December 2004. Effective July 1, 2016, the child care provider
191 11 reimbursement rates shall remain at the rates in effect on June
191 12 30, 2016. The department shall set rates in a manner so as
191 13 to provide incentives for a nonregistered provider to become
191 14 registered by applying the increase only to registered and
191 15 licensed providers.
191 16 13. For the fiscal year beginning July 1, 2016, if the
191 17 centers for Medicare and Medicaid services of the United
191 18 States department of health and human services approves the
191 19 waivers necessary to implement medical assistance program
191 20 managed care applicable to any providers or services subject to
191 21 reimbursement under this section, notwithstanding any provision
191 22 to the contrary under this section, affected providers or
191 23 services shall instead be reimbursed as follows:
191 24 a. For fee=for=service claims, reimbursement rates shall
191 25 be calculated based on the methodology otherwise specified in
191 26 this section for the fiscal year beginning July 1, 2016, for
191 27 the respective provider or service.
191 28 b. For claims subject to a managed care contract,
191 29 reimbursement shall be based on the actuarially sound
191 30 capitation rates established under the contract. However,
191 31 any reimbursement established under such contract shall not
191 32 be lower than the reimbursement otherwise specified in this
191 33 section for the fiscal year beginning July 1, 2016, for the
191 34 respective provider or service.
191 35 14. The department may adopt emergency rules to implement
192 1 this section.
192 2 Sec. 146. EMERGENCY RULES.
192 3 1. If specifically authorized by a provision of this
192 4 division of this Act, the department of human services or
192 5 the mental health and disability services commission may
192 6 adopt administrative rules under section 17A.4, subsection
192 7 3, and section 17A.5, subsection 2, paragraph "b", to
192 8 implement the provisions of this division of this Act and
192 9 the rules shall become effective immediately upon filing or
192 10 on a later effective date specified in the rules, unless the
192 11 effective date of the rules is delayed or the applicability
192 12 of the rules is suspended by the administrative rules review
192 13 committee. Any rules adopted in accordance with this section
192 14 shall not take effect before the rules are reviewed by the
192 15 administrative rules review committee. The delay authority
192 16 provided to the administrative rules review committee under
192 17 section 17A.4, subsection 7, and section 17A.8, subsection 9,
192 18 shall be applicable to a delay imposed under this section,
192 19 notwithstanding a provision in those sections making them
192 20 inapplicable to section 17A.5, subsection 2, paragraph "b".
192 21 Any rules adopted in accordance with the provisions of this
192 22 section shall also be published as a notice of intended action
192 23 as provided in section 17A.4.
192 24 2. If during a fiscal year, the department of human
192 25 services is adopting rules in accordance with this section
192 26 or as otherwise directed or authorized by state law, and the
192 27 rules will result in an expenditure increase beyond the amount
192 28 anticipated in the budget process or if the expenditure was
192 29 not addressed in the budget process for the fiscal year, the
192 30 department shall notify the persons designated by this division
192 31 of this Act for submission of reports, the chairpersons and
192 32 ranking members of the committees on appropriations, and
192 33 the department of management concerning the rules and the
192 34 expenditure increase. The notification shall be provided at
192 35 least 30 calendar days prior to the date notice of the rules
193 1 is submitted to the administrative rules coordinator and the
193 2 administrative code editor.
193 3 Sec. 147. REPORTS. Any reports or other information
193 4 required to be compiled and submitted under this Act during the
193 5 fiscal year beginning July 1, 2016, shall be submitted to the
193 6 chairpersons and ranking members of the joint appropriations
193 7 subcommittee on health and human services, the legislative
193 8 services agency, and the legislative caucus staffs on or
193 9 before the dates specified for submission of the reports or
193 10 information.
193 11 Sec. 148. EFFECTIVE UPON ENACTMENT. The following
193 12 provisions of this division of this Act, being deemed of
193 13 immediate importance, take effect upon enactment:
193 14 1. The provision relating to section 232.141 and directing
193 15 the state court administrator and the division administrator of
193 16 the department of human services division of child and family
193 17 services to make the determination, by June 15, 2016, of the
193 18 distribution of funds allocated for the payment of the expenses
193 19 of court=ordered services provided to juveniles which are a
193 20 charge upon the state.
193 21 DIVISION XXXVIII
193 22 HEALTH CARE ACCOUNTS AND FUNDS ==== FY 2016=2017
193 23 Sec. 149. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is
193 24 appropriated from the pharmaceutical settlement account created
193 25 in section 249A.33 to the department of human services for the
193 26 fiscal year beginning July 1, 2016, and ending June 30, 2017,
193 27 the following amount, or so much thereof as is necessary, to be
193 28 used for the purpose designated:
193 29 Notwithstanding any provision of law to the contrary, to
193 30 supplement the appropriations made in this Act for medical
193 31 contracts under the medical assistance program for the fiscal
193 32 year beginning July 1, 2016, and ending June 30, 2017:
193 33 .................................................. $ 250,000
193 34 Sec. 150. QUALITY ASSURANCE TRUST FUND ==== DEPARTMENT OF
193 35 HUMAN SERVICES. Notwithstanding any provision to the contrary
194 1 and subject to the availability of funds, there is appropriated
194 2 from the quality assurance trust fund created in section
194 3 249L.4 to the department of human services for the fiscal year
194 4 beginning July 1, 2016, and ending June 30, 2017, the following
194 5 amounts, or so much thereof as is necessary, for the purposes
194 6 designated:
194 7 To supplement the appropriation made in this Act from the
194 8 general fund of the state to the department of human services
194 9 for medical assistance for the same fiscal year:
194 10 .................................................. $ 18,352,604
194 11 Sec. 151. HOSPITAL HEALTH CARE ACCESS TRUST FUND ====
194 12 DEPARTMENT OF HUMAN SERVICES. Notwithstanding any provision to
194 13 the contrary and subject to the availability of funds, there is
194 14 appropriated from the hospital health care access trust fund
194 15 created in section 249M.4 to the department of human services
194 16 for the fiscal year beginning July 1, 2016, and ending June
194 17 30, 2017, the following amounts, or so much thereof as is
194 18 necessary, for the purposes designated:
194 19 To supplement the appropriation made in this Act from the
194 20 general fund of the state to the department of human services
194 21 for medical assistance for the same fiscal year:
194 22 .................................................. $ 17,350,000
194 23 Sec. 152. MEDICAL ASSISTANCE PROGRAM ==== NONREVERSION
194 24 FOR FY 2016=2017. Notwithstanding section 8.33, if moneys
194 25 appropriated for purposes of the medical assistance program for
194 26 the fiscal year beginning July 1, 2016, and ending June 30,
194 27 2017, from the general fund of the state, the quality assurance
194 28 trust fund and the hospital health care access trust fund, are
194 29 in excess of actual expenditures for the medical assistance
194 30 program and remain unencumbered or unobligated at the close
194 31 of the fiscal year, the excess moneys shall not revert but
194 32 shall remain available for expenditure for the purposes of the
194 33 medical assistance program until the close of the succeeding
194 34 fiscal year.
194 35 DIVISION XXXIX
195 1 PROPERTY TAX RELIEF FUND ==== BLOCK GRANT MONEYS ==== MENTAL HEALTH
195 2 INSTITUTES
195 3 Sec. 153. MENTAL HEALTH INSTITUTES. The moneys transferred
195 4 to the property tax relief fund for the fiscal year beginning
195 5 July 1, 2016, from the federal social services block grant
195 6 pursuant to 2015 Iowa Acts, House File 630, if enacted, and
195 7 from the federal temporary assistance for needy families block
195 8 grant, totaling at least $11,774,275, are appropriated to the
195 9 department of human services for the fiscal year beginning July
195 10 1, 2016, and ending June 30, 2017, to be used for the purposes
195 11 designated:
195 12 1. For the state mental health institute at Clarinda for
195 13 salaries, support, maintenance, and miscellaneous purposes:
195 14 .................................................. $ 2,418,254
195 15 2. For the state mental health institute at Mount Pleasant
195 16 for salaries, support, maintenance, and miscellaneous purposes,
195 17 and for not more than the following full=time equivalent
195 18 positions:
195 19 .................................................. $ 3,468,884
195 20 ............................................... FTEs 97.68
195 21 DIVISION XXXX
195 22 PERSONNEL SETTLEMENT AGREEMENT PAYMENTS
195 23 Sec. 154. PERSONNEL SETTLEMENT AGREEMENT PAYMENTS. As a
195 24 condition of the appropriations in this 2016 Act, the moneys
195 25 appropriated and any other moneys available shall not be used
195 26 for payment of a personnel settlement agreement that contains a
195 27 confidentiality provision intended to prevent public disclosure
195 28 of the agreement or any terms of the agreement.
SF 505 (4) 86
pf/rj