Bill Text: IA HF2463 | 2013-2014 | 85th General Assembly | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: A bill for an act relating to appropriations for health and human services and veterans and including other related provisions and appropriations, extending the duration of county mental health and disabilities services fund per capita levy provisions, and including effective date and retroactive applicability provisions. Item vetoed. Various effective dates, see bill.
Spectrum: Committee Bill
Status: (Passed) 2014-05-30 - Item vetoed, signed by Governor H.J. 904. [HF2463 Detail]
Download: Iowa-2013-HF2463-Amended.html
Bill Title: A bill for an act relating to appropriations for health and human services and veterans and including other related provisions and appropriations, extending the duration of county mental health and disabilities services fund per capita levy provisions, and including effective date and retroactive applicability provisions. Item vetoed. Various effective dates, see bill.
Spectrum: Committee Bill
Status: (Passed) 2014-05-30 - Item vetoed, signed by Governor H.J. 904. [HF2463 Detail]
Download: Iowa-2013-HF2463-Amended.html
House
File
2463
-
Reprinted
HOUSE
FILE
2463
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
HSB
685)
(As
Amended
and
Passed
by
the
House
April
10,
2014
)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
veterans
and
including
other
related
provisions
and
2
appropriations,
and
including
effective
date
and
retroactive
3
and
other
applicability
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
HF
2463
(3)
85
pf/jp/md
H.F.
2463
DIVISION
I
1
DEPARTMENT
ON
AGING
2
Section
1.
2013
Iowa
Acts,
chapter
138,
section
131,
is
3
amended
to
read
as
follows:
4
SEC.
131.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
5
the
general
fund
of
the
state
to
the
department
on
aging
for
6
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
7
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purposes
designated:
9
For
aging
programs
for
the
department
on
aging
and
area
10
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
11
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
12
aging
and
disabilities
resource
center,
and
other
services
13
which
may
include
but
are
not
limited
to
adult
day
services,
14
respite
care,
chore
services,
information
and
assistance,
15
and
material
aid,
for
information
and
options
counseling
for
16
persons
with
disabilities
who
are
18
years
of
age
or
older,
17
and
for
salaries,
support,
administration,
maintenance,
and
18
miscellaneous
purposes,
and
for
not
more
than
the
following
19
full-time
equivalent
positions:
20
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$
5,300,190
21
10,606,066
22
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FTEs
28.00
23
1.
Funds
appropriated
in
this
section
may
be
used
to
24
supplement
federal
funds
under
federal
regulations.
To
25
receive
funds
appropriated
in
this
section,
a
local
area
26
agency
on
aging
shall
match
the
funds
with
moneys
from
other
27
sources
according
to
rules
adopted
by
the
department.
Funds
28
appropriated
in
this
section
may
be
used
for
elderly
services
29
not
specifically
enumerated
in
this
section
only
if
approved
30
by
an
area
agency
on
aging
for
provision
of
the
service
within
31
the
area.
32
2.
Of
the
funds
appropriated
in
this
section,
$139,973
33
$279,946
is
transferred
to
the
economic
development
authority
34
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
35
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the
retired
and
senior
volunteer
program.
1
3.
a.
The
department
on
aging
shall
establish
and
enforce
2
procedures
relating
to
expenditure
of
state
and
federal
funds
3
by
area
agencies
on
aging
that
require
compliance
with
both
4
state
and
federal
laws,
rules,
and
regulations,
including
but
5
not
limited
to
all
of
the
following:
6
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
7
or
services
received
or
performed
prior
to
the
end
of
the
8
fiscal
period
designated
for
use
of
the
funds.
9
(2)
Prohibiting
prepayment
for
goods
or
services
not
10
received
or
performed
prior
to
the
end
of
the
fiscal
period
11
designated
for
use
of
the
funds.
12
(3)
Prohibiting
the
prepayment
for
goods
or
services
13
not
defined
specifically
by
good
or
service,
time
period,
or
14
recipient.
15
(4)
Prohibiting
the
establishment
of
accounts
from
which
16
future
goods
or
services
which
are
not
defined
specifically
by
17
good
or
service,
time
period,
or
recipient,
may
be
purchased.
18
b.
The
procedures
shall
provide
that
if
any
funds
are
19
expended
in
a
manner
that
is
not
in
compliance
with
the
20
procedures
and
applicable
federal
and
state
laws,
rules,
and
21
regulations,
and
are
subsequently
subject
to
repayment,
the
22
area
agency
on
aging
expending
such
funds
in
contravention
of
23
such
procedures,
laws,
rules
and
regulations,
not
the
state,
24
shall
be
liable
for
such
repayment.
25
4.
Of
the
funds
appropriated
in
this
section,
$125,000
26
$250,000
shall
be
used
to
fund
services
to
meet
the
unmet
needs
27
of
older
individuals
as
identified
in
the
annual
compilation
28
of
unmet
service
units
by
the
area
agencies
on
aging
through
29
Iowa’s
aging
and
disability
resource
center
network
.
30
5.
Of
the
funds
appropriated
in
this
section,
$300,000
31
$600,000
shall
be
used
to
fund
home
and
community-based
32
services
through
the
area
agencies
on
aging
that
enable
older
33
individuals
to
avoid
more
costly
utilization
of
residential
or
34
institutional
services
and
remain
in
their
own
homes.
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6.
Of
the
funds
appropriated
in
this
subsection,
$10,000
1
$20,000
shall
be
used
for
implementation
continuation
of
a
2
guardianship
and
conservatorship
monitoring
and
assistance
3
pilot
project
as
specified
in
this
2013
Act.
4
DIVISION
II
5
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
6
Sec.
2.
2013
Iowa
Acts,
chapter
138,
section
132,
is
amended
7
to
read
as
follows:
8
SEC.
132.
OFFICE
OF
LONG-TERM
CARE
RESIDENT’S
ADVOCATE
9
OMBUDSMAN
.
There
is
appropriated
from
the
general
fund
of
10
the
state
to
the
office
of
long-term
care
resident’s
advocate
11
ombudsman
for
the
fiscal
year
beginning
July
1,
2014,
and
12
ending
June
30,
2015,
the
following
amount,
or
so
much
thereof
13
as
is
necessary,
to
be
used
for
the
purposes
designated:
14
For
salaries,
support,
administration,
maintenance,
and
15
miscellaneous
purposes,
and
for
not
more
than
the
following
16
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
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.
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.
.
$
510,854
18
821,707
19
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.
FTEs
13.00
20
11.00
21
2.
Of
the
funds
appropriated
in
this
section,
$105,000
22
$210,000
shall
be
used
to
provide
two
local
long-term
care
23
resident’s
advocates
ombudsmen
to
administer
the
certified
24
volunteer
long-term
care
resident’s
advocates
ombudsman
program
25
pursuant
to
section
231.45
,
including
operational
certification
26
and
training
costs.
27
DIVISION
III
28
DEPARTMENT
OF
PUBLIC
HEALTH
29
Sec.
3.
2013
Iowa
Acts,
chapter
138,
section
133,
is
amended
30
to
read
as
follows:
31
SEC.
133.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
32
appropriated
from
the
general
fund
of
the
state
to
the
33
department
of
public
health
for
the
fiscal
year
beginning
July
34
1,
2014,
and
ending
June
30,
2015,
the
following
amounts,
or
35
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so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
1
designated:
2
1.
ADDICTIVE
DISORDERS
3
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
4
other
drugs,
and
treating
individuals
affected
by
addictive
5
behaviors,
including
gambling,
and
for
not
more
than
the
6
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
$
13,581,845
8
27,088,690
9
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.
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.
FTEs
13.00
10.00
10
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
11
$2,574,181
$5,073,361
shall
be
used
for
the
tobacco
use
12
prevention
and
control
initiative,
including
efforts
at
the
13
state
and
local
levels,
as
provided
in
chapter
142A
.
The
14
commission
on
tobacco
use
prevention
and
control
established
15
pursuant
to
section
142A.3
shall
advise
the
director
of
16
public
health
in
prioritizing
funding
needs
and
the
allocation
17
of
moneys
appropriated
for
the
programs
and
activities
of
18
the
initiative
under
this
subparagraph
(1)
and
shall
make
19
recommendations
to
the
director
in
the
development
of
budget
20
requests
relating
to
the
initiative.
21
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$37,500
22
shall
be
used
to
develop
a
social
media
structure
to
engage
23
youth
and
prevent
youth
initiation
of
tobacco
use.
Of
the
24
amount
allocated
in
this
subparagraph
(2),
$12,500
$25,000
25
shall
be
used
for
a
youth
summit.
26
(3)
Of
the
funds
allocated
in
this
paragraph
“a”,
$100,000
27
$200,000
shall
be
used
to
increase
the
efficacy
of
local
28
tobacco
control
efforts
by
community
partnerships,
including
29
through
professional
development,
regional
trainings
and
round
30
table
planning
efforts,
and
a
training
opportunity
involving
31
all
community
partnerships.
32
(4)
Of
the
funds
allocated
in
this
paragraph
“a”,
$600,000
33
$1,950,000
shall
be
used
to
promote
smoking
cessation
and
to
34
reduce
the
number
of
tobacco
users
in
the
state
by
offering
35
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nicotine
replacement
therapy
to
uninsured
and
underinsured
1
Iowans.
2
(5)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
3
$226,534
$453,067
is
transferred
to
the
alcoholic
beverages
4
division
of
the
department
of
commerce
for
enforcement
of
5
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
6
tobacco
control
activities
approved
by
the
division
of
tobacco
7
use
prevention
and
control
as
specified
in
the
memorandum
of
8
understanding
entered
into
between
the
divisions.
9
(b)
For
the
fiscal
year
beginning
July
1,
2014,
and
ending
10
June
30,
2015,
the
terms
of
the
memorandum
of
understanding,
11
entered
into
between
the
division
of
tobacco
use
prevention
12
and
control
of
the
department
of
public
health
and
the
13
alcoholic
beverages
division
of
the
department
of
commerce,
14
governing
compliance
checks
conducted
to
ensure
licensed
retail
15
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
16
ordinances
relating
to
persons
under
eighteen
years
of
age,
17
shall
continue
to
restrict
the
number
of
such
checks
to
one
18
check
per
retail
outlet,
and
one
additional
check
for
any
19
retail
outlet
found
to
be
in
violation
during
the
first
check.
20
b.
Of
the
funds
appropriated
in
this
subsection,
21
$11,007,665
$22,015,329
shall
be
used
for
problem
gambling
and
22
substance-related
disorder
prevention,
treatment,
and
recovery
23
services,
including
a
24-hour
helpline,
public
information
24
resources,
professional
training,
and
program
evaluation.
25
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$9,451,858
26
$18,903,715
shall
be
used
for
substance-related
disorder
27
prevention
and
treatment.
28
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
29
$449,650
$899,300
shall
be
used
for
the
public
purpose
of
a
30
grant
program
to
provide
substance-related
disorder
prevention
31
programming
for
children.
32
(i)
Of
the
funds
allocated
in
this
subparagraph
division
33
(a),
$213,770
$427,539
shall
be
used
for
grant
funding
for
34
organizations
that
provide
programming
for
children
by
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utilizing
mentors.
Programs
approved
for
such
grants
shall
be
1
certified
or
will
be
certified
within
six
months
of
receiving
2
the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
3
utilizing
the
standards
for
effective
practice
for
mentoring
4
programs.
5
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
6
(a),
$213,420
$426,839
shall
be
used
for
grant
funding
for
7
organizations
that
provide
programming
that
includes
youth
8
development
and
leadership.
The
programs
shall
also
be
9
recognized
as
being
programs
that
are
scientifically
based
with
10
evidence
of
their
effectiveness
in
reducing
substance-related
11
disorders
in
children.
12
(iii)
The
department
of
public
health
shall
utilize
a
13
request
for
proposals
process
to
implement
the
grant
program.
14
(iv)
All
grant
recipients
shall
participate
in
a
program
15
evaluation
as
a
requirement
for
receiving
grant
funds.
16
(v)
Of
the
funds
allocated
in
this
subparagraph
division
17
(a),
up
to
$22,461
$44,922
may
be
used
to
administer
18
substance-related
disorder
prevention
grants
and
for
program
19
evaluations.
20
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
21
$136,302
$272,603
shall
be
used
for
culturally
competent
22
substance-related
disorder
treatment
pilot
projects.
23
(i)
The
department
shall
utilize
the
amount
allocated
24
in
this
subparagraph
division
(b)
for
at
least
three
pilot
25
projects
to
provide
culturally
competent
substance-related
26
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
27
project
shall
target
a
particular
ethnic
minority
population.
28
The
populations
targeted
shall
include
but
are
not
limited
to
29
African
American,
Asian,
and
Latino.
30
(ii)
The
pilot
project
requirements
shall
provide
for
31
documentation
or
other
means
to
ensure
access
to
the
cultural
32
competence
approach
used
by
a
pilot
project
so
that
such
33
approach
can
be
replicated
and
improved
upon
in
successor
34
programs.
35
-6-
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2463
(3)
85
pf/jp/md
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90
H.F.
2463
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
1
to
$1,555,807
$3,111,614
may
be
used
for
problem
gambling
2
prevention,
treatment,
and
recovery
services.
3
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
4
$1,286,881
$2,573,762
shall
be
used
for
problem
gambling
5
prevention
and
treatment.
6
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
7
$218,926
$437,852
may
be
used
for
a
24-hour
helpline,
public
8
information
resources,
professional
training,
and
program
9
evaluation.
10
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
11
to
$50,000
$100,000
may
be
used
for
the
licensing
of
problem
12
gambling
treatment
programs.
13
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
14
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
15
diagnosis
of
substance-related
disorder
and
gambling
addiction
16
shall
be
given
priority
in
treatment
services.
17
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
18
to
standardize
the
availability,
delivery,
cost
of
delivery,
19
and
accountability
of
problem
gambling
and
substance-related
20
disorder
treatment
services
statewide,
the
department
shall
21
continue
implementation
of
a
process
to
create
a
system
22
for
delivery
of
treatment
services
in
accordance
with
the
23
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
24
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
25
of
treatment
services
that
best
meets
the
needs
of
Iowans,
26
the
problem
gambling
and
substance-related
disorder
treatment
27
services
in
any
area
may
be
provided
either
by
a
single
agency
28
or
by
separate
agencies
submitting
a
joint
proposal.
29
(1)
The
system
for
delivery
of
substance-related
disorder
30
and
problem
gambling
treatment
shall
include
problem
gambling
31
prevention.
32
(2)
The
system
for
delivery
of
substance-related
disorder
33
and
problem
gambling
treatment
shall
include
substance-related
34
disorder
prevention
by
July
1,
2015.
35
-7-
HF
2463
(3)
85
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90
H.F.
2463
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
1
may
use
up
to
$50,000
$100,000
for
administrative
costs
to
2
continue
developing
and
implementing
the
process
in
accordance
3
with
this
paragraph
“c”.
4
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
5
by
the
appropriations
and
allocations
made
in
this
2014
Act
for
6
purposes
of
substance-related
disorder
treatment
and
addictive
7
disorders
for
the
fiscal
year
beginning
July
1,
2014.
8
e.
The
department
of
public
health
shall
work
with
all
9
other
departments
that
fund
substance-related
disorder
10
prevention
and
treatment
services
and
all
such
departments
11
shall,
to
the
extent
necessary,
collectively
meet
the
state
12
maintenance
of
effort
requirements
for
expenditures
for
13
substance-related
disorder
services
as
required
under
the
14
federal
substance-related
disorder
prevention
and
treatment
15
block
grant.
16
2.
HEALTHY
CHILDREN
AND
FAMILIES
17
For
promoting
the
optimum
health
status
for
children,
18
adolescents
from
birth
through
21
years
of
age,
and
families,
19
and
for
not
more
than
the
following
full-time
equivalent
20
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,826,780
22
3,671,602
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
12.00
24
a.
Of
the
funds
appropriated
in
this
subsection,
not
25
more
than
$367,421
$734,841
shall
be
used
for
the
healthy
26
opportunities
for
parents
to
experience
success
(HOPES)-healthy
27
families
Iowa
(HFI)
program
established
pursuant
to
section
28
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
29
that
were
provided
to
the
grantees
that
operated
the
program
30
during
the
fiscal
year
ending
June
30,
2014.
31
b.
In
order
to
implement
the
legislative
intent
stated
in
32
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
33
program
funding
be
given
to
programs
using
evidence-based
or
34
promising
models
for
home
visitation,
it
is
the
intent
of
the
35
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90
H.F.
2463
general
assembly
to
phase
in
the
funding
priority
in
accordance
1
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
2
paragraph
0b.
3
c.
Of
the
funds
appropriated
in
this
subsection,
$663,944
4
$1,327,887
shall
be
used
to
continue
the
department’s
5
initiative
to
provide
for
adequate
developmental
surveillance
6
and
screening
during
a
child’s
first
five
years
statewide.
The
7
funds
shall
be
used
first
to
fully
fund
the
current
sites
to
8
ensure
that
the
sites
are
fully
operational,
with
the
remaining
9
funds
to
be
used
for
expansion
to
additional
sites.
The
full
10
implementation
and
expansion
shall
include
enhancing
the
scope
11
of
the
program
through
collaboration
with
the
child
health
12
specialty
clinics
to
promote
healthy
child
development
through
13
early
identification
and
response
to
both
biomedical
and
social
14
determinants
of
healthy
development;
by
developing
child
15
health
metrics
to
inform
practice,
document
long-term
health
16
impacts
and
savings,
and
provide
for
continuous
improvement
17
through
training,
education,
and
evaluation;
and
by
providing
18
for
practitioner
consultation
particularly
for
children
with
19
behavioral
conditions
and
needs.
The
department
of
public
20
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
21
and
the
child
health
specialty
clinics
to
integrate
the
22
activities
of
the
first
five
initiative
into
the
establishment
23
of
patient-centered
medical
homes,
community
utilities,
24
accountable
care
organizations,
and
other
integrated
care
25
models
developed
to
improve
health
quality
and
population
26
health
while
reducing
health
care
costs.
To
the
maximum
extent
27
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
28
as
matching
funds
for
medical
assistance
program
reimbursement.
29
d.
Of
the
funds
appropriated
in
this
subsection,
$15,799
30
$74,640
shall
be
distributed
to
a
statewide
dental
carrier
to
31
provide
funds
to
continue
the
donated
dental
services
program
32
patterned
after
the
projects
developed
by
the
lifeline
network
33
to
provide
dental
services
to
indigent
elderly
and
disabled
34
individuals.
35
-9-
HF
2463
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85
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90
H.F.
2463
e.
Of
the
funds
appropriated
in
this
subsection,
$55,998
1
$111,995
shall
be
used
for
childhood
obesity
prevention.
2
f.
Of
the
funds
appropriated
in
this
subsection,
$81,384
3
$137,768
shall
be
used
to
provide
audiological
services
and
4
hearing
aids
for
children.
The
department
may
enter
into
a
5
contract
to
administer
this
paragraph.
6
g.
Of
the
funds
appropriated
in
this
subsection,
$12,500
7
$25,000
is
transferred
to
the
university
of
Iowa
college
of
8
dentistry
for
provision
of
primary
dental
services
to
children.
9
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
10
The
university
of
Iowa
college
of
dentistry
shall
coordinate
11
efforts
with
the
department
of
public
health,
bureau
of
12
oral
and
health
delivery
systems,
to
provide
dental
care
to
13
underserved
populations
throughout
the
state.
14
h.
Of
the
funds
appropriated
in
this
subsection,
$25,000
15
$50,000
shall
be
used
to
address
youth
suicide
prevention.
16
i.
The
university
of
Iowa
college
of
dentistry
shall
17
develop
and
submit
a
proposal
by
December
15,
2014,
to
the
18
individuals
identified
in
this
Act
for
submission
of
reports
19
and
to
the
chairpersons
and
ranking
members
of
the
joint
20
appropriations
subcommittee
on
education
to
offer
a
residency
21
program
in
geriatric
dentistry
that
prepares
dentists
with
22
the
specific
skills
needed
to
treat
geriatric
patients
and
23
provides
incentives
for
the
participants
to
remain
in
the
24
state
to
practice
dentistry
upon
completion
of
the
program.
25
The
proposal
shall
include
at
a
minimum,
the
curriculum
to
26
be
utilized,
the
number
of
residency
positions
to
be
made
27
available,
the
incentives
for
participants
to
practice
28
dentistry
in
the
state
upon
completion
of
the
residency,
the
29
projected
cost
of
the
program,
and
any
potential
funding
30
sources.
31
3.
CHRONIC
CONDITIONS
32
For
serving
individuals
identified
as
having
chronic
33
conditions
or
special
health
care
needs,
and
for
not
more
than
34
the
following
full-time
equivalent
positions:
35
-10-
HF
2463
(3)
85
pf/jp/md
10/
90
H.F.
2463
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,540,346
1
5,040,692
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
6.00
5.00
3
a.
Of
the
funds
appropriated
in
this
subsection,
$79,966
4
$159,932
shall
be
used
for
grants
to
individual
patients
5
who
have
phenylketonuria
(PKU)
to
assist
with
the
costs
of
6
necessary
special
foods.
7
b.
Of
the
funds
appropriated
in
this
subsection,
$445,822
8
$891,644
shall
be
used
for
the
brain
injury
services
program
9
pursuant
to
section
135.22B
,
including
for
continuation
of
the
10
contracts
for
resource
facilitator
services
in
accordance
with
11
section
135.22B,
subsection
9
,
and
to
enhance
brain
injury
12
training
and
recruitment
of
service
providers
on
a
statewide
13
basis.
Of
the
amount
allocated
in
this
paragraph,
$47,500
14
shall
be
used
to
fund
one
full-time
equivalent
position
to
15
serve
as
the
state
brain
injury
service
program
manager.
16
c.
Of
the
funds
appropriated
in
this
subsection,
$273,991
17
$547,982
shall
be
used
as
additional
funding
to
leverage
18
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
19
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
20
grants.
21
d.
Of
the
funds
appropriated
in
this
subsection,
$49,912
22
$99,823
shall
be
used
for
the
public
purpose
of
continuing
to
23
contract
with
an
existing
national-affiliated
organization
24
to
provide
education,
client-centered
programs,
and
client
25
and
family
support
for
people
living
with
epilepsy
and
their
26
families.
27
e.
Of
the
funds
appropriated
in
this
subsection,
$392,557
28
$785,114
shall
be
used
for
child
health
specialty
clinics.
29
f.
Of
the
funds
appropriated
in
this
subsection,
30
$200,000
$400,000
shall
be
used
by
the
regional
autism
31
assistance
program
established
pursuant
to
section
256.35
,
32
and
administered
by
the
child
health
specialty
clinic
located
33
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
34
shall
be
used
to
enhance
interagency
collaboration
and
35
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2463
coordination
of
educational,
medical,
and
other
human
services
1
for
persons
with
autism,
their
families,
and
providers
of
2
services,
including
delivering
regionalized
services
of
care
3
coordination,
family
navigation,
and
integration
of
services
4
through
the
statewide
system
of
regional
child
health
specialty
5
clinics
and
fulfilling
other
requirements
as
specified
in
6
chapter
225D
,
creating
the
autism
support
program,
as
enacted
7
in
this
Act
.
The
university
of
Iowa
shall
not
receive
funds
8
allocated
under
this
paragraph
for
indirect
costs
associated
9
with
the
regional
autism
assistance
program.
10
g.
Of
the
funds
appropriated
in
this
subsection,
$285,497
11
$570,993
shall
be
used
for
the
comprehensive
cancer
control
12
program
to
reduce
the
burden
of
cancer
in
Iowa
through
13
prevention,
early
detection,
effective
treatment,
and
ensuring
14
quality
of
life.
Of
the
funds
allocated
in
this
lettered
15
paragraph,
$75,000
$150,000
shall
be
used
to
support
a
melanoma
16
research
symposium,
a
melanoma
biorepository
and
registry,
17
basic
and
translational
melanoma
research,
and
clinical
trials.
18
h.
Of
the
funds
appropriated
in
this
subsection,
$63,225
19
$126,450
shall
be
used
for
cervical
and
colon
cancer
screening,
20
and
$250,000
$500,000
shall
be
used
to
enhance
the
capacity
21
of
the
cervical
cancer
screening
program
to
include
provision
22
of
recommended
prevention
and
early
detection
measures
to
a
23
broader
range
of
low-income
women.
24
i.
Of
the
funds
appropriated
in
this
subsection,
$263,348
25
$526,695
shall
be
used
for
the
center
for
congenital
and
26
inherited
disorders.
27
j.
Of
the
funds
appropriated
in
this
subsection,
$64,706
28
$129,411
shall
be
used
for
the
prescription
drug
donation
29
repository
program
created
in
chapter
135M
.
30
k.
Of
the
funds
appropriated
in
this
subsection,
$107,632
31
$175,263
shall
be
used
for
the
costs
of
the
medical
home
system
32
advisory
council
established
pursuant
to
section
135.159
33
including
incorporation
of
the
development
and
implementation
34
of
the
prevention
and
chronic
care
management
state
initiative.
35
-12-
HF
2463
(3)
85
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90
H.F.
2463
4.
COMMUNITY
CAPACITY
1
For
strengthening
the
health
care
delivery
system
at
the
2
local
level,
and
for
not
more
than
the
following
full-time
3
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,281,309
5
9,284,436
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
18.25
11.00
7
a.
Of
the
funds
appropriated
in
this
subsection,
$49,707
8
$99,414
is
allocated
for
continuation
of
the
child
vision
9
screening
program
implemented
through
the
university
of
Iowa
10
hospitals
and
clinics
in
collaboration
with
early
childhood
11
Iowa
areas.
The
program
shall
submit
a
report
to
the
12
individuals
identified
in
this
Act
for
submission
of
reports
13
regarding
the
use
of
funds
allocated
under
this
paragraph
14
“a”.
The
report
shall
include
the
objectives
and
results
for
15
the
program
year
including
the
target
population
and
how
the
16
funds
allocated
assisted
the
program
in
meeting
the
objectives;
17
the
number,
age,
and
location
within
the
state
of
individuals
18
served;
the
type
of
services
provided
to
the
individuals
19
served;
the
distribution
of
funds
based
on
service
provided;
20
and
the
continuing
needs
of
the
program.
21
b.
Of
the
funds
appropriated
in
this
subsection,
$55,328
22
$110,656
is
allocated
for
continuation
of
an
initiative
23
implemented
at
the
university
of
Iowa
and
$49,952
$99,904
24
is
allocated
for
continuation
of
an
initiative
at
the
state
25
mental
health
institute
at
Cherokee
to
expand
and
improve
the
26
workforce
engaged
in
mental
health
treatment
and
services.
27
The
initiatives
shall
receive
input
from
the
university
of
28
Iowa,
the
department
of
human
services,
the
department
of
29
public
health,
and
the
mental
health
and
disability
services
30
commission
to
address
the
focus
of
the
initiatives.
31
c.
Of
the
funds
appropriated
in
this
subsection,
$582,314
32
$1,164,628
shall
be
used
for
essential
public
health
services
33
that
promote
healthy
aging
throughout
the
lifespan,
contracted
34
through
a
formula
for
local
boards
of
health,
to
enhance
health
35
-13-
HF
2463
(3)
85
pf/jp/md
13/
90
H.F.
2463
promotion
and
disease
prevention
services.
1
d.
Of
the
funds
appropriated
in
this
section,
$49,643
2
$99,286
shall
be
deposited
in
the
governmental
public
health
3
system
fund
created
in
section
135A.8
to
be
used
for
the
4
purposes
of
the
fund.
5
e.
Of
the
funds
appropriated
in
this
subsection,
$52,724
6
$105,448
shall
be
used
to
continue
to
address
the
shortage
of
7
mental
health
professionals
in
the
state.
8
f.
Of
the
funds
appropriated
in
this
subsection,
$25,000
9
$50,000
shall
be
used
for
a
grant
to
a
statewide
association
10
of
psychologists
that
is
affiliated
with
the
American
11
psychological
association
to
be
used
for
continuation
of
a
12
program
to
rotate
intern
psychologists
in
placements
in
urban
13
and
rural
mental
health
professional
shortage
areas,
as
defined
14
in
section
135.180
.
15
g.
Of
the
funds
appropriated
in
this
subsection,
the
16
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
17
safety
net
provider
network
established
pursuant
to
section
18
135.153
to
be
used
for
the
purposes
designated.
The
following
19
amounts
allocated
under
this
lettered
paragraph
shall
be
20
distributed
to
the
specified
provider
and
shall
not
be
reduced
21
for
administrative
or
other
costs
prior
to
distribution:
22
(1)
For
distribution
to
the
Iowa
primary
care
association
23
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
24
provider
network:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
72,893
26
145,785
27
(2)
For
distribution
to
the
Iowa
primary
care
association
28
to
be
used
to
continue
a
training
program
for
sexual
assault
29
response
team
(SART)
members,
including
representatives
of
30
law
enforcement,
victim
advocates,
prosecutors,
and
certified
31
medical
personnel:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
33
50,000
34
(3)
For
distribution
to
federally
qualified
health
centers
35
-14-
HF
2463
(3)
85
pf/jp/md
14/
90
H.F.
2463
for
necessary
infrastructure,
statewide
coordination,
provider
1
recruitment,
service
delivery,
and
provision
of
assistance
to
2
patients
in
securing
a
medical
home
inclusive
of
oral
health
3
care:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
37,500
5
75,000
6
(4)
For
distribution
to
the
local
boards
of
health
that
7
provide
direct
services
for
pilot
programs
in
three
counties
to
8
assist
patients
in
securing
a
medical
home
inclusive
of
oral
9
health
care:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,577
11
77,153
12
(5)
For
distribution
to
maternal
and
child
health
centers
13
for
pilot
programs
in
three
service
areas
to
assist
patients
in
14
securing
a
medical
home
inclusive
of
oral
health
care:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,563
16
95,126
17
(6)
For
distribution
to
free
clinics
for
necessary
18
infrastructure,
statewide
coordination,
provider
recruitment,
19
service
delivery,
and
provision
of
assistance
to
patients
in
20
securing
a
medical
home
inclusive
of
oral
health
care:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
174,161
22
348,322
23
(7)
For
distribution
to
rural
health
clinics
for
necessary
24
infrastructure,
statewide
coordination,
provider
recruitment,
25
service
delivery,
and
provision
of
assistance
to
patients
in
26
securing
a
medical
home
inclusive
of
oral
health
care:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
70,772
28
141,544
29
(8)
For
continuation
of
the
safety
net
provider
patient
30
access
to
a
specialty
health
care
initiative
as
described
in
31
2007
Iowa
Acts,
chapter
218,
section
109
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
189,237
33
(9)
For
continuation
of
the
pharmaceutical
infrastructure
34
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
35
-15-
HF
2463
(3)
85
pf/jp/md
15/
90
H.F.
2463
chapter
218,
section
108:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
206,708
2
413,415
3
The
Iowa
collaborative
safety
net
provider
network
may
4
continue
to
distribute
funds
allocated
pursuant
to
this
5
lettered
paragraph
through
existing
contracts
or
renewal
of
6
existing
contracts.
7
The
Iowa
collaborative
safety
net
provider
network
may
8
continue
to
distribute
funds
allocated
pursuant
to
this
9
lettered
paragraph
through
existing
contracts
or
renewal
of
10
existing
contracts.
11
h.
Of
the
funds
appropriated
in
this
subsection,
$87,950
12
$175,900
shall
be
used
for
continuation
of
the
work
of
the
13
direct
care
worker
advisory
council
established
pursuant
to
14
2008
Iowa
Acts,
chapter
1188,
section
69,
in
implementing
the
15
recommendations
in
the
final
report
submitted
by
the
advisory
16
council
to
the
governor
and
the
general
assembly
in
March
2012.
17
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
18
$89,438
$178,875
shall
be
used
for
allocation
to
an
independent
19
statewide
direct
care
worker
organization
under
continuation
20
of
the
contract
in
effect
during
the
fiscal
year
ending
June
21
30,
2013
2014
,
with
terms
determined
by
the
director
of
public
22
health
relating
to
education,
outreach,
leadership
development,
23
mentoring,
and
other
initiatives
intended
to
enhance
the
24
recruitment
and
retention
of
direct
care
workers
in
health
care
25
and
long-term
care
settings.
26
(2)
Of
the
funds
appropriated
in
this
subsection,
$37,500
27
$75,000
shall
be
used
to
provide
scholarships
or
other
forms
of
28
subsidization
for
direct
care
worker
educational
conferences,
29
training,
or
outreach
activities.
30
j.
Of
the
funds
appropriated
in
this
subsection,
the
31
department
may
use
up
to
$29,088
$58,175
for
up
to
one
32
full-time
equivalent
position
to
administer
the
volunteer
33
health
care
provider
program
pursuant
to
section
135.24
.
34
k.
Of
the
funds
appropriated
in
this
subsection,
$24,854
35
-16-
HF
2463
(3)
85
pf/jp/md
16/
90
H.F.
2463
$50,000
shall
be
used
for
a
matching
dental
education
loan
1
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
2
service
corporation
to
develop
the
criteria
and
implement
the
3
loan
repayment
program.
4
l.
Of
the
funds
appropriated
in
this
subsection,
$52,912
5
$105,823
is
transferred
to
the
college
student
aid
commission
6
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
7
in
section
261.113
to
be
used
for
the
purposes
of
the
fund.
8
m.
Of
the
funds
appropriated
in
this
subsection,
$75,000
9
$150,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
10
registry
as
specified
in
section
142C.18
.
11
n.
Of
the
funds
appropriated
in
this
subsection,
$50,000
12
$100,000
shall
be
used
for
continuation
of
a
grant
to
a
13
nationally
affiliated
volunteer
eye
organization
that
has
an
14
established
program
for
children
and
adults
and
that
is
solely
15
dedicated
to
preserving
sight
and
preventing
blindness
through
16
education,
nationally
certified
vision
screening
and
training,
17
and
community
and
patient
service
programs.
The
organization
18
shall
submit
a
report
to
the
individuals
identified
in
this
19
Act
for
submission
of
reports
regarding
the
use
of
funds
20
allocated
under
this
paragraph
“n”.
The
report
shall
include
21
the
objectives
and
results
for
the
program
year
including
22
the
target
population
and
how
the
funds
allocated
assisted
23
the
program
in
meeting
the
objectives;
the
number,
age,
and
24
location
within
the
state
of
individuals
served;
the
type
of
25
services
provided
to
the
individuals
served;
the
distribution
26
of
funds
based
on
services
provided;
and
the
continuing
needs
27
of
the
program.
28
o.
Of
the
funds
appropriated
in
this
subsection,
$12,500
29
$25,000
shall
be
used
for
the
establishment
continuation
of
a
30
wellness
council
under
the
direction
of
the
director
of
public
31
health
to
increase
support
for
wellness
activities
in
the
32
state.
33
p.
Of
the
funds
appropriated
in
this
section,
$579,075
34
$1,158,150
is
allocated
to
the
Iowa
collaborative
safety
net
35
-17-
HF
2463
(3)
85
pf/jp/md
17/
90
H.F.
2463
provider
network
established
pursuant
to
section
135.153
to
1
be
used
for
the
continued
development
and
implementation
of
a
2
statewide
regionally
based
network
to
provide
an
integrated
3
approach
to
health
care
delivery
through
care
coordination
4
that
supports
primary
care
providers
and
links
patients
with
5
community
resources
necessary
to
empower
patients
in
addressing
6
biomedical
and
social
determinants
of
health
to
improve
health
7
outcomes.
The
Iowa
collaborative
safety
net
provider
network
8
shall
work
in
conjunction
with
the
department
of
human
services
9
to
align
the
integrated
network
with
the
health
care
delivery
10
system
model
developed
under
the
state
innovation
models
11
initiative
grant.
The
Iowa
collaborative
safety
net
provider
12
network
shall
submit
a
progress
report
to
the
individuals
13
designated
in
this
Act
for
submission
of
reports
by
December
14
31,
2014,
including
progress
in
developing
and
implementing
the
15
network,
how
the
funds
were
distributed
and
used
in
developing
16
and
implementing
the
network,
and
the
remaining
needs
in
17
developing
and
implementing
the
network.
18
q.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
19
$3,000,000
shall
be
deposited
in
the
medical
residency
20
training
account
created
in
section
135.175,
subsection
5,
21
paragraph
“a”
,
and
is
appropriated
from
the
account
to
the
22
department
of
public
health
to
be
used
for
the
purposes
of
23
the
medical
residency
training
state
matching
grants
program
24
as
specified
in
section
135.176
.
However,
notwithstanding
25
any
provision
to
the
contrary
in
section
135.176,
priority
26
in
the
awarding
of
grants
shall
be
given
to
new
residency
27
programs
and
the
expansion
of
existing
residency
programs
which
28
propose
expansion
of
psychiatric
residency
positions
and
family
29
practice
residency
positions.
30
r.
Of
the
funds
appropriated
in
this
section,
$25,000
31
$50,000
shall
be
distributed
to
a
statewide
nonprofit
32
organization
to
be
used
for
the
public
purpose
of
supporting
33
a
partnership
between
medical
providers
and
parents
through
34
community
health
centers
to
promote
reading
and
encourage
35
-18-
HF
2463
(3)
85
pf/jp/md
18/
90
H.F.
2463
literacy
skills
so
children
enter
school
prepared
for
success
1
in
reading.
2
t.
Of
the
funds
appropriated
in
this
subsection,
$100,000
3
shall
be
transferred
to
the
university
of
Iowa
hospitals
4
and
clinics
to
implement
a
collaborative
care
model
between
5
psychiatry
and
primary
care
practices
that
will
improve
mental
6
health
care
in
Iowa.
The
university
of
Iowa
hospitals
and
7
clinics
shall
submit
a
report
by
December
15,
2014,
to
the
8
individuals
identified
in
this
Act
for
submission
of
reports
on
9
the
progress
of
implementation
of
the
collaborative
model.
10
5.
HEALTHY
AGING
11
To
provide
public
health
services
that
reduce
risks
and
12
invest
in
promoting
and
protecting
good
health
over
the
13
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
14
vulnerable
populations:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
16
7,297,142
17
6.
ENVIRONMENTAL
HAZARDS
18
For
reducing
the
public’s
exposure
to
hazards
in
the
19
environment,
primarily
chemical
hazards,
and
for
not
more
than
20
the
following
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
401,935
22
803,870
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
24
Of
the
funds
appropriated
in
this
subsection,
$268,875
25
$537,750
shall
be
used
for
childhood
lead
poisoning
provisions.
26
7.
INFECTIOUS
DISEASES
27
For
reducing
the
incidence
and
prevalence
of
communicable
28
diseases,
and
for
not
more
than
the
following
full-time
29
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,578
31
1,335,155
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
33
8.
PUBLIC
PROTECTION
34
For
protecting
the
health
and
safety
of
the
public
through
35
-19-
HF
2463
(3)
85
pf/jp/md
19/
90
H.F.
2463
establishing
standards
and
enforcing
regulations,
and
for
not
1
more
than
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,639,386
3
3,420,027
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
131.00
5
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
6
than
$227,350
$454,700
shall
be
credited
to
the
emergency
7
medical
services
fund
created
in
section
135.25
.
Moneys
in
8
the
emergency
medical
services
fund
are
appropriated
to
the
9
department
to
be
used
for
the
purposes
of
the
fund.
10
b.
Of
the
funds
appropriated
in
this
subsection,
$101,516
11
$203,032
shall
be
used
for
sexual
violence
prevention
12
programming
through
a
statewide
organization
representing
13
programs
serving
victims
of
sexual
violence
through
the
14
department’s
sexual
violence
prevention
program.
The
amount
15
allocated
in
this
lettered
paragraph
shall
not
be
used
to
16
supplant
funding
administered
for
other
sexual
violence
17
prevention
or
victims
assistance
programs.
18
c.
Of
the
funds
appropriated
in
this
subsection,
$299,376
19
$598,751
shall
be
used
for
the
state
poison
control
center.
20
At
such
time
as
the
department
of
human
services
receives
21
approval
from
the
centers
for
Medicare
and
Medicaid
services
22
of
the
United
States
department
of
health
and
human
services
23
to
implement
a
new
health
services
initiative
under
the
24
federal
Children’s
Health
Insurance
Program
Reauthorization
25
Act
of
2009,
Pub.
L.
No.
111-3,
to
provide
funding
for
the
26
state
poison
control
center
as
directed
in
this
2014
Act,
27
and
notifies
the
department
of
public
health,
the
department
28
of
public
health
shall
transfer
from
the
allocation
made
in
29
this
paragraph
“c”
,
an
amount
sufficient
to
provide
the
state
30
matching
funds
necessary
to
draw
down
the
maximum
federal
31
matching
funds
available
for
that
purpose.
32
d.
Of
the
funds
appropriated
in
this
subsection,
$50,000
33
shall
be
used
for
community
fluoridation
education.
34
9.
RESOURCE
MANAGEMENT
35
-20-
HF
2463
(3)
85
pf/jp/md
20/
90
H.F.
2463
For
establishing
and
sustaining
the
overall
ability
of
the
1
department
to
deliver
services
to
the
public,
and
for
not
more
2
than
the
following
full-time
equivalent
positions:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
402,027
4
855,072
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
4.00
6
The
university
of
Iowa
hospitals
and
clinics
under
the
7
control
of
the
state
board
of
regents
shall
not
receive
8
indirect
costs
from
the
funds
appropriated
in
this
section.
9
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
10
department
shall
be
on
at
least
a
quarterly
basis.
11
DIVISION
IV
12
VETERANS
13
Sec.
4.
2013
Iowa
Acts,
chapter
138,
section
134,
is
amended
14
to
read
as
follows:
15
SEC.
134.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
16
appropriated
from
the
general
fund
of
the
state
to
the
17
department
of
veterans
affairs
for
the
fiscal
year
beginning
18
July
1,
2014,
and
ending
June
30,
2015,
the
following
amounts,
19
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
20
designated:
21
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
22
For
salaries,
support,
maintenance,
and
miscellaneous
23
purposes,
and
for
not
more
than
the
following
full-time
24
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
546,754
26
1,095,951
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
28
2.
IOWA
VETERANS
HOME
29
For
salaries,
support,
maintenance,
and
miscellaneous
30
purposes:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,762,857
32
7,594,996
33
a.
The
Iowa
veterans
home
billings
involving
the
department
34
of
human
services
shall
be
submitted
to
the
department
on
at
35
-21-
HF
2463
(3)
85
pf/jp/md
21/
90
H.F.
2463
least
a
monthly
basis.
1
b.
If
there
is
a
change
in
the
employer
of
employees
2
providing
services
at
the
Iowa
veterans
home
under
a
collective
3
bargaining
agreement,
such
employees
and
the
agreement
shall
4
be
continued
by
the
successor
employer
as
though
there
had
not
5
been
a
change
in
employer.
6
c.
Within
available
resources
and
in
conformance
with
7
associated
state
and
federal
program
eligibility
requirements,
8
the
Iowa
veterans
home
may
implement
measures
to
provide
9
financial
assistance
to
or
on
behalf
of
veterans
or
their
10
spouses
who
are
participating
in
the
community
reentry
program.
11
e.
The
Iowa
veterans
home
expenditure
report
shall
be
12
submitted
monthly
to
the
legislative
services
agency.
13
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
14
For
transfer
to
the
Iowa
finance
authority
for
the
15
continuation
of
the
home
ownership
assistance
program
for
16
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
17
the
United
States,
pursuant
to
section
16.54
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
800,000
19
2,500,000
20
Sec.
5.
2013
Iowa
Acts,
chapter
138,
section
135,
is
amended
21
to
read
as
follows:
22
SEC.
135.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
23
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
24
standing
appropriation
in
the
following
designated
section
for
25
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
26
2015,
the
amounts
amount
appropriated
from
the
general
fund
of
27
the
state
pursuant
to
that
section
for
the
following
designated
28
purposes
shall
not
exceed
the
following
amount:
29
For
the
county
commissions
of
veteran
affairs
fund
under
30
section
35A.16
:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
32
990,000
33
DIVISION
V
34
DEPARTMENT
OF
HUMAN
SERVICES
35
-22-
HF
2463
(3)
85
pf/jp/md
22/
90
H.F.
2463
Sec.
6.
2013
Iowa
Acts,
chapter
138,
section
136,
is
amended
1
to
read
as
follows:
2
SEC.
136.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
3
GRANT.
There
is
appropriated
from
the
fund
created
in
section
4
8.41
to
the
department
of
human
services
for
the
fiscal
year
5
beginning
July
1,
2014,
and
ending
June
30,
2015,
from
moneys
6
received
under
the
federal
temporary
assistance
for
needy
7
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
8
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
9
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
10
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purposes
designated:
12
1.
To
be
credited
to
the
family
investment
program
account
13
and
used
for
assistance
under
the
family
investment
program
14
under
chapter
239B
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,058,474
16
9,879,488
17
2.
To
be
credited
to
the
family
investment
program
account
18
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
19
program
and
implementing
family
investment
agreements
in
20
accordance
with
chapter
239B
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,933,220
22
11,091,911
23
3.
To
be
used
for
the
family
development
and
24
self-sufficiency
grant
program
in
accordance
with
section
25
216A.107
:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
27
2,898,980
28
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
29
subsection
that
remain
unencumbered
or
unobligated
at
the
close
30
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
31
for
expenditure
for
the
purposes
designated
until
the
close
of
32
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
33
encumbered
or
obligated
on
or
before
September
30,
2015,
the
34
moneys
shall
revert.
35
-23-
HF
2463
(3)
85
pf/jp/md
23/
90
H.F.
2463
4.
For
field
operations:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
2
31,296,232
3
5.
For
general
administration:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
5
3,744,000
6
6.
For
state
child
care
assistance:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,866,344
8
35,047,110
9
a.
The
Of
the
funds
appropriated
in
this
subsection
are
,
10
$26,347,110
is
transferred
to
the
child
care
and
development
11
block
grant
appropriation
made
by
the
Eighty-fifth
General
12
Assembly,
2013
Session,
in
2013
Iowa
Acts,
chapter
136,
section
13
14
for
the
federal
fiscal
year
beginning
October
1,
2014,
and
14
ending
September
30,
2015.
Of
this
amount,
$100,000
$200,000
15
shall
be
used
for
provision
of
educational
opportunities
to
16
registered
child
care
home
providers
in
order
to
improve
17
services
and
programs
offered
by
this
category
of
providers
18
and
to
increase
the
number
of
providers.
The
department
may
19
contract
with
institutions
of
higher
education
or
child
care
20
resource
and
referral
centers
to
provide
the
educational
21
opportunities.
Allowable
administrative
costs
under
the
22
contracts
shall
not
exceed
5
percent.
The
application
for
a
23
grant
shall
not
exceed
two
pages
in
length.
24
b.
Of
the
funds
appropriated
in
this
subsection,
$100,000
25
shall
be
transferred
to
the
department
of
public
health
to
be
26
used
for
a
program
to
assist
parents
in
this
state
with
costs
27
resulting
from
the
death
of
a
child
in
accordance
with
this
28
lettered
paragraph.
If
it
is
less
costly
than
administering
29
the
program
directly,
the
department
shall
issue
a
request
for
30
proposals
and
issue
a
grant
to
an
appropriate
organization
to
31
administer
the
program.
The
request
for
proposals,
the
program
32
requirements,
and
the
grantee
selection
shall
be
developed
or
33
made
by
the
board
of
mortuary
science.
34
(1)
The
program
funding
shall
be
used
to
assist
parents
35
-24-
HF
2463
(3)
85
pf/jp/md
24/
90
H.F.
2463
who
reside
in
this
state
with
costs
incurred
for
a
funeral,
1
burial
or
cremation,
cemetery
costs,
or
grave
marker
costs
2
associated
with
the
unintended
death
of
a
child
of
the
parent
3
or
a
child
under
the
care
of
a
guardian
or
custodian.
The
board
4
shall
consider
the
following
eligibility
factors
in
developing
5
program
requirements:
6
(a)
The
child
was
a
stillborn
infant
or
was
less
than
age
7
eighteen
at
the
time
of
death.
8
(b)
The
request
for
assistance
was
approved
by
the
local
9
board
or
department
of
health
or
the
county
general
assistance
10
director
and
may
have
been
referred
by
a
local
funeral
home.
11
(c)
To
be
eligible,
the
parent,
guardian,
or
custodian
must
12
have
an
annual
household
income
that
is
less
than
145
percent
13
of
the
federal
poverty
level
based
on
the
number
of
people
14
in
the
applicant’s
household
as
defined
by
the
most
recently
15
revised
poverty
income
guidelines
published
by
the
United
16
States
department
of
health
and
human
services.
17
(d)
The
maximum
amount
of
grant
assistance
provided
to
a
18
parent,
guardian,
or
custodian
associated
with
the
death
of
19
a
child
is
$2,000.
If
the
death
is
a
multiple
death
and
the
20
infants
or
children
are
being
cremated,
or
buried
together,
the
21
same
limitation
applies.
22
(e)
To
the
extent
the
overall
amount
of
assistance
received
23
by
a
recipient
for
the
costs
addressed
under
this
lettered
24
paragraph
does
not
exceed
the
overall
total
of
the
costs,
the
25
recipient
may
receive
other
public
or
private
assistance
in
26
addition
to
grant
assistance
under
this
section.
27
(2)
Notwithstanding
section
8.33,
moneys
transferred
by
28
this
paragraph
that
remain
unencumbered
or
unobligated
at
the
29
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
30
available
for
expenditure
for
the
purposes
designated
until
31
expended.
32
c.
Any
funds
appropriated
in
this
subsection
remaining
33
unallocated
shall
be
used
for
state
child
care
assistance
34
payments
for
individuals
enrolled
in
the
family
investment
35
-25-
HF
2463
(3)
85
pf/jp/md
25/
90
H.F.
2463
program
who
are
employed.
1
7.
For
distribution
to
counties
and
regions
through
the
2
property
tax
relief
fund
for
mental
health
and
disability
3
services
as
provided
in
an
appropriation
made
for
this
purpose:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
5
4,894,052
6
8.
For
child
and
family
services:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
8
32,084,430
9
9.
For
child
abuse
prevention
grants:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
11
125,000
12
10.
For
pregnancy
prevention
grants
on
the
condition
that
13
family
planning
services
are
funded:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,034
15
1,930,067
16
Pregnancy
prevention
grants
shall
be
awarded
to
programs
17
in
existence
on
or
before
July
1,
2014,
if
the
programs
have
18
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
19
pregnancy
prevention
programs
which
are
developed
after
July
20
1,
2014,
if
the
programs
are
based
on
existing
models
that
21
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
22
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
23
section
14,
subsections
1
and
2,
including
the
requirement
that
24
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
25
the
awarding
of
grants
shall
be
given
to
programs
that
serve
26
areas
of
the
state
which
demonstrate
the
highest
percentage
of
27
unplanned
pregnancies
of
females
of
childbearing
age
within
the
28
geographic
area
to
be
served
by
the
grant.
29
11.
For
technology
needs
and
other
resources
necessary
30
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
31
management
requirements:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
33
1,037,186
34
The
department
shall
transfer
TANF
block
grant
funding
35
-26-
HF
2463
(3)
85
pf/jp/md
26/
90
H.F.
2463
appropriated
and
allocated
in
this
subsection
to
the
child
care
1
and
development
block
grant
appropriation
in
accordance
with
2
federal
law
as
necessary
to
comply
with
the
provisions
of
this
3
subsection.
4
12.
For
the
family
investment
program
share
of
the
costs
to
5
continue
to
develop
and
maintain
a
new,
integrated
eligibility
6
determination
system:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,525,226
8
6,549,549
9
13.
a.
Notwithstanding
any
provision
to
the
contrary,
10
including
but
not
limited
to
requirements
in
section
8.41
or
11
provisions
in
2013
or
2014
Iowa
Acts
regarding
the
receipt
and
12
appropriation
of
federal
block
grants,
federal
funds
from
the
13
temporary
assistance
for
needy
families
block
grant
received
14
by
the
state
not
otherwise
appropriated
in
this
section
and
15
remaining
available
for
the
fiscal
year
beginning
July
1,
2014,
16
are
appropriated
to
the
department
of
human
services
to
the
17
extent
as
may
be
necessary
to
be
used
in
the
following
priority
18
order:
the
family
investment
program,
for
state
child
care
19
assistance
program
payments
for
individuals
enrolled
in
the
20
family
investment
program
who
are
employed,
and
for
the
family
21
investment
program
share
of
costs
to
develop
and
maintain
a
22
new,
integrated
eligibility
determination
system.
The
federal
23
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
24
after
all
other
funds
appropriated
in
subsection
1
for
the
25
assistance
under
the
family
investment
program,
in
subsection
6
26
for
child
care
assistance,
or
in
subsection
12
for
the
family
27
investment
program
share
of
the
costs
to
continue
to
develop
28
and
maintain
a
new,
integrated
eligibility
determination
29
system,
as
applicable,
have
been
expended.
30
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
31
legislative
services
agency
and
department
of
management
of
32
the
amount
of
funds
appropriated
in
this
subsection
that
was
33
expended
in
the
prior
quarter.
34
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
35
-27-
HF
2463
(3)
85
pf/jp/md
27/
90
H.F.
2463
$12,962,008
for
the
fiscal
year
beginning
July
1,
2014,
is
1
transferred
to
the
appropriation
of
the
federal
social
services
2
block
grant
made
to
the
department
of
human
services
for
that
3
fiscal
year.
4
15.
For
continuation
of
the
program
providing
categorical
5
eligibility
for
the
food
assistance
program
as
specified
for
6
the
program
in
the
section
of
this
division
of
this
2014
Act
7
relating
to
the
family
investment
program
account:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
9
25,000
10
16.
The
department
may
transfer
funds
allocated
in
this
11
section
to
the
appropriations
made
in
this
division
of
this
Act
12
for
the
same
fiscal
year
for
general
administration
and
field
13
operations
for
resources
necessary
to
implement
and
operate
the
14
services
referred
to
in
this
section
and
those
funded
in
the
15
appropriation
made
in
this
division
of
this
Act
for
the
same
16
fiscal
year
for
the
family
investment
program
from
the
general
17
fund
of
the
state.
18
Sec.
7.
2013
Iowa
Acts,
chapter
138,
section
137,
is
amended
19
to
read
as
follows:
20
SEC.
137.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
21
1.
Moneys
credited
to
the
family
investment
program
(FIP)
22
account
for
the
fiscal
year
beginning
July
1,
2014,
and
23
ending
June
30,
2015,
shall
be
used
to
provide
assistance
in
24
accordance
with
chapter
239B
.
25
2.
The
department
may
use
a
portion
of
the
moneys
credited
26
to
the
FIP
account
under
this
section
as
necessary
for
27
salaries,
support,
maintenance,
and
miscellaneous
purposes.
28
3.
The
department
may
transfer
funds
allocated
in
this
29
section
to
the
appropriations
made
in
this
division
of
this
Act
30
for
the
same
fiscal
year
for
general
administration
and
field
31
operations
for
resources
necessary
to
implement
and
operate
the
32
services
referred
to
in
this
section
and
those
funded
in
the
33
appropriation
made
in
this
division
of
this
Act
for
the
same
34
fiscal
year
for
the
family
investment
program
from
the
general
35
-28-
HF
2463
(3)
85
pf/jp/md
28/
90
H.F.
2463
fund
of
the
state.
1
4.
Moneys
appropriated
in
this
division
of
this
Act
and
2
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
3
1,
2014,
and
ending
June
30,
2015,
are
allocated
as
follows:
4
a.
To
be
retained
by
the
department
of
human
services
to
5
be
used
for
coordinating
with
the
department
of
human
rights
6
to
more
effectively
serve
participants
in
FIP
and
other
shared
7
clients
and
to
meet
federal
reporting
requirements
under
the
8
federal
temporary
assistance
for
needy
families
block
grant:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
10
20,000
11
b.
To
the
department
of
human
rights
for
staffing,
12
administration,
and
implementation
of
the
family
development
13
and
self-sufficiency
grant
program
in
accordance
with
section
14
216A.107
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,021,417
16
6,042,834
17
(1)
Of
the
funds
allocated
for
the
family
development
and
18
self-sufficiency
grant
program
in
this
lettered
paragraph,
19
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
20
administration
of
the
grant
program.
21
(2)
The
department
of
human
rights
may
continue
to
implement
22
the
family
development
and
self-sufficiency
grant
program
23
statewide
during
fiscal
year
2014-2015.
24
c.
For
the
diversion
subaccount
of
the
FIP
account:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
26
815,000
27
A
portion
of
the
moneys
allocated
for
the
subaccount
may
28
be
used
for
field
operations,
salaries,
data
management
29
system
development,
and
implementation
costs
and
support
30
deemed
necessary
by
the
director
of
human
services
in
order
to
31
administer
the
FIP
diversion
program.
To
the
extent
moneys
32
allocated
in
this
lettered
paragraph
are
not
deemed
by
the
33
department
to
be
necessary
to
support
diversion
activities,
34
such
moneys
may
be
used
for
other
efforts
intended
to
increase
35
-29-
HF
2463
(3)
85
pf/jp/md
29/
90
H.F.
2463
engagement
by
family
investment
program
participants
in
work,
1
education,
or
training
activities.
2
d.
For
the
food
assistance
employment
and
training
program:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
4
66,588
5
(1)
The
department
shall
apply
the
federal
supplemental
6
nutrition
assistance
program
(SNAP)
employment
and
training
7
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
8
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
9
provisions
for
the
claiming
of
allowable
federal
reimbursement
10
funds
from
the
United
States
department
of
agriculture
11
pursuant
to
the
federal
SNAP
employment
and
training
program
12
for
providing
education,
employment,
and
training
services
13
for
eligible
food
assistance
program
participants,
including
14
but
not
limited
to
related
dependent
care
and
transportation
15
expenses.
16
(2)
The
department
shall
continue
the
categorical
federal
17
food
assistance
program
eligibility
at
160
percent
of
the
18
federal
poverty
level
and
continue
to
eliminate
the
asset
test
19
from
eligibility
requirements,
consistent
with
federal
food
20
assistance
program
requirements.
The
department
shall
include
21
as
many
food
assistance
households
as
is
allowed
by
federal
22
law.
The
eligibility
provisions
shall
conform
to
all
federal
23
requirements
including
requirements
addressing
individuals
who
24
are
incarcerated
or
otherwise
ineligible.
25
e.
For
the
JOBS
program:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,845,408
27
18,494,131
28
5.
Of
the
child
support
collections
assigned
under
FIP,
29
an
amount
equal
to
the
federal
share
of
support
collections
30
shall
be
credited
to
the
child
support
recovery
appropriation
31
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
32
assigned
child
support
collections
received
by
the
child
33
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
34
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
35
-30-
HF
2463
(3)
85
pf/jp/md
30/
90
H.F.
2463
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
1
payments
account.
If
as
a
consequence
of
the
appropriations
2
and
allocations
made
in
this
section
the
resulting
amounts
3
are
insufficient
to
sustain
cash
assistance
payments
and
meet
4
federal
maintenance
of
effort
requirements,
the
department
5
shall
seek
supplemental
funding.
If
child
support
collections
6
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
7
determined
not
to
be
required
for
maintenance
of
effort,
the
8
state
share
of
either
amount
may
be
transferred
to
or
retained
9
in
the
child
support
payment
account.
10
6.
The
department
may
adopt
emergency
rules
for
the
family
11
investment,
JOBS,
food
assistance,
and
medical
assistance
12
programs
if
necessary
to
comply
with
federal
requirements.
13
Sec.
8.
2013
Iowa
Acts,
chapter
138,
section
138,
is
amended
14
to
read
as
follows:
15
SEC.
138.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
16
is
appropriated
from
the
general
fund
of
the
state
to
the
17
department
of
human
services
for
the
fiscal
year
beginning
July
18
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
19
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
20
designated:
21
To
be
credited
to
the
family
investment
program
(FIP)
22
account
and
used
for
family
investment
program
assistance
under
23
chapter
239B
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,218,607
25
48,503,875
26
1.
Of
the
funds
appropriated
in
this
section,
$3,912,189
27
$7,402,220
is
allocated
for
the
JOBS
program.
28
2.
Of
the
funds
appropriated
in
this
section,
$1,581,92
7
29
$3,163,854
is
allocated
for
the
family
development
and
30
self-sufficiency
grant
program.
31
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
32
beginning
July
1,
2014,
if
necessary
to
meet
federal
33
maintenance
of
effort
requirements
or
to
transfer
federal
34
temporary
assistance
for
needy
families
block
grant
funding
35
-31-
HF
2463
(3)
85
pf/jp/md
31/
90
H.F.
2463
to
be
used
for
purposes
of
the
federal
social
services
block
1
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
2
receiving
federal
funding
or
to
implement,
in
accordance
with
3
this
division
of
this
Act,
activities
currently
funded
with
4
juvenile
court
services,
county,
or
community
moneys
and
state
5
moneys
used
in
combination
with
such
moneys,
the
department
6
of
human
services
may
transfer
funds
within
or
between
any
7
of
the
appropriations
made
in
this
division
of
this
Act
and
8
appropriations
in
law
for
the
federal
social
services
block
9
grant
to
the
department
for
the
following
purposes,
provided
10
that
the
combined
amount
of
state
and
federal
temporary
11
assistance
for
needy
families
block
grant
funding
for
each
12
appropriation
remains
the
same
before
and
after
the
transfer:
13
a.
For
the
family
investment
program.
14
b.
For
child
care
assistance.
15
c.
For
child
and
family
services.
16
d.
For
field
operations.
17
e.
For
general
administration.
18
f.
For
distribution
to
counties
or
regions
for
services
to
19
persons
with
mental
illness
or
an
intellectual
disability.
20
This
subsection
shall
not
be
construed
to
prohibit
the
use
21
of
existing
state
transfer
authority
for
other
purposes.
The
22
department
shall
report
any
transfers
made
pursuant
to
this
23
subsection
to
the
legislative
services
agency.
24
4.
Of
the
funds
appropriated
in
this
section,
$97,839
25
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
26
Iowa-based
nonprofit
organization
with
a
history
of
providing
27
tax
preparation
assistance
to
low-income
Iowans
in
order
to
28
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
29
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
30
of
the
state.
31
5.
Of
the
funds
appropriated
in
this
section,
$20,000
32
$40,000
shall
be
used
for
the
continuation
of
an
unfunded
33
pilot
project,
as
defined
in
441
IAC
100.1,
relating
to
34
parental
obligations,
in
which
the
child
support
recovery
35
-32-
HF
2463
(3)
85
pf/jp/md
32/
90
H.F.
2463
unit
participates,
to
support
the
efforts
of
a
nonprofit
1
organization
committed
to
strengthening
the
community
through
2
youth
development,
healthy
living,
and
social
responsibility
in
3
a
county
with
a
population
over
350,000.
The
funds
allocated
4
in
this
subsection
shall
be
used
by
the
recipient
organization
5
to
develop
a
larger
community
effort,
through
public
and
6
private
partnerships,
to
support
a
broad-based
fatherhood
7
initiative
that
promotes
payment
of
child
support
obligations,
8
improved
family
relationships,
and
full-time
employment.
9
6.
The
department
may
transfer
funds
appropriated
in
this
10
section
to
the
appropriations
made
in
this
division
of
this
Act
11
for
general
administration
and
field
operations
as
necessary
12
to
administer
this
section
and
the
overall
family
investment
13
program.
14
Sec.
9.
2013
Iowa
Acts,
chapter
138,
section
139,
is
amended
15
to
read
as
follows:
16
SEC.
139.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
17
from
the
general
fund
of
the
state
to
the
department
of
human
18
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
19
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
20
necessary,
to
be
used
for
the
purposes
designated:
21
For
child
support
recovery,
including
salaries,
support,
22
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
23
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,086,885
25
14,911,230
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
27
1.
The
department
shall
expend
up
to
$12,165
$24,329
,
28
including
federal
financial
participation,
for
the
fiscal
year
29
beginning
July
1,
2014,
for
a
child
support
public
awareness
30
campaign.
The
department
and
the
office
of
the
attorney
31
general
shall
cooperate
in
continuation
of
the
campaign.
The
32
public
awareness
campaign
shall
emphasize,
through
a
variety
33
of
media
activities,
the
importance
of
maximum
involvement
of
34
both
parents
in
the
lives
of
their
children
as
well
as
the
35
-33-
HF
2463
(3)
85
pf/jp/md
33/
90
H.F.
2463
importance
of
payment
of
child
support
obligations.
1
2.
Federal
access
and
visitation
grant
moneys
shall
be
2
issued
directly
to
private
not-for-profit
agencies
that
provide
3
services
designed
to
increase
compliance
with
the
child
access
4
provisions
of
court
orders,
including
but
not
limited
to
5
neutral
visitation
sites
and
mediation
services.
6
3.
The
appropriation
made
to
the
department
for
child
7
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
8
manner
necessary
for
purposes
of
cash
flow
management,
and
for
9
cash
flow
management
purposes
the
department
may
temporarily
10
draw
more
than
the
amount
appropriated,
provided
the
amount
11
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
12
4.
With
the
exception
of
the
funding
amount
specified,
the
13
requirements
established
under
2001
Iowa
Acts,
chapter
191,
14
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
15
be
applicable
to
parental
obligation
pilot
projects
for
the
16
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015.
17
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
18
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
19
in
effect
until
June
30,
2015.
20
Sec.
10.
2013
Iowa
Acts,
chapter
138,
section
140,
is
21
amended
to
read
as
follows:
22
SEC.
140.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
23
FY
2013-2014
2014-2015
.
Any
funds
remaining
in
the
health
24
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
25
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
are
26
appropriated
to
the
department
of
human
services
to
supplement
27
the
medical
assistance
program
appropriations
made
in
this
28
division
of
this
Act,
for
medical
assistance
reimbursement
and
29
associated
costs,
including
program
administration
and
costs
30
associated
with
program
implementation.
31
Sec.
11.
2013
Iowa
Acts,
chapter
138,
section
142,
32
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
33
For
medical
assistance
program
reimbursement
and
associated
34
costs
as
specifically
provided
in
the
reimbursement
35
-34-
HF
2463
(3)
85
pf/jp/md
34/
90
H.F.
2463
methodologies
in
effect
on
June
30,
2014,
except
as
otherwise
1
expressly
authorized
by
law,
consistent
with
options
under
2
federal
law
and
regulations,
and
contingent
upon
receipt
of
3
approval
from
the
office
of
the
governor
of
reimbursement
for
4
each
abortion
performed
under
the
program:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,143,810,311
6
1,248,320,932
7
Sec.
12.
2013
Iowa
Acts,
chapter
138,
section
142,
8
subsection
11,
paragraph
a,
is
amended
to
read
as
follows:
9
11.
a.
Of
the
funds
appropriated
in
this
section,
10
$7,969,074
$8,391,922
is
allocated
for
the
state
match
for
11
a
disproportionate
share
hospital
payment
of
$19,133,430
12
to
hospitals
that
meet
both
of
the
conditions
specified
13
in
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
14
that
meet
the
conditions
specified
shall
either
certify
15
public
expenditures
or
transfer
to
the
medical
assistance
16
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
17
disproportionate
share
hospital
payment
of
$7,500,000.
The
18
hospitals
that
meet
the
conditions
specified
shall
receive
and
19
retain
100
percent
of
the
total
disproportionate
share
hospital
20
payment
of
$26,633,430.
21
Sec.
13.
2013
Iowa
Acts,
chapter
138,
section
142,
22
subsection
18,
paragraph
a,
is
amended
to
read
as
follows:
23
a.
The
department
shall
continue
to
implement
the
cost
24
containment
strategies
for
the
medical
assistance
program
in
25
the
fiscal
year
beginning
July
1,
2014,
that
were
recommended
26
by
the
governor
for
the
fiscal
year
beginning
July
1,
2013,
as
27
specified
in
this
Act
and
may
adopt
emergency
rules
for
such
28
implementation.
The
department
shall
not
implement
the
cost
29
containment
strategy
that
requires
transition
of
the
provision
30
of
personal
care
under
the
consumer-directed
attendant
31
care
option
to
agency-provided
personal
care
services
while
32
retaining
the
consumer
choice
option
for
those
individuals
able
33
and
desiring
to
self-direct
services.
34
Sec.
14.
2013
Iowa
Acts,
chapter
138,
section
142,
35
-35-
HF
2463
(3)
85
pf/jp/md
35/
90
H.F.
2463
subsection
18,
is
amended
by
adding
the
following
new
1
paragraph:
2
NEW
PARAGRAPH
.
0e.
The
department
shall
report
the
3
implementation
of
any
cost
containment
strategies
under
this
4
subsection
to
the
individuals
specified
in
this
division
of
5
this
Act
for
submission
of
reports
on
an
annual
basis.
6
Sec.
15.
2013
Iowa
Acts,
chapter
138,
section
142,
is
7
amended
by
adding
the
following
new
subsections:
8
NEW
SUBSECTION
.
22.
Of
the
funds
appropriated
in
this
9
section,
$5,151,477
shall
be
used
to
implement
reductions
10
in
the
waiting
lists
of
all
medical
assistance
home
and
11
community-based
services
waivers.
The
funds
shall
be
expended
12
to
add
an
equal
number
of
waiver
waiting
list
slots
to
each
of
13
the
types
of
waivers.
14
NEW
SUBSECTION
.
23.
The
department
of
human
services
shall
15
collaborate
with
the
Medicaid
managed
care
organization
to
16
perform
an
analysis
to
determine
the
cost
effectiveness
of
17
including
the
pharmacy
benefit
for
enrollees
of
the
managed
18
care
plan
within
the
managed
care
organization
contract.
19
The
analysis
shall
determine
if
the
change
would
result
in
20
savings
to
the
Medicaid
program,
and
if
so,
the
best
means
21
of
implementing
the
change.
The
department
shall
report
the
22
results
of
the
analysis
to
the
individuals
identified
in
this
23
division
of
this
Act
for
submission
of
reports
by
December
15,
24
2014,
and
shall
not
implement
the
inclusion
of
the
pharmacy
25
benefit
in
the
managed
care
organization
contract
without
prior
26
approval
of
the
general
assembly.
27
Sec.
16.
2013
Iowa
Acts,
chapter
138,
section
143,
is
28
amended
to
read
as
follows:
29
SEC.
143.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2013
2014
,
and
ending
32
June
30,
2014
2015
,
the
following
amount,
or
so
much
thereof
as
33
is
necessary,
to
be
used
for
the
purpose
designated:
34
For
medical
contracts:
35
-36-
HF
2463
(3)
85
pf/jp/md
36/
90
H.F.
2463
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,145,785
1
17,148,576
2
1.
The
department
of
inspections
and
appeals
shall
3
provide
all
state
matching
funds
for
survey
and
certification
4
activities
performed
by
the
department
of
inspections
5
and
appeals.
The
department
of
human
services
is
solely
6
responsible
for
distributing
the
federal
matching
funds
for
7
such
activities.
8
2.
Of
the
funds
appropriated
in
this
section,
$25,000
9
$50,000
shall
be
used
for
continuation
of
home
and
10
community-based
services
waiver
quality
assurance
programs,
11
including
the
review
and
streamlining
of
processes
and
policies
12
related
to
oversight
and
quality
management
to
meet
state
and
13
federal
requirements.
14
3.
Of
the
amount
appropriated
in
this
section,
up
to
15
$100,000
$200,000
may
be
transferred
to
the
appropriation
16
for
general
administration
in
this
division
of
this
Act
to
17
be
used
for
additional
full-time
equivalent
positions
in
the
18
development
of
key
health
initiatives
such
as
cost
containment,
19
development
and
oversight
of
managed
care
programs,
and
20
development
of
health
strategies
targeted
toward
improved
21
quality
and
reduced
costs
in
the
Medicaid
program.
22
4.
Of
the
funds
appropriated
in
this
section,
$500,000
23
$1,000,000
shall
be
used
for
planning
and
development,
24
in
cooperation
with
the
department
of
public
health,
of
a
25
phased-in
program
to
provide
a
dental
home
for
children.
26
5.
Of
the
funds
appropriated
in
this
section,
$37,500
shall
27
be
used
for
continued
implementation
of
a
uniform
cost
report.
28
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
29
$3,000,000
shall
be
used
for
the
autism
support
program
created
30
in
chapter
225D
,
as
enacted
in
this
Act
.
31
7.
Of
the
funds
appropriated
in
this
section,
$49,895
shall
32
be
used
for
continued
implementation
of
an
electronic
medical
33
records
system.
34
8.
The
department
shall
submit
a
progress
report
to
35
-37-
HF
2463
(3)
85
pf/jp/md
37/
90
H.F.
2463
the
individuals
identified
in
this
division
of
this
Act
1
for
submission
of
reports
by
December
15,
2014,
regarding
2
implementation
of
a
uniform
cost
report.
3
Sec.
17.
2013
Iowa
Acts,
chapter
138,
section
144,
is
4
amended
to
read
as
follows:
5
SEC.
144.
STATE
SUPPLEMENTARY
ASSISTANCE.
6
1.
There
is
appropriated
from
the
general
fund
of
the
7
state
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
9
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purpose
designated:
11
For
the
state
supplementary
assistance
program:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,256,087
13
14,121,154
14
2.
The
department
shall
increase
the
personal
needs
15
allowance
for
residents
of
residential
care
facilities
by
the
16
same
percentage
and
at
the
same
time
as
federal
supplemental
17
security
income
and
federal
social
security
benefits
are
18
increased
due
to
a
recognized
increase
in
the
cost
of
living.
19
The
department
may
adopt
emergency
rules
to
implement
this
20
subsection.
21
3.
If
during
the
fiscal
year
beginning
July
1,
2014,
22
the
department
projects
that
state
supplementary
assistance
23
expenditures
for
a
calendar
year
will
not
meet
the
federal
24
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
25
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
26
§1382g,
the
department
may
take
actions
including
but
not
27
limited
to
increasing
the
personal
needs
allowance
for
28
residential
care
facility
residents
and
making
programmatic
29
adjustments
or
upward
adjustments
of
the
residential
care
30
facility
or
in-home
health-related
care
reimbursement
rates
31
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
32
requirements
are
met.
In
addition,
the
department
may
make
33
other
programmatic
and
rate
adjustments
necessary
to
remain
34
within
the
amount
appropriated
in
this
section
while
ensuring
35
-38-
HF
2463
(3)
85
pf/jp/md
38/
90
H.F.
2463
compliance
with
federal
requirements.
The
department
may
adopt
1
emergency
rules
to
implement
the
provisions
of
this
subsection.
2
Sec.
18.
2013
Iowa
Acts,
chapter
138,
section
145,
is
3
amended
to
read
as
follows:
4
SEC.
145.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
5
1.
There
is
appropriated
from
the
general
fund
of
the
6
state
to
the
department
of
human
services
for
the
fiscal
year
7
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
8
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
9
purpose
designated:
10
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
11
program
pursuant
to
chapter
514I
,
including
supplemental
dental
12
services,
for
receipt
of
federal
financial
participation
under
13
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
14
children’s
health
insurance
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,403,051
16
45,877,998
17
2.
Of
the
funds
appropriated
in
this
section,
$70,725
18
$153,500
is
allocated
for
continuation
of
the
contract
for
19
outreach
with
the
department
of
public
health.
20
3.
The
department
of
human
services
shall
request
approval
21
from
the
centers
for
Medicare
and
Medicaid
services
of
the
22
United
States
department
of
health
and
human
services
to
23
utilize
administrative
funding
under
the
federal
Children’s
24
Health
Insurance
Program
Reauthorization
Act
of
2009,
Pub.
25
L.
No.
111-3,
to
provide
the
maximum
federal
matching
funds
26
available
to
implement
a
new
health
services
initiative
as
27
provided
under
section
2105(a)(1)(D)(ii)
of
the
federal
Social
28
Security
Act,
to
fund
the
state
poison
control
center.
29
Sec.
19.
2013
Iowa
Acts,
chapter
138,
section
146,
is
30
amended
to
read
as
follows:
31
SEC.
146.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
32
from
the
general
fund
of
the
state
to
the
department
of
human
33
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
34
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
35
-39-
HF
2463
(3)
85
pf/jp/md
39/
90
H.F.
2463
necessary,
to
be
used
for
the
purpose
designated:
1
For
child
care
programs:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354,897
3
45,622,828
4
1.
Of
the
funds
appropriated
in
this
section,
$27,377,595
5
$37,903,401
shall
be
used
for
state
child
care
assistance
in
6
accordance
with
section
237A.13
.
7
2.
Nothing
in
this
section
shall
be
construed
or
is
8
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
9
to
persons
who
are
eligible
for
assistance
due
to
an
income
10
level
consistent
with
the
waiting
list
requirements
of
section
11
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
12
this
section
is
limited
to
the
extent
of
the
funds
appropriated
13
in
this
section.
14
3.
Of
the
funds
appropriated
in
this
section,
$216,227
15
$432,453
is
allocated
for
the
statewide
grant
program
for
child
16
care
resource
and
referral
services
under
section
237A.26
.
17
A
list
of
the
registered
and
licensed
child
care
facilities
18
operating
in
the
area
served
by
a
child
care
resource
and
19
referral
service
shall
be
made
available
to
the
families
20
receiving
state
child
care
assistance
in
that
area.
21
4.
Of
the
funds
appropriated
in
this
section,
$468,487
22
$936,974
is
allocated
for
child
care
quality
improvement
23
initiatives
including
but
not
limited
to
the
voluntary
quality
24
rating
system
in
accordance
with
section
237A.30
.
25
5.
Of
the
funds
appropriated
in
this
section,
$67,589
shall
26
be
used
to
conduct
fingerprint-based
national
criminal
history
27
record
checks
of
home-based
child
care
providers
pursuant
28
to
section
237A.5,
subsection
2
,
through
the
United
States
29
department
of
justice,
federal
bureau
of
investigation.
30
6.
Of
the
amount
appropriated
in
this
section,
up
to
31
$12,500
shall
be
used
to
continue
to
implement
a
searchable
32
internet-based
application
as
part
of
the
consumer
information
33
made
available
under
section
237A.25
.
The
application
shall
34
provide
a
listing
of
the
child
care
providers
in
this
state
35
-40-
HF
2463
(3)
85
pf/jp/md
40/
90
H.F.
2463
that
have
received
a
rating
under
the
voluntary
quality
rating
1
system
implemented
pursuant
to
section
237A.30
and
information
2
on
whether
a
provider
specializes
in
child
care
for
infants,
3
school-age
children,
children
with
special
needs,
or
other
4
populations
or
provides
any
other
specialized
services
to
5
support
family
needs.
6
7.
Of
the
funds
appropriated
in
this
section,
$3,175,000
7
$6,350,000
shall
be
credited
to
the
early
childhood
programs
8
grants
account
in
the
early
childhood
Iowa
fund
created
9
in
section
256I.11
.
The
moneys
shall
be
distributed
for
10
funding
of
community-based
early
childhood
programs
targeted
11
to
children
from
birth
through
five
years
of
age
developed
12
by
early
childhood
Iowa
areas
in
accordance
with
approved
13
community
plans
as
provided
in
section
256I.8
.
14
8.
The
department
may
use
any
of
the
funds
appropriated
15
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
16
expanding
child
care
assistance
and
related
programs.
For
17
the
purpose
of
expenditures
of
state
and
federal
child
care
18
funding,
funds
shall
be
considered
obligated
at
the
time
19
expenditures
are
projected
or
are
allocated
to
the
department’s
20
service
areas.
Projections
shall
be
based
on
current
and
21
projected
caseload
growth,
current
and
projected
provider
22
rates,
staffing
requirements
for
eligibility
determination
23
and
management
of
program
requirements
including
data
systems
24
management,
staffing
requirements
for
administration
of
the
25
program,
contractual
and
grant
obligations
and
any
transfers
26
to
other
state
agencies,
and
obligations
for
decategorization
27
or
innovation
projects.
28
9.
A
portion
of
the
state
match
for
the
federal
child
care
29
and
development
block
grant
shall
be
provided
as
necessary
to
30
meet
federal
matching
funds
requirements
through
the
state
31
general
fund
appropriation
made
for
child
development
grants
32
and
other
programs
for
at-risk
children
in
section
279.51
.
33
10.
If
a
uniform
reduction
ordered
by
the
governor
under
34
section
8.31
or
other
operation
of
law,
transfer,
or
federal
35
-41-
HF
2463
(3)
85
pf/jp/md
41/
90
H.F.
2463
funding
reduction
reduces
the
appropriation
made
in
this
1
section
for
the
fiscal
year,
the
percentage
reduction
in
the
2
amount
paid
out
to
or
on
behalf
of
the
families
participating
3
in
the
state
child
care
assistance
program
shall
be
equal
to
or
4
less
than
the
percentage
reduction
made
for
any
other
purpose
5
payable
from
the
appropriation
made
in
this
section
and
the
6
federal
funding
relating
to
it.
The
percentage
reduction
to
7
the
other
allocations
made
in
this
section
shall
be
the
same
as
8
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
9
change
of
the
federal
funding
reduction,
as
applicable.
10
If
there
is
an
unanticipated
increase
in
federal
funding
11
provided
for
state
child
care
assistance,
the
entire
amount
12
of
the
increase
shall
be
used
for
state
child
care
assistance
13
payments.
If
the
appropriations
made
for
purposes
of
the
14
state
child
care
assistance
program
for
the
fiscal
year
are
15
determined
to
be
insufficient,
it
is
the
intent
of
the
general
16
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
17
in
order
to
avoid
establishment
of
waiting
list
requirements.
18
11.
Notwithstanding
section
8.33
,
moneys
advanced
for
19
purposes
of
the
programs
developed
by
early
childhood
Iowa
20
areas,
advanced
for
purposes
of
wraparound
child
care,
or
21
received
from
the
federal
appropriations
made
for
the
purposes
22
of
this
section
that
remain
unencumbered
or
unobligated
at
the
23
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
24
remain
available
for
expenditure
for
the
purposes
designated
25
until
the
close
of
the
succeeding
fiscal
year.
26
Sec.
20.
2013
Iowa
Acts,
chapter
138,
section
147,
is
27
amended
to
read
as
follows:
28
SEC.
147.
JUVENILE
INSTITUTIONS.
There
is
appropriated
29
from
the
general
fund
of
the
state
to
the
department
of
human
30
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
31
June
30,
2015,
the
following
amounts,
or
so
much
thereof
as
is
32
necessary,
to
be
used
for
the
purposes
designated:
33
1.
For
operation
of
the
costs
of
security,
building
and
34
grounds
maintenance,
utilities,
salary,
and
support
for
the
35
-42-
HF
2463
(3)
85
pf/jp/md
42/
90
H.F.
2463
facilities
located
at
the
Iowa
juvenile
home
at
Toledo
and
for
1
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
2
for
not
more
than
the
following
full-time
equivalent
positions:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,429,678
4
788,531
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
6
2.00
7
The
full-time
equivalent
positions
authorized
by
this
8
subsection,
as
amended
by
this
2014
Act,
are
intended
to
be
9
filled
by
the
maintenance
staff
persons
performing
such
duties
10
at
the
time
the
Iowa
juvenile
home
was
closed
in
January
2014.
11
2.
For
operation
of
the
state
training
school
at
Eldora
and
12
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
13
and
for
not
more
than
the
following
full-time
equivalent
14
positions:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,628,485
16
11,500,098
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
18
Of
the
funds
appropriated
in
this
subsection,
$45,575
19
$91,150
shall
be
used
for
distribution
to
licensed
classroom
20
teachers
at
this
and
other
institutions
under
the
control
of
21
the
department
of
human
services
based
upon
the
average
student
22
yearly
enrollment
at
each
institution
as
determined
by
the
23
department.
24
3.
A
portion
of
the
moneys
appropriated
in
this
section
25
shall
be
used
by
the
state
training
school
and
by
the
Iowa
26
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
27
activities
at
the
institutions
in
the
fiscal
year
beginning
28
July
1,
2014.
29
Sec.
21.
2013
Iowa
Acts,
chapter
138,
is
amended
by
adding
30
the
following
new
section:
31
NEW
SECTION
.
SEC.
147A.
CHILDREN
ADJUDICATED
AS
DELINQUENT
32
OR
CHILD
IN
NEED
OF
ASSISTANCE
——
IOWA
JUVENILE
HOME.
There
33
is
appropriated
from
the
general
fund
of
the
state
to
the
34
department
of
human
services
for
the
fiscal
year
beginning
July
35
-43-
HF
2463
(3)
85
pf/jp/md
43/
90
H.F.
2463
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
1
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
2
designated:
3
For
the
placement
costs
of
female
children
adjudicated
4
as
delinquent
and
male
and
female
children
adjudicated
as
a
5
child
in
need
of
assistance,
and
for
the
costs
of
compensatory
6
education
for
children
formerly
placed
at
the
Iowa
juvenile
7
home
at
Toledo:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,110,534
9
1.
Of
the
funds
appropriated
in
this
section,
$3,892,534
10
shall
be
used
for
the
placement
costs
of
female
children
11
adjudicated
as
delinquent
and
male
and
female
children
12
adjudicated
as
a
child
in
need
of
assistance,
who
are
deemed
by
13
the
department
to
be
eligible
for
use
of
the
funds.
14
2.
Of
the
funds
appropriated
in
this
section,
$1,218,000
15
shall
be
used
for
the
costs
of
compensatory
education
to
16
address
the
reviews
of
special
education
of
certain
children
17
placed
at
the
Iowa
juvenile
home
conducted
by
the
department
of
18
education
in
fall
2013
and
reported
to
the
department
of
human
19
services
on
October
7
and
December
20,
2013.
20
3.
By
January
1,
2015,
the
department
shall
provide
a
21
report
to
the
governor
and
the
legislative
services
agency
that
22
includes
a
description
of
the
status
of
juvenile
delinquent
23
girls
in
out-of-home
placements
during
the
period
beginning
24
December
1,
2013,
and
ending
December
1,
2014;
identifies
25
their
placement
histories;
provides
the
reason
for
placement;
26
provides
a
status
report
on
educational
services
and
treatment
27
of
youth
at
department
facilities;
and
makes
appropriate
28
recommendations
for
legislation
deemed
necessary.
29
4.
Notwithstanding
section
8.39,
without
the
prior
written
30
consent
and
approval
of
the
governor
and
the
director
of
the
31
department
of
management,
the
director
of
human
services
may
32
transfer
funds
between
the
appropriation
made
in
this
section
33
and
other
departmental
appropriations
as
necessary
to
best
34
fulfill
the
needs
provided
for
in
this
appropriation.
However,
35
-44-
HF
2463
(3)
85
pf/jp/md
44/
90
H.F.
2463
the
department
shall
report
to
the
legislative
services
agency
1
prior
to
making
such
a
transfer
and
the
report
shall
include
2
information
regarding
the
rationale
for
transferring
the
3
moneys.
4
Sec.
22.
2013
Iowa
Acts,
chapter
138,
section
148,
is
5
amended
to
read
as
follows:
6
SEC.
148.
CHILD
AND
FAMILY
SERVICES.
7
1.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
For
child
and
family
services:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
45,641,960
14
95,535,703
15
2.
Up
to
$2,600,000
$5,200,000
of
the
amount
of
federal
16
temporary
assistance
for
needy
families
block
grant
funding
17
appropriated
in
this
division
of
this
Act
for
child
and
family
18
services
shall
be
made
available
for
purposes
of
juvenile
19
delinquent
graduated
sanction
services.
20
3.
The
department
may
transfer
funds
appropriated
in
this
21
section
as
necessary
to
pay
the
nonfederal
costs
of
services
22
reimbursed
under
the
medical
assistance
program,
state
child
23
care
assistance
program,
or
the
family
investment
program
which
24
are
provided
to
children
who
would
otherwise
receive
services
25
paid
under
the
appropriation
in
this
section.
The
department
26
may
transfer
funds
appropriated
in
this
section
to
the
27
appropriations
made
in
this
division
of
this
Act
for
general
28
administration
and
for
field
operations
for
resources
necessary
29
to
implement
and
operate
the
services
funded
in
this
section.
30
4.
a.
Of
the
funds
appropriated
in
this
section,
up
31
to
$16,121,163
$36,967,216
is
allocated
as
the
statewide
32
expenditure
target
under
section
232.143
for
group
foster
care
33
maintenance
and
services.
If
the
department
projects
that
such
34
expenditures
for
the
fiscal
year
will
be
less
than
the
target
35
-45-
HF
2463
(3)
85
pf/jp/md
45/
90
H.F.
2463
amount
allocated
in
this
lettered
paragraph,
the
department
may
1
reallocate
the
excess
to
provide
additional
funding
for
shelter
2
care
or
the
child
welfare
emergency
services
addressed
with
the
3
allocation
for
shelter
care.
4
b.
If
at
any
time
after
September
30,
2014,
annualization
5
of
a
service
area’s
current
expenditures
indicates
a
service
6
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
7
target
under
section
232.143
by
more
than
5
percent,
the
8
department
and
juvenile
court
services
shall
examine
all
9
group
foster
care
placements
in
that
service
area
in
order
to
10
identify
those
which
might
be
appropriate
for
termination.
11
In
addition,
any
aftercare
services
believed
to
be
needed
12
for
the
children
whose
placements
may
be
terminated
shall
be
13
identified.
The
department
and
juvenile
court
services
shall
14
initiate
action
to
set
dispositional
review
hearings
for
the
15
placements
identified.
In
such
a
dispositional
review
hearing,
16
the
juvenile
court
shall
determine
whether
needed
aftercare
17
services
are
available
and
whether
termination
of
the
placement
18
is
in
the
best
interest
of
the
child
and
the
community.
19
5.
In
accordance
with
the
provisions
of
section
232.188
,
20
the
department
shall
continue
the
child
welfare
and
juvenile
21
justice
funding
initiative
during
fiscal
year
2014-2015.
Of
22
the
funds
appropriated
in
this
section,
$858,877
$1,717,753
23
is
allocated
specifically
for
expenditure
for
fiscal
year
24
2014-2015
through
the
decategorization
service
services
funding
25
pools
and
governance
boards
established
pursuant
to
section
26
232.188
.
27
6.
A
portion
of
the
funds
appropriated
in
this
section
28
may
be
used
for
emergency
family
assistance
to
provide
other
29
resources
required
for
a
family
participating
in
a
family
30
preservation
or
reunification
project
or
successor
project
to
31
stay
together
or
to
be
reunified.
32
7.
Notwithstanding
section
234.35
or
any
other
provision
33
of
law
to
the
contrary,
state
funding
for
shelter
care
and
34
the
child
welfare
emergency
services
contracting
implemented
35
-46-
HF
2463
(3)
85
pf/jp/md
46/
90
H.F.
2463
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
1
limited
to
$3,808,024
$7,717,822
.
2
8.
Federal
funds
received
by
the
state
during
the
fiscal
3
year
beginning
July
1,
2014,
as
the
result
of
the
expenditure
4
of
state
funds
appropriated
during
a
previous
state
fiscal
5
year
for
a
service
or
activity
funded
under
this
section
are
6
appropriated
to
the
department
to
be
used
as
additional
funding
7
for
services
and
purposes
provided
for
under
this
section.
8
Notwithstanding
section
8.33
,
moneys
received
in
accordance
9
with
this
subsection
that
remain
unencumbered
or
unobligated
at
10
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
11
shall
remain
available
for
the
purposes
designated
until
the
12
close
of
the
succeeding
fiscal
year.
13
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
14
$1,645,000
$3,290,000
is
allocated
for
the
payment
of
the
15
expenses
of
court-ordered
services
provided
to
juveniles
who
16
are
under
the
supervision
of
juvenile
court
services,
which
17
expenses
are
a
charge
upon
the
state
pursuant
to
section
18
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
19
lettered
paragraph,
up
to
$778,144
$1,556,287
shall
be
made
20
available
to
provide
school-based
supervision
of
children
21
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
22
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
23
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
24
the
school
district
or
other
funding
source
as
approved
by
the
25
chief
juvenile
court
officer.
26
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,493
27
$748,985
is
allocated
for
the
payment
of
the
expenses
of
28
court-ordered
services
provided
to
children
who
are
under
the
29
supervision
of
the
department,
which
expenses
are
a
charge
upon
30
the
state
pursuant
to
section
232.141,
subsection
4
.
31
c.
Notwithstanding
section
232.141
or
any
other
provision
32
of
law
to
the
contrary,
the
amounts
allocated
in
this
33
subsection
shall
be
distributed
to
the
judicial
districts
34
as
determined
by
the
state
court
administrator
and
to
the
35
-47-
HF
2463
(3)
85
pf/jp/md
47/
90
H.F.
2463
department’s
service
areas
as
determined
by
the
administrator
1
of
the
department’s
division
of
child
and
family
services.
The
2
state
court
administrator
and
the
division
administrator
shall
3
make
the
determination
of
the
distribution
amounts
on
or
before
4
June
15,
2014.
5
d.
Notwithstanding
chapter
232
or
any
other
provision
of
6
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
7
order
any
service
which
is
a
charge
upon
the
state
pursuant
8
to
section
232.141
if
there
are
insufficient
court-ordered
9
services
funds
available
in
the
district
court
or
departmental
10
service
area
distribution
amounts
to
pay
for
the
service.
The
11
chief
juvenile
court
officer
and
the
departmental
service
area
12
manager
shall
encourage
use
of
the
funds
allocated
in
this
13
subsection
such
that
there
are
sufficient
funds
to
pay
for
14
all
court-related
services
during
the
entire
year.
The
chief
15
juvenile
court
officers
and
departmental
service
area
managers
16
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
17
in
the
distribution
amounts
and
shall
cooperatively
request
the
18
state
court
administrator
or
division
administrator
to
transfer
19
funds
between
the
judicial
districts’
or
departmental
service
20
areas’
distribution
amounts
as
prudent.
21
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
22
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
23
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
24
entered
under
chapter
232
which
is
a
charge
upon
the
state
25
under
section
232.141,
subsection
4
.
26
f.
Of
the
funds
allocated
in
this
subsection,
not
more
27
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
28
administration
of
the
requirements
under
this
subsection.
29
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
30
shall
be
used
by
the
department
of
human
services
to
support
31
the
interstate
commission
for
juveniles
in
accordance
with
32
the
interstate
compact
for
juveniles
as
provided
in
section
33
232.173
.
34
10.
Of
the
funds
appropriated
in
this
section,
$4,026,613
35
-48-
HF
2463
(3)
85
pf/jp/md
48/
90
H.F.
2463
$8,053,226
is
allocated
for
juvenile
delinquent
graduated
1
sanctions
services.
Any
state
funds
saved
as
a
result
of
2
efforts
by
juvenile
court
services
to
earn
federal
Tit.
IV-E
3
match
for
juvenile
court
services
administration
may
be
used
4
for
the
juvenile
delinquent
graduated
sanctions
services.
5
11.
Of
the
funds
appropriated
in
this
section,
$804,143
6
$1,608,285
is
transferred
to
the
department
of
public
health
7
to
be
used
for
the
child
protection
center
grant
program
in
8
accordance
with
section
135.118
.
The
grant
amounts
under
the
9
program
shall
be
equalized
so
that
each
center
receives
a
10
uniform
amount
of
at
least
$122,500
$245,000
.
11
12.
If
the
department
receives
federal
approval
to
12
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
13
Security
Act
to
enable
providers
to
serve
children
who
remain
14
in
the
children’s
families
and
communities,
for
purposes
of
15
eligibility
under
the
medical
assistance
program
through
25
16
years
of
age,
children
who
participate
in
the
waiver
shall
be
17
considered
to
be
placed
in
foster
care.
18
13.
Of
the
funds
appropriated
in
this
section,
$1,628,490
19
$3,256,980
is
allocated
for
the
preparation
for
adult
living
20
program
pursuant
to
section
234.46
.
21
14.
Of
the
funds
appropriated
in
this
section,
$260,075
22
$520,150
shall
be
used
for
juvenile
drug
courts.
The
amount
23
allocated
in
this
subsection
shall
be
distributed
as
follows:
24
To
the
judicial
branch
for
salaries
to
assist
with
the
25
operation
of
juvenile
drug
court
programs
operated
in
the
26
following
jurisdictions:
27
a.
Marshall
county:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
29
62,708
30
b.
Woodbury
county:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
32
125,682
33
c.
Polk
county:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
35
-49-
HF
2463
(3)
85
pf/jp/md
49/
90
H.F.
2463
195,892
1
d.
The
third
judicial
district:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
3
67,934
4
e.
The
eighth
judicial
district:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
6
67,934
7
15.
Of
the
funds
appropriated
in
this
section,
$113,669
8
$227,337
shall
be
used
for
the
public
purpose
of
continuing
9
a
grant
to
a
nonprofit
human
services
organization
providing
10
services
to
individuals
and
families
in
multiple
locations
in
11
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
12
immediate,
sensitive
support
and
forensic
interviews,
medical
13
exams,
needs
assessments,
and
referrals
for
victims
of
child
14
abuse
and
their
nonoffending
family
members.
15
16.
Of
the
funds
appropriated
in
this
section,
$100,295
16
$210,620
is
allocated
for
the
foster
care
youth
council
17
approach
of
providing
a
support
network
to
children
placed
in
18
foster
care.
19
17.
Of
the
funds
appropriated
in
this
section,
$101,000
20
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
21
continuation
of
the
initiative
to
address
child
sexual
abuse
22
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
23
18,
subsection
21.
24
18.
Of
the
funds
appropriated
in
this
section,
$315,120
25
$630,240
is
allocated
for
the
community
partnership
for
child
26
protection
sites.
27
19.
Of
the
funds
appropriated
in
this
section,
$185,625
28
$371,250
is
allocated
for
the
department’s
minority
youth
and
29
family
projects
under
the
redesign
of
the
child
welfare
system.
30
20.
Of
the
funds
appropriated
in
this
section,
$718,298
31
$1,186,595
is
allocated
for
funding
of
the
community
circle
of
32
care
collaboration
for
children
and
youth
in
northeast
Iowa.
33
21.
Of
the
funds
appropriated
in
this
section,
at
least
34
$73,579
$147,158
shall
be
used
for
the
child
welfare
training
35
-50-
HF
2463
(3)
85
pf/jp/md
50/
90
H.F.
2463
academy.
1
22.
Of
the
funds
appropriated
in
this
section,
$12,500
2
$25,000
shall
be
used
for
the
public
purpose
of
continuation
3
of
a
grant
to
a
child
welfare
services
provider
headquartered
4
in
a
county
with
a
population
between
205,000
and
215,000
in
5
the
latest
certified
federal
census
that
provides
multiple
6
services
including
but
not
limited
to
a
psychiatric
medical
7
institution
for
children,
shelter,
residential
treatment,
after
8
school
programs,
school-based
programming,
and
an
Asperger’s
9
syndrome
program,
to
be
used
for
support
services
for
children
10
with
autism
spectrum
disorder
and
their
families.
11
23.
Of
the
funds
appropriated
in
this
section,
$12,500
12
$25,000
shall
be
used
for
the
public
purpose
of
continuing
a
13
grant
to
a
hospital-based
provider
headquartered
in
a
county
14
with
a
population
between
90,000
and
95,000
in
the
latest
15
certified
federal
census
that
provides
multiple
services
16
including
but
not
limited
to
diagnostic,
therapeutic,
and
17
behavioral
services
to
individuals
with
autism
spectrum
18
disorder
across
the
lifespan.
The
grant
recipient
shall
19
utilize
the
funds
to
continue
the
pilot
project
to
determine
20
the
necessary
support
services
for
children
with
autism
21
spectrum
disorder
and
their
families
to
be
included
in
the
22
children’s
disabilities
services
system.
The
grant
recipient
23
shall
submit
findings
and
recommendations
based
upon
the
24
results
of
the
pilot
project
to
the
individuals
specified
in
25
this
division
of
this
Act
for
submission
of
reports
by
December
26
31,
2014.
27
24.
Of
the
funds
appropriated
in
this
section,
$163,974
28
$211,872
shall
be
used
for
continuation
of
the
central
Iowa
29
system
of
care
program
grant
through
June
30,
2015.
30
25.
Of
the
funds
appropriated
in
this
section,
$80,000
31
$110,000
shall
be
used
for
the
public
purpose
of
the
32
continuation
of
a
system
of
care
grant
implemented
in
Cerro
33
Gordo
and
Linn
counties.
34
26.
Of
the
funds
appropriated
in
this
section,
at
least
35
-51-
HF
2463
(3)
85
pf/jp/md
51/
90
H.F.
2463
$12,500
$25,000
shall
be
used
to
continue
and
to
expand
the
1
foster
care
respite
pilot
program
in
which
postsecondary
2
students
in
social
work
and
other
human
services-related
3
programs
receive
experience
by
assisting
family
foster
care
4
providers
with
respite
and
other
support.
5
27.
Of
the
funds
appropriated
in
this
section,
$160,000
6
shall
be
used
for
the
public
purpose
of
funding
community-based
7
services
and
other
supports
with
a
system
of
care
approach
8
for
children
with
a
serious
emotional
disturbance
and
their
9
families
through
a
nonprofit
provider
of
child
welfare
services
10
that
has
been
in
existence
for
more
than
115
years,
is
located
11
in
a
county
with
a
population
of
more
than
200,000
but
less
12
than
220,000
according
to
the
latest
census
information
issued
13
by
the
United
States
census
bureau
provider,
is
licensed
as
a
14
psychiatric
medical
institution
for
children,
and
has
not
been
15
a
system
of
care
grantee
prior
to
July
1,
2014.
16
Sec.
23.
2013
Iowa
Acts,
chapter
138,
section
149,
is
17
amended
to
read
as
follows:
18
SEC.
149.
ADOPTION
SUBSIDY.
19
1.
There
is
appropriated
from
the
general
fund
of
the
20
state
to
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
22
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
23
purpose
designated:
24
For
adoption
subsidy
payments
and
services:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,364,641
26
42,580,749
27
2.
The
department
may
transfer
funds
appropriated
in
28
this
section
to
the
appropriation
made
in
this
division
of
29
this
Act
for
general
administration
for
costs
paid
from
the
30
appropriation
relating
to
adoption
subsidy.
31
3.
Federal
funds
received
by
the
state
during
the
32
fiscal
year
beginning
July
1,
2014,
as
the
result
of
the
33
expenditure
of
state
funds
during
a
previous
state
fiscal
34
year
for
a
service
or
activity
funded
under
this
section
are
35
-52-
HF
2463
(3)
85
pf/jp/md
52/
90
H.F.
2463
appropriated
to
the
department
to
be
used
as
additional
funding
1
for
the
services
and
activities
funded
under
this
section.
2
Notwithstanding
section
8.33
,
moneys
received
in
accordance
3
with
this
subsection
that
remain
unencumbered
or
unobligated
4
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
5
but
shall
remain
available
for
expenditure
for
the
purposes
6
designated
until
the
close
of
the
succeeding
fiscal
year.
7
Sec.
24.
2013
Iowa
Acts,
chapter
138,
section
151,
is
8
amended
to
read
as
follows:
9
SEC.
151.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
10
1.
There
is
appropriated
from
the
general
fund
of
the
11
state
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
For
the
family
support
subsidy
program
subject
to
the
16
enrollment
restrictions
in
section
225C.37,
subsection
3
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
546,478
18
1,079,739
19
2.
The
department
shall
use
at
least
$241,750
$532,500
20
of
the
moneys
appropriated
in
this
section
for
the
family
21
support
center
component
of
the
comprehensive
family
support
22
program
under
section
225C.47
.
Not
more
than
$12,500
$25,000
23
of
the
amount
allocated
in
this
subsection
shall
be
used
for
24
administrative
costs.
25
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
26
funding
available
for
the
family
support
subsidy
program
27
is
reduced
from
the
amount
initially
used
to
establish
the
28
figure
for
the
number
of
family
members
for
whom
a
subsidy
29
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
30
notwithstanding
section
225C.38,
subsection
2
,
the
department
31
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
32
of
funding
available.
33
Sec.
25.
2013
Iowa
Acts,
chapter
138,
section
152,
is
34
amended
to
read
as
follows:
35
-53-
HF
2463
(3)
85
pf/jp/md
53/
90
H.F.
2463
SEC.
152.
CONNER
DECREE.
There
is
appropriated
from
the
1
general
fund
of
the
state
to
the
department
of
human
services
2
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
3
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
4
to
be
used
for
the
purpose
designated:
5
For
building
community
capacity
through
the
coordination
6
and
provision
of
training
opportunities
in
accordance
with
the
7
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
8
Iowa,
July
14,
1994):
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
10
33,632
11
Sec.
26.
2013
Iowa
Acts,
chapter
138,
section
153,
is
12
amended
to
read
as
follows:
13
SEC.
153.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
14
from
the
general
fund
of
the
state
to
the
department
of
human
15
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
16
June
30,
2015,
the
following
amounts,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purposes
designated:
18
1.
For
the
state
mental
health
institute
at
Cherokee
for
19
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
20
for
not
more
than
the
following
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,977,232
22
6,031,934
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
24
2.
For
the
state
mental
health
institute
at
Clarinda
for
25
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
26
for
not
more
than
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,375,934
28
6,787,309
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
30
3.
For
the
state
mental
health
institute
at
Independence
for
31
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
32
for
not
more
than
the
following
full-time
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,159,389
34
10,484,386
35
-54-
HF
2463
(3)
85
pf/jp/md
54/
90
H.F.
2463
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
1
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
2
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
3
and
for
not
more
than
the
following
full-time
equivalent
4
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
683,343
6
1,417,796
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.92
8
Sec.
27.
2013
Iowa
Acts,
chapter
138,
section
154,
is
9
amended
to
read
as
follows:
10
SEC.
154.
STATE
RESOURCE
CENTERS.
11
1.
There
is
appropriated
from
the
general
fund
of
the
12
state
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
14
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purposes
designated:
16
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
17
support,
maintenance,
and
miscellaneous
purposes:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,137,236
19
21,695,266
20
b.
For
the
state
resource
center
at
Woodward
for
salaries,
21
support,
maintenance,
and
miscellaneous
purposes:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,110,232
23
14,855,693
24
2.
The
department
may
continue
to
bill
for
state
resource
25
center
services
utilizing
a
scope
of
services
approach
used
for
26
private
providers
of
ICFID
services,
in
a
manner
which
does
not
27
shift
costs
between
the
medical
assistance
program,
counties,
28
or
other
sources
of
funding
for
the
state
resource
centers.
29
3.
The
state
resource
centers
may
expand
the
time-limited
30
assessment
and
respite
services
during
the
fiscal
year.
31
4.
If
the
department’s
administration
and
the
department
32
of
management
concur
with
a
finding
by
a
state
resource
33
center’s
superintendent
that
projected
revenues
can
reasonably
34
be
expected
to
pay
the
salary
and
support
costs
for
a
new
35
-55-
HF
2463
(3)
85
pf/jp/md
55/
90
H.F.
2463
employee
position,
or
that
such
costs
for
adding
a
particular
1
number
of
new
positions
for
the
fiscal
year
would
be
less
2
than
the
overtime
costs
if
new
positions
would
not
be
added,
3
the
superintendent
may
add
the
new
position
or
positions.
If
4
the
vacant
positions
available
to
a
resource
center
do
not
5
include
the
position
classification
desired
to
be
filled,
the
6
state
resource
center’s
superintendent
may
reclassify
any
7
vacant
position
as
necessary
to
fill
the
desired
position.
The
8
superintendents
of
the
state
resource
centers
may,
by
mutual
9
agreement,
pool
vacant
positions
and
position
classifications
10
during
the
course
of
the
fiscal
year
in
order
to
assist
one
11
another
in
filling
necessary
positions.
12
5.
If
existing
capacity
limitations
are
reached
in
13
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
14
a
special
need
for
which
a
payment
source
or
other
funding
15
is
available
for
the
service
or
to
address
the
special
need,
16
and
facilities
for
the
service
or
to
address
the
special
need
17
can
be
provided
within
the
available
payment
source
or
other
18
funding,
the
superintendent
of
a
state
resource
center
may
19
authorize
opening
not
more
than
two
units
or
other
facilities
20
and
begin
implementing
the
service
or
addressing
the
special
21
need
during
fiscal
year
2014-2015.
22
Sec.
28.
2013
Iowa
Acts,
chapter
138,
section
155,
is
23
amended
to
read
as
follows:
24
SEC.
155.
SEXUALLY
VIOLENT
PREDATORS.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
28
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
costs
associated
with
the
commitment
and
treatment
of
31
sexually
violent
predators
in
the
unit
located
at
the
state
32
mental
health
institute
at
Cherokee,
including
costs
of
legal
33
services
and
other
associated
costs,
including
salaries,
34
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
35
-56-
HF
2463
(3)
85
pf/jp/md
56/
90
H.F.
2463
more
than
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,708,485
2
9,923,563
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
124.50
4
132.50
5
2.
Unless
specifically
prohibited
by
law,
if
the
amount
6
charged
provides
for
recoupment
of
at
least
the
entire
amount
7
of
direct
and
indirect
costs,
the
department
of
human
services
8
may
contract
with
other
states
to
provide
care
and
treatment
9
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
10
violent
predators
at
Cherokee.
The
moneys
received
under
11
such
a
contract
shall
be
considered
to
be
repayment
receipts
12
and
used
for
the
purposes
of
the
appropriation
made
in
this
13
section.
14
Sec.
29.
2013
Iowa
Acts,
chapter
138,
section
156,
is
15
amended
to
read
as
follows:
16
SEC.
156.
FIELD
OPERATIONS.
There
is
appropriated
from
the
17
general
fund
of
the
state
to
the
department
of
human
services
18
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
19
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purposes
designated:
21
For
field
operations,
including
salaries,
support,
22
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
23
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,261,194
25
66,670,976
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
27
1A.
As
a
condition
of
this
appropriation,
the
department
28
shall
make
every
possible
effort
to
fill
the
entire
number
of
29
positions
authorized
by
this
section
and,
unless
specifically
30
provided
otherwise
by
an
applicable
collective
bargaining
31
agreement,
the
department
is
not
subject
to
any
approval
32
requirement
external
to
the
department
to
fill
a
field
33
operations
vacancy
within
the
number
of
full-time
equivalent
34
positions
authorized
by
this
section.
The
department
shall
35
-57-
HF
2463
(3)
85
pf/jp/md
57/
90
H.F.
2463
report
on
the
first
of
each
month
to
the
chairpersons
and
1
ranking
members
of
the
appropriations
committees
of
the
senate
2
and
house
of
representatives,
and
the
persons
designated
by
3
this
Act
for
submission
of
reports
concerning
the
status
of
4
filling
the
positions.
5
2.
Priority
in
filling
full-time
equivalent
positions
6
shall
be
given
to
those
positions
related
to
child
protection
7
services
and
eligibility
determination
for
low-income
families.
8
Sec.
30.
2013
Iowa
Acts,
chapter
138,
section
157,
is
9
amended
to
read
as
follows:
10
SEC.
157.
GENERAL
ADMINISTRATION.
There
is
appropriated
11
from
the
general
fund
of
the
state
to
the
department
of
human
12
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
13
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
14
necessary,
to
be
used
for
the
purpose
designated:
15
For
general
administration,
including
salaries,
support,
16
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
17
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,152,386
19
16,304,602
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
21
1.
Of
the
funds
appropriated
in
this
section,
$31,772
22
$38,543
is
allocated
for
the
prevention
of
disabilities
policy
23
council
established
in
section
225B.3
.
24
3.
Of
the
funds
appropriated
in
this
section,
$66,150
25
$132,300
shall
be
used
to
continue
the
contract
for
the
26
provision
of
a
program
to
provide
technical
assistance,
27
support,
and
consultation
to
providers
of
habilitation
services
28
and
home
and
community-based
services
waiver
services
for
29
adults
with
disabilities
under
the
medical
assistance
program.
30
4.
Of
the
funds
appropriated
in
this
section,
$25,000
31
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
32
used
for
administrative
support
of
the
council
on
homelessness
33
established
in
section
16.100A
and
for
the
council
to
fulfill
34
its
duties
in
addressing
and
reducing
homelessness
in
the
35
-58-
HF
2463
(3)
85
pf/jp/md
58/
90
H.F.
2463
state.
1
5A.
Of
the
funds
appropriated
in
this
section
$250,000
is
2
transferred
to
the
department
of
inspections
and
appeals
to
be
3
used
to
implement
a
new
mental
health
advocate
division
in
the
4
department
in
accordance
with
this
2014
Act.
5
Sec.
31.
2013
Iowa
Acts,
chapter
138,
section
158,
is
6
amended
to
read
as
follows:
7
SEC.
158.
VOLUNTEERS.
There
is
appropriated
from
the
8
general
fund
of
the
state
to
the
department
of
human
services
9
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
10
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
11
to
be
used
for
the
purpose
designated:
12
For
development
and
coordination
of
volunteer
services:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
14
84,686
15
Sec.
32.
2013
Iowa
Acts,
chapter
138,
section
159,
16
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
to
read
17
as
follows:
18
(1)
For
the
fiscal
year
beginning
July
1,
2014,
the
total
19
state
funding
amount
for
the
nursing
facility
budget
shall
not
20
exceed
$268,712,511
$282,878,824
.
21
Sec.
33.
2013
Iowa
Acts,
chapter
138,
section
159,
22
subsection
1,
paragraph
b,
is
amended
to
read
as
follows:
23
b.
(1)
For
the
fiscal
year
beginning
July
1,
2014,
24
the
department
shall
continue
the
pharmacy
dispensing
fee
25
reimbursement
at
$10.12
per
prescription
until
a
cost
of
26
dispensing
survey
is
completed
.
The
actual
dispensing
fee
27
shall
be
determined
by
a
cost
of
dispensing
survey
performed
28
by
the
department
and
required
to
be
completed
by
all
medical
29
assistance
program
participating
pharmacies
every
two
years
30
beginning
in
FY
2014-2015.
31
(2)
The
department
shall
utilize
an
average
acquisition
32
cost
reimbursement
methodology
for
all
drugs
covered
under
the
33
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
34
chapter
1133,
section
33.
35
-59-
HF
2463
(3)
85
pf/jp/md
59/
90
H.F.
2463
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
1
Medicare
and
Medicaid
services
of
the
United
States
department
2
of
health
and
human
services
(CMS)
requires,
as
a
condition
3
of
federal
Medicaid
funding,
that
the
department
implement
an
4
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
5
based
on
the
average
manufacturer’s
price
(AMP),
the
department
6
may
utilize
a
reimbursement
methodology
for
all
drugs
covered
7
under
the
Medicaid
program
based
on
the
national
average
drug
8
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
9
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
10
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
11
administrative
costs,
and
minimize
any
change
in
the
aggregate
12
reimbursement
for
drugs.
The
department
may
adopt
emergency
13
rules
to
implement
this
subparagraph.
14
Sec.
34.
2013
Iowa
Acts,
chapter
138,
section
159,
15
subsection
1,
paragraph
c,
subparagraphs
(1)
and
(2)
are
16
amended
to
read
as
follows:
17
(1)
For
the
fiscal
year
beginning
July
1,
2014,
18
reimbursement
rates
for
outpatient
hospital
services
shall
19
remain
at
the
rates
in
effect
on
June
30,
2014
be
rebased
20
effective
January
1,
2015,
subject
to
Medicaid
program
upper
21
payment
limit
rules
and
adjusted
as
necessary
to
maintain
22
expenditures
within
the
amount
appropriated
to
the
department
23
for
this
purpose
for
the
fiscal
year
.
24
(2)
For
the
fiscal
year
beginning
July
1,
2014,
25
reimbursement
rates
for
inpatient
hospital
services
shall
26
remain
at
the
rates
in
effect
on
June
30,
2014
be
rebased
27
effective
October
1,
2015,
subject
to
Medicaid
program
upper
28
payment
limit
rules
and
adjusted
as
necessary
to
maintain
29
expenditures
within
the
amount
appropriated
to
the
department
30
for
this
purpose
for
the
fiscal
year
.
31
Sec.
35.
2013
Iowa
Acts,
chapter
138,
section
159,
32
subsection
1,
paragraph
f,
subparagraph
(1),
is
amended
to
read
33
as
follows:
34
(1)
For
the
fiscal
year
beginning
July
1,
2014,
35
-60-
HF
2463
(3)
85
pf/jp/md
60/
90
H.F.
2463
reimbursement
rates
for
home
health
agencies
shall
continue
to
1
be
based
on
the
Medicare
low
utilization
payment
adjustment
2
(LUPA)
methodology
in
effect
on
June
30,
2014,
as
adjusted
to
3
not
exceed
the
reimbursement
for
the
fiscal
year
beginning
July
4
1,
2013
with
state
geographic
wage
adjustments.
Beginning
July
5
1,
2015,
the
department
shall
update
the
rates
every
two
years
6
to
reflect
the
most
recent
Medicare
LUPA
rates
.
7
Sec.
36.
2013
Iowa
Acts,
chapter
138,
section
159,
8
subsection
1,
paragraph
n,
is
amended
to
read
as
follows:
9
n.
For
the
fiscal
year
beginning
July
1,
2014,
the
10
reimbursement
rates
for
inpatient
mental
health
services
11
provided
at
hospitals
shall
remain
at
the
rates
in
effect
12
on
June
30
be
rebased
effective
October
1
,
2014,
subject
to
13
Medicaid
program
upper
payment
limit
rules;
community
mental
14
health
centers
and
providers
of
mental
health
services
to
15
county
residents
pursuant
to
a
waiver
approved
under
section
16
225C.7,
subsection
3
,
shall
be
reimbursed
at
100
percent
of
the
17
reasonable
costs
for
the
provision
of
services
to
recipients
of
18
medical
assistance;
and
psychiatrists
shall
be
reimbursed
at
19
the
medical
assistance
program
fee
for
service
rate.
20
Sec.
37.
2013
Iowa
Acts,
chapter
138,
section
159,
21
subsection
1,
is
amended
by
adding
the
following
new
paragraph:
22
NEW
PARAGRAPH
.
0o.
For
the
fiscal
year
beginning
July
23
1,
2014,
community
mental
health
centers
may
choose
to
be
24
reimbursed
for
the
services
provided
to
recipients
of
medical
25
assistance
through
either
of
the
following
options:
26
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
27
(2)
In
accordance
with
the
alternative
reimbursement
rate
28
methodology
established
by
the
medical
assistance
program’s
29
managed
care
contractor
for
mental
health
services
and
approved
30
by
the
department
of
human
services.
31
Sec.
38.
2013
Iowa
Acts,
chapter
138,
section
159,
32
subsection
6,
is
amended
to
read
as
follows:
33
6.
For
the
fiscal
year
beginning
July
1,
2014,
the
34
reimbursement
rates
for
family-centered
service
providers,
35
-61-
HF
2463
(3)
85
pf/jp/md
61/
90
H.F.
2463
family
foster
care
service
providers,
group
foster
care
service
1
providers,
and
the
resource
family
recruitment
and
retention
2
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
3
2014.
4
Sec.
39.
2013
Iowa
Acts,
chapter
138,
section
159,
is
5
amended
by
adding
the
following
new
subsection:
6
NEW
SUBSECTION
.
6A.
a.
For
the
purposes
of
this
7
subsection,
“combined
reimbursement
rate”
means
the
combined
8
service
and
maintenance
reimbursement
rate
for
a
service
level
9
under
the
department’s
reimbursement
methodology.
For
the
10
fiscal
year
beginning
July
1,
2014,
the
combined
reimbursement
11
rate
for
a
group
foster
care
service
level
shall
be
the
amount
12
designated
in
this
subsection.
However,
if
a
group
foster
care
13
provider’s
reimbursement
rate
for
a
service
level
as
of
June
14
30,
2014,
is
more
than
the
rate
designated
in
this
subsection,
15
the
provider’s
reimbursement
shall
remain
at
the
higher
rate.
16
b.
Unless
a
group
foster
care
provider
is
subject
to
the
17
exception
provided
in
paragraph
“a”,
for
the
fiscal
year
18
beginning
July
1,
2014,
the
combined
reimbursement
rates
19
for
the
service
levels
under
the
department’s
reimbursement
20
methodology
shall
be
as
follows:
21
(1)
For
service
level,
community
-
D1,
the
rate
shall
be
22
71
percent
of
the
applicable
patient-day
weighted
statewide
23
average
cost
of
group
foster
care
cost
reports
that
were
24
verified
and
used
for
the
foster
group
care
rate
methodology
25
workgroup
final
report
submitted
to
the
general
assembly
in
26
December
2012.
27
(2)
For
service
level,
comprehensive
-
D2,
the
rate
shall
28
be
78
percent
of
the
applicable
patient-day
weighted
statewide
29
average
cost
of
group
foster
care
cost
reports
that
were
30
verified
and
used
for
the
foster
group
care
rate
methodology
31
workgroup
final
report
submitted
to
the
general
assembly
in
32
December
2012.
33
(3)
For
service
level,
enhanced
-
D3,
the
rate
shall
be
93
34
percent
of
the
patient-day
weighted
statewide
average
cost
of
35
-62-
HF
2463
(3)
85
pf/jp/md
62/
90
H.F.
2463
group
foster
care
cost
reports
that
were
verified
and
used
for
1
the
foster
group
care
rate
methodology
workgroup
final
report
2
submitted
to
the
general
assembly
in
December
2012.
3
Sec.
40.
2013
Iowa
Acts,
chapter
138,
section
159,
4
subsection
9,
is
amended
to
read
as
follows:
5
9.
For
the
fiscal
year
beginning
July
1,
2013
2014
,
the
6
department
shall
calculate
reimbursement
rates
for
intermediate
7
care
facilities
for
persons
with
intellectual
disabilities
at
8
the
80th
percentile.
Beginning
July
1,
2013
2014
,
the
rate
9
calculation
methodology
shall
utilize
the
consumer
price
index
10
inflation
factor
applicable
to
the
fiscal
year
beginning
July
11
1,
2013.
12
Sec.
41.
2013
Iowa
Acts,
chapter
138,
section
160,
is
13
amended
to
read
as
follows:
14
SEC.
160.
EMERGENCY
RULES.
15
1.
If
specifically
authorized
by
a
provision
of
this
16
division
of
this
Act
for
the
fiscal
year
beginning
July
1,
2013
17
2014
,
the
department
of
human
services
or
the
mental
health
18
and
disability
services
commission
may
adopt
administrative
19
rules
under
section
17A.4,
subsection
3
,
and
section
17A.5,
20
subsection
2
,
paragraph
“b”,
to
implement
the
provisions
and
21
the
rules
shall
become
effective
immediately
upon
filing
or
22
on
a
later
effective
date
specified
in
the
rules,
unless
the
23
effective
date
is
delayed
by
the
administrative
rules
review
24
committee.
Any
rules
adopted
in
accordance
with
this
section
25
shall
not
take
effect
before
the
rules
are
reviewed
by
the
26
administrative
rules
review
committee.
The
delay
authority
27
provided
to
the
administrative
rules
review
committee
under
28
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
29
shall
be
applicable
to
a
delay
imposed
under
this
section
,
30
notwithstanding
a
provision
in
those
sections
making
them
31
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”
.
32
Any
rules
adopted
in
accordance
with
the
provisions
of
this
33
section
shall
also
be
published
as
notice
of
intended
action
34
as
provided
in
section
17A.4
.
35
-63-
HF
2463
(3)
85
pf/jp/md
63/
90
H.F.
2463
2.
If
during
the
fiscal
year
beginning
July
1,
2013
1
2014
,
the
department
of
human
services
is
adopting
rules
in
2
accordance
with
this
section
or
as
otherwise
directed
or
3
authorized
by
state
law,
and
the
rules
will
result
in
an
4
expenditure
increase
beyond
the
amount
anticipated
in
the
5
budget
process
or
if
the
expenditure
was
not
addressed
in
6
the
budget
process
for
the
fiscal
year,
the
department
shall
7
notify
the
persons
designated
by
this
division
of
this
Act
for
8
submission
of
reports,
the
chairpersons
and
ranking
members
9
of
the
committees
on
appropriations,
and
the
department
of
10
management
concerning
the
rules
and
the
expenditure
increase.
11
The
notification
shall
be
provided
at
least
30
calendar
days
12
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
13
administrative
rules
coordinator
and
the
administrative
code
14
editor.
15
Sec.
42.
2013
Iowa
Acts,
chapter
138,
section
161,
is
16
amended
to
read
as
follows:
17
SEC.
161.
REPORTS.
Any
reports
or
other
information
18
required
to
be
compiled
and
submitted
under
this
Act
during
19
the
fiscal
year
beginning
July
1,
2013
2014
,
shall
be
20
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
21
appropriations
subcommittee
on
health
and
human
services,
the
22
legislative
services
agency,
and
the
legislative
caucus
staffs
23
on
or
before
the
dates
specified
for
submission
of
the
reports
24
or
information.
25
DIVISION
VI
26
HEALTH
CARE
ACCOUNTS
AND
FUNDS
27
Sec.
43.
2013
Iowa
Acts,
chapter
138,
section
162,
is
28
amended
to
read
as
follows:
29
SEC.
162.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
30
appropriated
from
the
pharmaceutical
settlement
account
created
31
in
section
249A.33
to
the
department
of
human
services
for
the
32
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
33
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
34
used
for
the
purpose
designated:
35
-64-
HF
2463
(3)
85
pf/jp/md
64/
90
H.F.
2463
Notwithstanding
any
provision
of
law
to
the
contrary,
to
1
supplement
the
appropriations
made
in
this
Act
for
medical
2
contracts
under
the
medical
assistance
program
for
the
fiscal
3
year
beginning
July
1,
2013
2014
,
and
ending
June
30,
2014
4
2015
:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,325,000
6
5,467,564
7
Sec.
44.
2013
Iowa
Acts,
chapter
138,
section
163,
is
8
amended
to
read
as
follows:
9
SEC.
163.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
10
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
11
and
subject
to
the
availability
of
funds,
there
is
appropriated
12
from
the
quality
assurance
trust
fund
created
in
section
13
249L.4
to
the
department
of
human
services
for
the
fiscal
year
14
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
15
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
16
designated:
17
To
supplement
the
appropriation
made
in
this
Act
from
the
18
general
fund
of
the
state
to
the
department
of
human
services
19
for
medical
assistance
for
the
same
fiscal
year:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
28,788,917
21
29,195,653
22
DIVISION
VII
23
PERSONNEL
SETTLEMENT
AGREEMENTS
24
Sec.
45.
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS.
As
a
25
condition
of
the
appropriations
in
this
2014
Act,
the
moneys
26
appropriated
and
any
other
moneys
available
shall
not
be
used
27
for
payment
of
a
personnel
settlement
agreement
that
contains
a
28
confidentiality
provision
intended
to
prevent
public
disclosure
29
of
the
agreement
or
any
terms
of
the
agreement.
30
DIVISION
VIII
31
IOWA
PRODUCTS
32
Sec.
46.
IOWA
PRODUCTS.
As
a
condition
of
receiving
an
33
appropriation,
any
agency
appropriated
moneys
pursuant
to
this
34
2014
Act
shall
give
first
preference
when
purchasing
a
product
35
-65-
HF
2463
(3)
85
pf/jp/md
65/
90
H.F.
2463
to
an
Iowa
product
or
a
product
produced
by
an
Iowa-based
1
business.
Second
preference
shall
be
given
to
a
United
States
2
product
or
a
product
produced
by
a
business
based
in
the
United
3
States.
4
DIVISION
IX
5
PRIOR
YEAR
APPROPRIATIONS
6
MEDICAL
RESIDENCY
7
Sec.
47.
2013
Iowa
Acts,
chapter
138,
section
3,
subsection
8
4,
paragraph
r,
is
amended
to
read
as
follows:
9
r.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
10
shall
be
deposited
in
the
medical
residency
training
account
11
created
in
section
135.175,
subsection
5,
paragraph
“a”
,
and
12
is
appropriated
from
the
account
to
the
department
of
public
13
health
to
be
used
for
the
purposes
of
the
medical
residency
14
training
state
matching
grants
program
as
specified
in
section
15
135.176
.
However,
notwithstanding
any
provision
to
the
16
contrary
in
section
135.176,
priority
in
the
awarding
of
grants
17
shall
be
given
to
new
residency
programs
and
the
expansion
18
of
existing
residency
programs
which
propose
expansion
of
19
psychiatric
residency
positions
and
family
practice
residency
20
positions.
21
CONSUMER-DIRECTED
ATTENDANT
CARE
22
Sec.
48.
2013
Iowa
Acts,
chapter
138,
section
12,
subsection
23
19,
paragraph
a,
subparagraph
(6),
is
amended
to
read
as
24
follows:
25
(6)
The
department
shall
require
transition
of
the
26
provision
by
individual
providers
of
personal
care
under
the
27
consumer-directed
attendant
care
option
to
agency-provided
28
personal
care
services
and
shall
retain
the
consumer
choice
29
option
for
those
individuals
able
and
desiring
to
self-direct
30
services.
31
AUTISM
32
Sec.
49.
2013
Iowa
Acts,
chapter
138,
section
13,
subsection
33
10,
is
amended
to
read
as
follows:
34
10.
Of
the
funds
appropriated
in
this
section,
$2,000,000
35
-66-
HF
2463
(3)
85
pf/jp/md
66/
90
H.F.
2463
shall
be
used
for
the
autism
support
program
created
in
1
chapter
225D
,
as
enacted
in
this
Act,
beginning
January
1,
2
2014.
Notwithstanding
section
8.33,
moneys
allocated
in
this
3
subsection
that
remain
unencumbered
or
unobligated
at
the
close
4
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
5
for
expenditure
for
the
purposes
designated
until
the
close
of
6
the
succeeding
fiscal
year.
7
STATE
SUPPLEMENTARY
ASSISTANCE
8
Sec.
50.
2013
Iowa
Acts,
chapter
138,
section
14,
is
amended
9
by
adding
the
following
new
subsection:
10
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
11
appropriated
in
this
section
that
remain
unencumbered
or
12
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
13
but
shall
remain
available
for
expenditure
for
the
purposes
14
designated
until
the
close
of
the
succeeding
fiscal
year.
15
FOSTER
CARE
RESPITE
16
Sec.
51.
2013
Iowa
Acts,
chapter
138,
section
18,
subsection
17
26,
is
amended
to
read
as
follows:
18
26.
Of
the
funds
appropriated
in
this
section,
at
least
19
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
20
care
respite
pilot
program
in
which
postsecondary
students
in
21
social
work
and
other
human
services-related
programs
receive
22
experience
by
assisting
family
foster
care
providers
with
23
respite
and
other
support.
Notwithstanding
section
8.33,
24
moneys
allocated
in
this
subsection
that
remain
unencumbered
or
25
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
26
but
shall
remain
available
for
expenditure
for
the
purposes
27
designated
until
the
close
of
the
succeeding
fiscal
year.
28
COMMUNITY
MENTAL
HEALTH
CENTER
REIMBURSEMENT
29
Sec.
52.
2013
Iowa
Acts,
chapter
138,
section
29,
subsection
30
1,
paragraph
n,
is
amended
to
read
as
follows:
31
n.
For
the
fiscal
year
beginning
July
1,
2013,
the
32
reimbursement
rates
for
inpatient
mental
health
services
33
provided
at
hospitals
shall
be
increased
by
1
percent
over
the
34
rates
in
effect
on
June
30,
2013,
subject
to
Medicaid
program
35
-67-
HF
2463
(3)
85
pf/jp/md
67/
90
H.F.
2463
upper
payment
limit
rules;
community
mental
health
centers
1
and
providers
of
mental
health
services
to
county
residents
2
pursuant
to
a
waiver
approved
under
section
225C.7,
subsection
3
3
,
shall
be
reimbursed
at
100
percent
of
the
reasonable
4
costs
for
the
provision
of
services
to
recipients
of
medical
5
assistance;
and
psychiatrists
shall
be
reimbursed
at
the
6
medical
assistance
program
fee-for-service
rate.
7
Sec.
53.
2013
Iowa
Acts,
chapter
138,
section
29,
subsection
8
1,
is
amended
by
adding
the
following
new
paragraph:
9
NEW
PARAGRAPH
.
0o.
For
the
fiscal
year
beginning
July
10
1,
2013,
community
mental
health
centers
may
choose
to
be
11
reimbursed
for
the
services
provided
to
recipients
of
medical
12
assistance
through
either
of
the
following
options:
13
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
14
(2)
In
accordance
with
the
alternative
reimbursement
rate
15
methodology
established
by
the
medical
assistance
program’s
16
managed
care
contractor
for
mental
health
services
and
approved
17
by
the
department
of
human
services.
18
Sec.
54.
EMERGENCY
RULES.
The
department
of
human
services
19
may
adopt
emergency
rules
under
section
17A.4,
subsection
3,
20
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
21
the
section
of
this
division
of
this
Act
amending
2013
Iowa
22
Acts,
chapter
138,
section
29,
subsection
1,
paragraph
“n”
and
23
enacting
“0o”,
and
the
rules
shall
be
effective
immediately
24
upon
filing
unless
a
later
date
is
specified
in
the
rules.
Any
25
rules
adopted
in
accordance
with
this
section
shall
also
be
26
published
as
a
notice
of
intended
action
as
provided
in
section
27
17A.4.
28
Sec.
55.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
29
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
30
enactment.
31
Sec.
56.
RETROACTIVE
APPLICABILITY.
The
section
of
this
32
division
of
this
Act
amending
2013
Iowa
Acts,
chapter
138,
33
section
12,
subsection
19,
paragraph
“a”,
subparagraph
(6),
34
applies
retroactively
to
July
1,
2013.
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Sec.
57.
RETROACTIVE
APPLICABILITY.
The
sections
of
this
1
division
of
this
Act
amending
2013
Iowa
Acts,
chapter
138,
2
section
29,
subsection
1,
paragraph
“n”
and
enacting
new
3
paragraph
“0o”,
apply
retroactively
to
July
1,
2013.
4
DIVISION
X
5
MENTAL
HEALTH
AND
DISABILITY
SERVICES
6
Sec.
58.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
7
EQUALIZATION
PAYMENTS
TRANSFER
AND
APPROPRIATION.
8
1.
There
is
transferred
from
the
general
fund
of
the
9
state
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purposes
designated:
13
For
deposit
in
the
property
tax
relief
fund
created
in
14
section
426B.1
,
for
distribution
as
provided
in
this
section:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
30,555,823
16
2.
The
moneys
credited
to
the
property
tax
relief
fund
in
17
accordance
with
this
section
are
appropriated
to
the
department
18
of
human
services
for
distribution
of
equalization
payments
for
19
counties
in
the
amounts
specified
in
section
426B.3,
subsection
20
4
,
for
the
fiscal
year
beginning
July
1,
2014.
If
the
county
21
is
part
of
a
region
that
has
been
approved
by
the
department
in
22
accordance
with
section
331.389
,
to
commence
partial
or
full
23
operations,
the
county’s
equalization
payment
shall
be
remitted
24
to
the
region
for
expenditure
as
approved
by
the
region’s
25
governing
board.
26
3.
a.
For
the
purposes
of
this
subsection,
“payment
27
obligation”
means
an
outstanding
obligation
for
payment
to
28
the
department
of
human
services
for
the
undisputed
cost
of
29
services
provided
under
the
medical
assistance
program
prior
30
to
July
1,
2012,
or
for
the
undisputed
cost
of
non-Medicaid
31
services
provided
prior
to
July
1,
2013.
32
b.
Unless
a
county
has
entered
into
an
agreement
as
provided
33
in
paragraph
“c”,
if
a
county
receiving
an
equalization
payment
34
under
this
section
has
a
payment
obligation,
the
county
shall
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remit
to
the
department
any
unpaid
portion
of
the
payment
1
obligation
prior
to
June
30,
2015,
from
moneys
available
to
the
2
county
that
meet
federal
match
requirements
for
the
medical
3
assistance
program.
4
c.
A
county
that
has
not
paid
the
county’s
payment
5
obligation
in
full
as
provided
in
paragraph
“b”
shall
enter
6
into
an
agreement
with
the
department
for
remittance
of
7
any
unpaid
portion
of
the
county’s
payment
obligation.
An
8
agreement
entered
into
under
this
lettered
paragraph
shall
9
provide
for
remittance
of
any
unpaid
portion
by
the
end
of
10
the
fiscal
year
beginning
July
1,
2014.
The
equalization
11
payment
for
a
county
subject
to
this
lettered
paragraph
shall
12
be
remitted
as
provided
by
the
county’s
agreement
with
the
13
department.
14
d.
The
equalization
payment
for
a
county
that
is
not
subject
15
to
paragraph
“c”
shall
be
remitted
on
or
before
July
15,
2014.
16
Sec.
59.
STATE
PAYMENT
PROGRAM
REMITTANCE
APPROPRIATION.
17
The
moneys
transferred
to
the
property
tax
relief
fund
for
the
18
fiscal
year
beginning
July
1,
2014,
from
the
federal
social
19
services
block
grant
pursuant
to
2013
Iowa
Acts,
chapter
136,
20
section
11,
subsection
3,
paragraph
“e”,
and
from
the
federal
21
temporary
assistance
for
needy
families
block
grant,
totaling
22
at
least
$11,774,275,
are
appropriated
to
the
department
of
23
human
services
for
the
fiscal
year
beginning
July
1,
2014,
to
24
be
used
for
distribution
of
state
payment
program
remittances
25
to
counties
for
the
fiscal
year
in
accordance
with
this
26
section.
The
state
payment
program
remittance
shall
be
an
27
amount
equal
to
the
amount
paid
to
a
county
of
residence
under
28
the
program
for
state
case
services
known
as
the
state
payment
29
program,
implemented
pursuant
to
section
331.440,
subsection
5,
30
Code
2013,
for
the
same
12-month
period
of
August
2012
through
31
July
2013
used
to
distribute
state
payment
program
remittances
32
to
counties
in
the
state
fiscal
year
beginning
July
1,
2013.
A
33
county
shall
provide
the
remittance
received
by
the
county
to
34
the
county’s
mental
health
and
disability
services
region.
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Sec.
60.
VOCATIONAL
REHABILITATION
SERVICES
——
1
EMPLOYMENT.
The
department
of
human
services
and
the
division
2
of
vocational
rehabilitation
services
of
the
department
of
3
education
shall
jointly
develop
protocols
and
program
models
to
4
integrate
the
employment-related
services
and
other
supports
5
provided
to
persons
with
disabilities
through
federal
match
6
funding
administered
by
the
department
and
the
division.
7
The
department
and
the
division
shall
report
on
or
before
8
December
15,
2014,
to
the
individuals
identified
in
this
Act
9
for
submission
of
reports
and
to
the
chairpersons
and
ranking
10
members
of
the
joint
appropriations
subcommittee
on
education
11
on
the
expenditure
of
such
funding
in
the
previous
fiscal
year
12
along
with
findings
and
recommendations.
13
Sec.
61.
BED
AVAILABILITY
TRACKING
SYSTEM
PROPOSAL.
The
14
department
of
human
services
shall
continue
and
expand
upon
15
the
study
regarding
the
possible
development
of
a
psychiatric
16
and
substance-related
disorder
treatment
hospital
bed
tracking
17
system
as
documented
in
its
report
submitted
in
December
18
2013
pursuant
to
2013
Iowa
Acts,
chapter
130,
section
56.
19
In
addition
to
representatives
of
magistrates
and
the
Iowa
20
hospital
association,
the
expanded
study
shall
include
21
representatives
of
the
regional
mental
health
and
disability
22
services
system,
state
mental
health
institutes,
the
Iowa
23
behavioral
health
association,
and
the
Iowa
association
of
24
community
providers.
The
study
shall
identify
options
for
25
implementing
a
bed
tracking
system
in
the
fiscal
year
beginning
26
July
1,
2015,
and
include
a
detailed
proposal
for
the
option
27
preferred
by
the
study
group.
The
content
of
the
detailed
28
proposal
shall
include
a
budget,
identification
of
how
bed
29
availability
and
related
data
would
be
entered
into
the
system
30
and
verified,
how
privacy
information
would
be
protected,
31
preferred
options
and
rationales
for
addressing
implementation
32
issues,
a
preferred
administrative
structure,
and
other
33
operational
provisions.
The
results
of
the
expanded
study
34
shall
be
submitted
on
or
before
December
15,
2014,
along
with
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findings
and
recommendations
to
the
governor
and
the
persons
1
designated
by
this
Act
for
submission
of
reports.
2
Sec.
62.
STUDY
OF
COMMUNITY-BASED
SERVICE
OPTIONS
FOR
3
PERSONS
WITH
SERIOUS
MENTAL
ILLNESS.
The
department
of
human
4
services
shall
engage
representatives
of
the
department
of
5
inspections
and
appeals,
department
on
aging,
the
regional
6
mental
health
and
disability
services
system,
the
Iowa
7
association
of
community
providers,
the
Iowa
behavioral
8
health
association,
and
other
service
providers,
and
other
9
stakeholders
to
study
community-based
placement
options
for
10
persons
with
serious
mental
illness
to
divert
them
from
or
end
11
their
need
for
an
institutional
placement.
The
study
shall
12
consider
both
services
currently
available
and
services
that
13
should
be
developed
to
meet
the
needs
of
persons
with
serious
14
mental
illness.
The
system
elements
addressed
by
the
study
15
shall
include
but
are
not
limited
to
regulatory,
liability,
16
and
funding
issues,
and
other
barriers
to
maintaining
17
current
community-based
services
options
and
developing
new
18
options.
The
results
of
the
study,
including
findings
and
19
recommendations
shall
be
reported
on
or
before
December
15,
20
2014,
to
the
governor
and
the
persons
designated
by
this
Act
21
for
submission
of
reports.
22
Sec.
63.
Section
331.388,
subsection
3,
Code
2014,
is
23
amended
to
read
as
follows:
24
3.
“Population”
means
,
as
of
July
1
of
the
fiscal
year
25
preceding
the
fiscal
year
in
which
the
population
figure
is
26
applied,
the
population
shown
by
the
latest
preceding
certified
27
federal
census
or
the
latest
applicable
population
estimate
28
issued
by
the
United
States
census
bureau,
whichever
is
most
29
recent.
30
Sec.
64.
Section
331.391,
Code
2014,
is
amended
by
adding
31
the
following
new
subsection:
32
NEW
SUBSECTION
.
4.
If
a
region
is
meeting
the
financial
33
obligations
for
implementation
of
its
regional
service
system
34
management
plan
for
a
fiscal
year
and
residual
funding
is
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anticipated,
the
regional
administrator
shall
reserve
an
1
adequate
amount
for
cash
flow
of
expenditure
obligations
in
2
the
next
fiscal
year.
The
cash
flow
amount
shall
not
exceed
3
twenty-five
percent
of
the
gross
expenditures
budgeted
for
the
4
combined
account
or
for
all
regional
accounts
for
the
fiscal
5
year
in
progress.
Residual
funding
remaining
after
the
cash
6
flow
amount
is
reserved
shall
be
used
to
expand
the
region’s
7
core
services
under
section
331.397,
subsection
4,
and
then
to
8
make
additional
core
service
domains
available
in
the
region
as
9
enumerated
in
section
331.397,
subsection
6.
10
Sec.
65.
Section
331.397,
subsection
4,
paragraph
d,
11
unnumbered
paragraph
1,
Code
2014,
is
amended
to
read
as
12
follows:
13
Support
for
employment
or
for
activities
leading
to
14
employment
providing
an
appropriate
match
with
an
individual’s
15
abilities
based
upon
informed,
person-centered
choices
made
16
from
an
array
of
options
,
including
but
not
limited
to
all
of
17
the
following:
18
Sec.
66.
Section
331.424A,
Code
2014,
is
amended
by
adding
19
the
following
new
subsection:
20
NEW
SUBSECTION
.
3A.
An
amount
shall
be
reserved
in
the
21
county
services
fund
to
address
cash
flow
obligations
in
the
22
next
fiscal
year.
The
cash
flow
amount
shall
not
exceed
23
twenty-five
percent
of
the
gross
expenditures
budgeted
from
the
24
county
services
fund
for
the
fiscal
year
in
progress.
The
cash
25
flow
amount
for
a
county’s
services
fund
shall
be
specified
in
26
the
regional
governance
agreement
entered
into
by
the
county
27
under
section
331.392.
28
Sec.
67.
Section
426B.3,
subsection
4,
Code
2014,
is
amended
29
to
read
as
follows:
30
4.
a.
For
the
fiscal
years
beginning
July
1,
2013,
31
and
July
1,
2014,
and
July
1,
2015,
a
county
with
a
county
32
population
expenditure
target
amount
that
exceeds
the
amount
33
of
the
county’s
base
year
expenditures
for
mental
health
and
34
disabilities
services
shall
receive
an
equalization
payment
for
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the
difference.
1
b.
The
equalization
payments
determined
in
accordance
2
with
this
subsection
shall
be
made
by
the
department
of
human
3
services
for
each
fiscal
year
as
provided
in
appropriations
4
made
from
the
property
tax
relief
fund
for
this
purpose.
If
5
the
county
is
part
of
a
region
that
has
been
approved
by
the
6
department
in
accordance
with
section
331.389
,
to
commence
7
partial
or
full
operations,
the
county’s
equalization
payment
8
shall
be
remitted
to
the
region
or
the
county,
as
appropriate,
9
for
expenditure
as
approved
by
the
region’s
governing
board
or
10
in
accordance
with
the
county’s
service
management
plan,
as
11
appropriate.
The
payment
for
a
county
that
has
been
approved
12
by
the
department
to
operate
as
an
individual
county
region
13
shall
be
remitted
to
the
county
for
expenditure
as
approved
by
14
the
county
board
of
supervisors.
For
the
fiscal
year
beginning
15
July
1,
2013,
and
succeeding
fiscal
years,
the
payment
shall
16
be
remitted
on
or
before
December
31
only
for
those
counties
17
approved
to
operate
as
an
individual
county
region
or
to
be
18
part
of
a
region.
Remittance
of
the
payment
for
a
county
19
without
such
approval
shall
be
deferred
until
such
approval
is
20
granted.
21
Sec.
68.
Section
426B.3,
subsection
5,
paragraph
b,
Code
22
2014,
is
amended
to
read
as
follows:
23
b.
(1)
For
the
fiscal
year
beginning
July
1,
2013,
and
24
succeeding
fiscal
years,
the
department
of
human
services
shall
25
calculate
a
Medicaid
offset
amount
for
each
county
for
the
26
fiscal
year.
The
department
shall
adopt
rules
in
consultation
27
with
the
county
finance
committee
specifying
the
information
28
to
be
used
in
calculating
a
Medicaid
offset
amount.
The
29
information
shall
include
but
is
not
limited
to
identification
30
of
the
amount
expended
for
specific
services
and
supports
that
31
would
otherwise
be
payable
by
the
county
for
persons
eligible
32
under
a
county’s
approved
service
management
plan
but
are
33
were
instead
paid
by
the
Iowa
health
and
wellness
plan.
The
34
amount
calculated
for
a
county
shall
be
subject
to
review
by
35
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the
auditor
of
that
county
or
subject
to
independent
audit.
1
The
Medicaid
offset
amounts
calculated
for
the
counties
are
2
subject
to
review
by
the
auditor
of
state
and
by
the
fiscal
3
agent
for
the
affected
region
prior
to
their
certification.
If
4
the
auditor
of
state
and
the
fiscal
agent
do
not
agree,
the
5
differences
shall
be
resolved
in
a
hearing
procedure
before
6
an
administrative
law
judge.
The
Medicaid
offset
amounts
7
calculated
by
the
department
for
a
county
for
a
fiscal
year
are
8
not
official
until
certified
by
the
director
of
human
services
9
and
submitted
to
the
governor
and
general
assembly
by
October
10
15
December
1
immediately
following
the
end
of
the
fiscal
year
11
for
which
the
offset
amounts
were
calculated.
The
director’s
12
certification
shall
be
considered
final
agency
action.
13
(2)
In
implementing
subparagraph
(1),
a
county’s
offset
14
amount
for
the
fiscal
year
beginning
July
1,
2013,
shall
be
15
calculated
by
first
identifying
the
actual
amounts
expended
16
from
the
county’s
services
fund
during
the
base
period
of
July
17
1,
2013,
through
December
31,
2013,
for
services
and
supports
18
provided
to
persons
who
became
eligible
for
the
Iowa
health
19
and
wellness
plan
during
the
implementation
period
of
January
20
1,
2014,
and
June
30,
2014.
For
purposes
of
calculating
the
21
offset
amount,
it
shall
be
assumed
that
the
expenditures
for
22
the
same
services
and
supports
provided
under
the
plan
during
23
the
implementation
period
are
equal
to
the
amount
expended
by
24
the
county
for
those
services
and
supports
for
the
comparable
25
time
during
the
base
period.
26
Sec.
69.
2013
Iowa
Acts,
chapter
136,
section
11,
subsection
27
3,
paragraph
e,
is
amended
to
read
as
follows:
28
e.
To
be
credited
to
the
property
tax
relief
fund
created
29
in
section
426B.1
:
30
(1)
FY
2013-2014
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,480,233
32
Of
the
amount
allocated
in
this
subparagraph,
up
to
33
$600,000
may
be
used
by
the
department
of
human
services
for
34
distribution
to
counties
for
state
case
services
provided
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in
prior
fiscal
years
for
persons
with
mental
illness,
1
intellectual
disability,
or
a
developmental
disability
in
2
accordance
with
section
331.440,
Code
2013
or
a
dispute
3
resolution
process
implemented
in
accordance
with
section
4
331.394,
subsection
5
or
6
.
5
(2)
FFY
2014-2015
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,480,233
7
Of
the
amount
allocated
in
this
subparagraph,
up
to
8
$600,000
may
be
used
by
the
department
of
human
services
for
9
distribution
to
counties
for
state
case
services
provided
for
10
persons
with
mental
illness,
intellectual
disability,
or
a
11
developmental
disability
in
accordance
with
section
331.440,
12
Code
2013,
or
in
accordance
with
a
dispute
resolution
process
13
implemented
in
accordance
with
section
331.394,
subsection
5
14
or
6.
15
DIVISION
XI
16
FAMILY
SUPPLEMENTATION
17
Sec.
70.
Section
249A.4,
subsection
10,
paragraph
b,
18
subparagraph
(6),
Code
2014,
is
amended
to
read
as
follows:
19
(6)
Supplementation
shall
not
be
applicable
if
the
20
facility’s
occupancy
rate
is
less
than
eighty
fifty
percent.
21
DIVISION
XII
22
MISCELLANEOUS
23
Sec.
71.
Section
256I.8,
subsection
3,
Code
2014,
is
amended
24
to
read
as
follows:
25
3.
An
area
board
shall
not
be
a
provider
of
services
to
or
26
for
the
area
board
except
as
authorized
by
a
waiver
granted
27
by
the
state
board
.
The
state
board
shall
adopt
criteria
28
for
granting
a
waiver
based
upon
cost
effectiveness,
service
29
quality
improvement
or
maintenance,
or
other
appropriate
basis
30
identified
by
the
state
board.
31
DIVISION
XIII
32
ASSET
VERIFICATION
33
Sec.
72.
MEDICAID
PROGRAM
——
ASSET,
INCOME,
AND
IDENTITY
34
VERIFICATION.
The
department
of
human
services
shall
issue
a
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request
for
proposals
to
contract
with
a
third-party
vendor
1
to
establish
an
electronic
asset,
income,
and
identity
2
eligibility
verification
system
for
the
purposes
of
determining
3
or
redetermining
the
eligibility
of
an
individual
who
is
4
an
applicant
for
or
recipient
of
medical
assistance
under
5
the
Medicaid
state
plan
on
the
basis
of
being
aged,
blind,
6
or
disabled
in
accordance
with
42
U.S.C.
§1396w.
The
7
third-party
vendor
selected
shall
be
able
to
demonstrate
in
8
writing
its
current
relationships
or
contracts
with
financial
9
institutions
in
the
state
and
nationally.
Participation
by
10
financial
institutions
in
providing
account
balances
for
asset
11
verification
shall
remain
voluntary.
The
department
may
12
transfer
funds
appropriated
in
this
2014
Act
for
the
Medicaid
13
program
as
necessary
to
pay
the
selected
third-party
vendor
in
14
accordance
with
this
section.
The
department
of
human
services
15
shall
submit
by
September
1,
2014,
a
progress
report
to
the
16
individuals
identified
in
this
2014
Act
for
submission
of
17
reports.
18
Sec.
73.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
19
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
20
enactment.
21
DIVISION
XIV
22
INTERDEPARTMENTAL
COORDINATION
——
INDIVIDUALS
RELEASED
FROM
23
CORRECTIONAL
SYSTEM
24
Sec.
74.
INTERDEPARTMENTAL
COORDINATION
——
INDIVIDUALS
25
RELEASED
FROM
THE
CORRECTIONAL
SYSTEM.
26
1.
The
department
of
human
services,
the
department
of
27
public
health,
the
department
on
aging,
the
department
of
28
workforce
development,
and
the
department
of
corrections
shall
29
implement
an
interagency
collaborative
effort
to
provide
an
30
integrated
approach
to
address
the
medical
and
psychosocial
31
needs
of
individuals
upon
release
from
a
correctional
facility.
32
The
collaboration
shall
provide
for
all
of
the
following:
33
a.
Coordination
between
the
departments
of
policies
and
34
procedures
to
facilitate
information
sharing,
during
the
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prerelease,
transitional,
and
postrelease
phases,
including
the
1
development
of
protocols
to
share
health
and
other
personal
2
information
of
an
individual
between
departmental
personnel
3
involved
in
providing
the
individual’s
prerelease,
transition,
4
and
postrelease
services
and
support.
5
b.
Cross-disciplinary
prerelease
preparation
that
includes
6
application
for
medical
assistance,
social
security
disability,
7
and
other
supports
for
which
the
individual
may
be
eligible;
8
assessment
of
the
holistic
clinical
and
social
needs
of
the
9
individual
including
but
not
limited
those
relating
to
health
10
and
medical
care,
housing,
education
and
training,
employment
11
assistance,
and
legal
assistance;
and
identification
of
12
community-based
services
and
providers
necessary
to
address
13
identified
needs,
including
but
not
limited
those
necessary
to
14
address
mental
health
and
substance-related
disorders.
15
c.
Transitional
and
postrelease
interagency
communication
16
and
coordination
to
ensure
a
more
seamless
transition
17
of
the
individual
to
the
community,
ongoing
linkages
to
18
community-based
services,
and
continuity
of
care.
19
2.
The
departments
shall
submit
by
December
15,
2014,
a
20
report
to
the
individuals
identified
in
this
2014
Act
for
21
submission
of
reports
describing
the
details
of
the
approach
22
developed
and
implemented,
any
barriers
to
the
development
23
and
implementation,
any
recommendations
for
changes
in
24
statute
or
rules
to
facilitate
the
approach,
and
any
other
25
recommendations.
26
DIVISION
XV
27
DEPARTMENTAL
RESPONSIBILITY
FOR
MENTAL
HEALTH
ADVOCATES
28
Sec.
75.
NEW
SECTION
.
10A.901
Definitions.
29
As
used
in
this
article,
unless
the
context
otherwise
30
requires:
31
1.
“Administrator”
means
the
person
coordinating
the
32
administration
of
the
division.
33
2.
“Division”
means
the
mental
health
advocate
division
of
34
the
department
of
inspections
and
appeals.
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Sec.
76.
NEW
SECTION
.
10A.902
Duties
of
administrator.
1
The
administrator
shall
administer
the
division’s
conduct
2
of
the
mental
health
advocate
program
as
provided
by
section
3
229.19
and
other
applicable
law.
The
person
appointed
as
4
administrator
must
meet
the
qualifications
to
be
appointed
as
a
5
mental
health
advocate.
The
administrator’s
duties
may
include
6
but
are
not
limited
to
all
of
the
following:
7
1.
a.
Approving
the
appointment
of
persons
to
serve
as
8
mental
health
advocates
and
identifying
qualifications
for
9
persons
serving
as
mental
health
advocates.
A
mental
health
10
advocate
serving
as
of
June
30,
2015,
shall
be
deemed
to
be
11
qualified.
The
minimum
qualifications
for
a
mental
health
12
advocate
whose
initial
appointment
commences
on
or
after
July
13
1,
2015,
shall
be
a
bachelor’s
degree
from
an
accredited
14
school,
college,
or
university
in
social
work,
counseling,
15
human
services,
health,
nursing,
or
psychology,
and
one
year
16
of
experience
in
the
provision
of
mental
health
services.
A
17
person
who
is
a
licensed
registered
nurse
pursuant
to
chapter
18
152
who
is
current
with
applicable
continuing
education
19
requirements
shall
be
deemed
to
have
met
the
minimum
experience
20
requirement.
21
b.
The
administrator
shall
contract
with
the
state
board
of
22
regents
to
employ
persons
appointed
to
serve
as
mental
health
23
advocates.
24
2.
Training
persons
appointed
to
serve
as
mental
health
25
advocates.
26
3.
Implementing
procedures
for
the
responsibilities
27
performed
by
persons
appointed
to
serve
as
mental
health
28
advocates
and
for
reassigning
advocate
responsibilities
based
29
on
the
location
of
the
patient’s
placement
or
other
patient
30
need.
The
court
shall
be
notified
of
any
reassignment.
The
31
procedures
for
appointing
a
person
to
a
vacant
mental
health
32
advocate
position
assigned
to
a
geographic
area
shall
require
33
the
person
appointed
to
the
vacant
position
to
reside
within
34
the
assigned
geographic
area.
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4.
Administering
program
additions
and
expansions,
1
including
providing
advocate
services
for
persons
with
a
2
substance-related
disorder
and
persons
found
not
guilty
3
by
reason
of
insanity,
if
such
additions
or
expansions
are
4
authorized
and
funded.
5
5.
Developing
and
implementing
a
case
weight
system
for
use
6
in
appointing
and
compensating
advocates.
7
6.
Administering
case
reviews
and
audits.
8
7.
Implementing
a
uniform
description
of
the
duties
9
of
mental
health
advocates,
based
upon
the
best
practices
10
developed
and
promulgated
by
the
judicial
council
pursuant
to
11
section
229.19,
subsection
1,
paragraph
“c”
.
12
Sec.
77.
TRANSITION.
13
1.
The
department
of
inspections
and
appeals
shall
commence
14
organizational
activities
during
the
fiscal
year
beginning
July
15
1,
2014,
as
necessary
to
fully
implement
this
division
and
16
assume
responsibility
for
mental
health
advocates
as
provided
17
in
this
division
and
division
II
of
this
Act
on
July
1,
2015.
18
2.
If
necessary
for
the
purposes
of
subsection
1,
the
19
department
of
inspections
and
appeals
may
adopt
emergency
20
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
21
subsection
2,
paragraph
“b”,
to
implement
the
provisions
of
22
division
II
of
this
Act
on
July
1,
2015,
and
the
rules
shall
23
be
effective
immediately
upon
filing
unless
a
later
date
is
24
specified
in
the
rules.
Any
rules
adopted
in
accordance
with
25
this
section
shall
also
be
published
as
a
notice
of
intended
26
action
as
provided
in
section
17A.4.
27
DIVISION
XVI
28
IMPLEMENTATION
——
MENTAL
HEALTH
ADVOCATES
29
Sec.
78.
Section
225C.4,
subsection
1,
paragraph
m,
Code
30
2014,
is
amended
to
read
as
follows:
31
m.
Provide
consultation
and
technical
assistance
to
32
patients’
mental
health
advocates
appointed
pursuant
to
33
section
229.19
,
in
cooperation
with
the
judicial
branch
and
the
34
department
of
inspections
and
appeals,
and
to
the
certified
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volunteer
long-term
care
ombudsmen
certified
pursuant
to
1
section
231.45
.
2
Sec.
79.
Section
226.31,
Code
2014,
is
amended
to
read
as
3
follows:
4
226.31
Examination
by
court
——
notice.
5
Before
granting
the
order
authorized
in
section
226.30
6
the
court
or
judge
shall
investigate
the
allegations
of
the
7
petition
and
before
proceeding
to
a
hearing
on
the
allegations
8
shall
require
notice
to
be
served
on
the
attorney
who
9
represented
the
patient
in
any
prior
proceedings
under
sections
10
229.6
to
229.15
or
the
and
to
any
mental
health
advocate
11
appointed
for
the
patient
under
section
229.19
,
or
in
the
case
12
of
a
patient
who
entered
the
hospital
voluntarily,
on
any
13
relative,
friend,
or
guardian
of
the
person
in
question
of
the
14
filing
of
the
application.
At
the
hearing
the
court
or
judge
15
shall
appoint
a
guardian
ad
litem
for
the
person,
if
the
court
16
or
judge
deems
such
action
necessary
to
protect
the
rights
17
of
the
person.
The
guardian
ad
litem
shall
be
a
practicing
18
attorney.
19
Sec.
80.
Section
229.2,
subsection
1,
paragraph
b,
20
subparagraph
(6),
Code
2014,
is
amended
to
read
as
follows:
21
(6)
Upon
approval
of
the
admission
of
a
minor
over
the
22
minor’s
objections,
the
juvenile
court
shall
appoint
an
23
individual
to
act
as
an
advocate
representing
the
interests
24
of
the
minor
in
the
same
manner
as
an
a
mental
health
25
advocate
representing
the
interests
of
patients
involuntarily
26
hospitalized
pursuant
to
in
accordance
with
section
229.19
.
27
Sec.
81.
Section
229.9A,
Code
2014,
is
amended
to
read
as
28
follows:
29
229.9A
Advocate
Mental
health
advocate
informed
——
hearings
.
30
The
court
shall
direct
the
clerk
to
furnish
the
mental
health
31
advocate
of
the
respondent’s
county
of
residence
designated
for
32
the
court
by
the
department
of
inspections
and
appeals
with
a
33
copy
of
application
and
any
order
issued
pursuant
to
section
34
229.8,
subsection
3
.
The
mental
health
advocate
designated
for
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the
court
may
attend
the
hospitalization
any
court
hearing
of
1
any
involving
the
respondent
for
whom
the
advocate
has
received
2
notice
of
a
hospitalization
hearing
.
3
Sec.
82.
Section
229.12,
subsection
2,
Code
2014,
is
amended
4
to
read
as
follows:
5
2.
All
persons
not
necessary
for
the
conduct
of
the
6
proceeding
shall
be
excluded,
except
that
the
court
may
admit
7
persons
having
a
legitimate
interest
in
the
proceeding
and
8
shall
permit
the
mental
health
advocate
from
the
respondent’s
9
county
of
residence
designated
for
the
court
by
the
department
10
of
inspections
and
appeals
to
attend
the
hearing.
Upon
motion
11
of
the
county
attorney,
the
judge
may
exclude
the
respondent
12
from
the
hearing
during
the
testimony
of
any
particular
witness
13
if
the
judge
determines
that
witness’s
testimony
is
likely
to
14
cause
the
respondent
severe
emotional
trauma.
15
Sec.
83.
Section
229.14A,
subsection
1,
Code
2014,
is
16
amended
to
read
as
follows:
17
1.
With
respect
to
a
chief
medical
officer’s
report
made
18
pursuant
to
section
229.14,
subsection
1
,
paragraph
“b”
,
“c”
,
19
or
“d”
,
or
any
other
provision
of
this
chapter
related
to
20
involuntary
commitment
for
which
the
court
issues
a
placement
21
order
or
a
transfer
of
placement
is
authorized,
the
court
shall
22
provide
notice
to
the
respondent
,
and
the
respondent’s
attorney
23
or
,
and
any
mental
health
advocate
appointed
for
the
respondent
24
pursuant
to
section
229.19
concerning
the
placement
order
25
and
the
respondent’s
right
to
request
a
placement
hearing
to
26
determine
if
the
order
for
placement
or
transfer
of
placement
27
is
appropriate.
28
Sec.
84.
Section
229.14A,
subsection
5,
paragraph
c,
Code
29
2014,
is
amended
to
read
as
follows:
30
c.
If
the
respondent’s
attorney
has
withdrawn
pursuant
to
31
section
229.19
,
the
court
shall
appoint
an
attorney
for
the
32
respondent
in
the
manner
described
in
section
229.8,
subsection
33
1
.
34
Sec.
85.
Section
229.15,
subsection
6,
Code
2014,
is
amended
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to
read
as
follows:
1
6.
Upon
receipt
of
any
report
required
or
authorized
by
2
this
section
the
court
shall
furnish
a
copy
to
the
patient’s
3
attorney
,
or
alternatively
and
to
the
mental
health
advocate
4
appointed
as
required
by
section
229.19
for
the
patient
.
The
5
court
shall
examine
the
report
and
take
the
action
thereon
6
which
it
deems
appropriate.
Should
the
court
fail
to
receive
7
any
report
required
by
this
section
or
section
229.14
at
the
8
time
the
report
is
due,
the
court
shall
investigate
the
reason
9
for
the
failure
to
report
and
take
whatever
action
may
be
10
necessary
in
the
matter.
11
Sec.
86.
Section
229.19,
Code
2014,
is
amended
to
read
as
12
follows:
13
229.19
Advocates
Mental
health
advocates
——
duties
——
14
compensation
——
state
and
county
liability
.
15
1.
a.
In
each
county
with
a
population
of
three
hundred
16
thousand
or
more
inhabitants
the
board
of
supervisors
shall
17
appoint
an
individual
who
has
demonstrated
by
prior
activities
18
an
informed
concern
for
the
welfare
and
rehabilitation
of
19
persons
with
mental
illness,
and
who
is
not
an
officer
or
20
employee
of
the
department
of
human
services
nor
of
any
agency
21
or
facility
providing
care
or
treatment
to
persons
with
mental
22
illness,
to
act
as
an
advocate
representing
the
interests
of
23
patients
involuntarily
hospitalized
by
the
court,
in
any
matter
24
relating
to
the
patients’
hospitalization
or
treatment
under
25
section
229.14
or
229.15
.
In
each
county
with
a
population
of
26
under
three
hundred
thousand
inhabitants,
the
chief
judge
of
27
the
judicial
district
encompassing
the
county
shall
appoint
28
the
advocate.
For
the
purposes
of
this
section,
“division”
29
means
the
mental
health
advocate
division
of
the
department
of
30
inspections
and
appeals.
31
b.
The
court
or,
if
the
advocate
is
appointed
by
the
county
32
board
of
supervisors,
the
board
shall
assign
the
advocate
33
appointed
from
a
patient’s
county
of
residence
to
represent
34
the
interests
of
the
patient.
If
a
patient
has
no
county
of
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residence
or
the
patient
is
a
state
case,
the
court
or,
if
the
1
advocate
is
appointed
by
the
county
board
of
supervisors,
the
2
board
shall
assign
the
advocate
appointed
from
the
county
where
3
the
hospital
or
facility
is
located
to
represent
the
interests
4
of
the
patient.
5
c.
The
advocate’s
responsibility
with
respect
to
any
patient
6
shall
begin
at
whatever
time
the
attorney
employed
or
appointed
7
to
represent
that
patient
as
respondent
in
hospitalization
8
proceedings,
conducted
under
sections
229.6
to
229.13
,
reports
9
to
the
court
that
the
attorney’s
services
are
no
longer
10
required
and
requests
the
court’s
approval
to
withdraw
as
11
counsel
for
that
patient.
However,
if
12
b.
If
the
patient
is
found
to
be
seriously
mentally
impaired
13
at
the
hospitalization
hearing,
the
attorney
representing
the
14
patient
shall
automatically
be
relieved
of
responsibility
in
15
the
case
and
an
a
mental
health
advocate
shall
be
assigned
to
16
appointed
for
the
patient
at
the
conclusion
of
the
hearing
17
unless
the
attorney
indicates
an
intent
to
continue
the
18
attorney’s
services
and
.
The
court
shall
notify
the
division
19
of
the
court’s
finding
and
the
division
shall
appoint
an
20
advocate
for
the
patient.
The
advocate’s
responsibility
with
21
respect
to
a
patient
shall
begin
when
the
advocate
is
appointed
22
for
the
patient.
The
attorney
representing
the
patient
shall
23
automatically
be
relieved
of
responsibility
at
the
conclusion
24
of
the
hearing
unless
the
attorney
requests
to
continue
25
representation
and
the
court
so
directs
authorizes
the
attorney
26
to
remain
on
the
case
.
If
the
court
directs
the
attorney
to
27
remain
on
the
case,
the
attorney
shall
assume
all
the
duties
28
of
an
advocate
cooperate
with
the
advocate
appointed
for
the
29
patient
.
The
clerk
shall
furnish
the
advocate
with
a
copy
of
30
the
court’s
order
approving
the
withdrawal
or
continuation
of
31
the
attorney
and
shall
inform
the
patient
of
the
name
of
the
32
patient’s
advocate.
33
d.
c.
With
regard
to
each
patient
whose
interests
the
34
for
whom
a
mental
health
advocate
is
required
to
represent
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appointed
pursuant
to
this
section
,
the
advocate’s
duties
shall
1
include
all
of
the
following:
2
(1)
To
review
each
report
submitted
pursuant
to
sections
3
229.14
and
229.15
.
4
(2)
If
the
advocate
is
not
an
attorney,
to
To
advise
the
5
court
at
any
time
it
appears
that
the
services
of
an
attorney
6
are
required
to
properly
safeguard
the
patient’s
interests.
7
(3)
To
be
readily
accessible
to
communications
from
the
8
patient
and
to
originate
communications
with
the
patient
within
9
five
days
of
the
patient’s
commitment.
10
(4)
To
visit
the
patient
within
fifteen
days
of
the
11
patient’s
commitment
and
periodically
thereafter.
12
(5)
To
communicate
with
medical
personnel
treating
the
13
patient
and
to
review
the
patient’s
medical
records
pursuant
14
to
section
229.25
.
15
(6)
To
file
with
the
court
and
the
division
quarterly
16
reports,
and
additional
reports
as
the
advocate
feels
necessary
17
or
as
required
by
the
court
division
,
in
a
form
prescribed
by
18
the
court
division
.
The
reports
shall
state
what
actions
the
19
advocate
has
taken
with
respect
to
each
patient
and
the
amount
20
of
time
spent.
21
(7)
To
utilize
the
related
best
practices
for
the
duties
22
identified
in
this
paragraph
“d”
“c”
developed
and
promulgated
23
by
the
judicial
council.
24
e.
d.
An
Subject
to
the
availability
of
funding
25
appropriated
for
this
purpose,
a
mental
health
advocate
may
26
also
be
appointed
pursuant
to
this
section
for
an
individual
27
who
has
been
diagnosed
with
a
co-occurring
mental
illness
and
28
substance-related
disorder.
29
2.
The
hospital
or
facility
to
which
a
patient
is
committed
30
shall
grant
all
reasonable
requests
of
the
patient’s
mental
31
health
advocate
to
visit
the
patient,
to
communicate
with
32
medical
personnel
treating
the
patient,
and
to
review
the
33
patient’s
medical
records
pursuant
to
section
229.25
.
An
34
advocate
shall
not
disseminate
information
from
a
patient’s
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medical
records
to
any
other
person
unless
done
for
official
1
purposes
in
connection
with
the
advocate’s
duties
pursuant
to
2
this
chapter
or
when
required
by
law.
3
3.
The
court
or,
if
the
advocate
is
appointed
by
the
county
4
board
of
supervisors,
the
board
division
shall
prescribe
5
provide
reasonable
compensation
for
the
services
of
the
6
advocate
in
accordance
with
section
10A.902
.
The
compensation
7
shall
be
based
upon
the
reports
filed
by
the
advocate
with
8
the
court.
The
advocate’s
compensation
shall
be
paid
by
the
9
county
in
which
the
court
is
located,
either
on
order
of
the
10
court
or,
if
the
advocate
is
appointed
by
the
county
board
of
11
supervisors,
on
the
direction
of
the
board.
If
the
advocate
12
is
appointed
by
the
court,
the
advocate
is
an
employee
of
13
the
state
for
purposes
of
chapter
669
.
If
the
advocate
is
14
appointed
by
the
county
board
of
supervisors,
the
advocate
is
15
an
employee
of
the
county
for
purposes
of
chapter
670
.
If
the
16
patient
or
the
person
who
is
legally
liable
for
the
patient’s
17
support
is
not
indigent,
the
board
division
shall
recover
18
the
costs
of
compensating
the
advocate
from
that
person.
If
19
that
person
has
an
income
level
as
determined
pursuant
to
20
section
815.9
greater
than
one
hundred
percent
but
not
more
21
than
one
hundred
fifty
percent
of
the
poverty
guidelines,
22
at
least
one
hundred
dollars
of
the
advocate’s
compensation
23
shall
be
recovered
in
the
manner
prescribed
by
the
county
24
board
of
supervisors.
If
that
person
has
an
income
level
as
25
determined
pursuant
to
section
815.9
greater
than
one
hundred
26
fifty
percent
of
the
poverty
guidelines,
at
least
two
hundred
27
dollars
of
the
advocate’s
compensation
shall
be
recovered
in
28
substantially
the
same
manner
prescribed
by
the
county
board
of
29
supervisors
as
provided
in
section
815.9
.
30
Sec.
87.
Section
229.25,
subsection
1,
paragraph
a,
31
subparagraph
(1),
Code
2014,
is
amended
to
read
as
follows:
32
(1)
The
information
is
requested
by
a
licensed
physician,
33
attorney
,
or
the
mental
health
advocate
who
provides
appointed
34
for
the
person.
The
requester
must
provide
the
chief
medical
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officer
with
a
written
waiver
signed
by
the
person
about
whom
1
the
information
is
sought.
2
Sec.
88.
APPOINTMENT
OF
MENTAL
HEALTH
ADVOCATES.
The
3
persons
appointed
to
provide
mental
health
advocate
services
4
under
section
229.19
immediately
prior
to
July
1,
2015,
shall
5
be
appointed
as
mental
health
advocates
pursuant
to
section
6
10A.902,
effective
July
1,
2015.
7
Sec.
89.
EFFECTIVE
DATE.
This
division
of
this
Act
takes
8
effect
July
1,
2015.
9
DIVISION
XVII
10
PRIOR
AUTHORIZATION
11
Sec.
90.
NEW
SECTION
.
505.26
Prior
authorization
for
12
prescription
drug
benefits
——
standard
process
and
form.
13
1.
As
used
in
this
section:
14
a.
“Facility”
means
an
institution
providing
health
care
15
services
or
a
health
care
setting,
including
but
not
limited
16
to
hospitals
and
other
licensed
inpatient
centers,
ambulatory
17
surgical
or
treatment
centers,
skilled
nursing
centers,
18
residential
treatment
centers,
diagnostic,
laboratory,
and
19
imaging
centers,
and
rehabilitation
and
other
therapeutic
20
health
settings.
21
b.
“Health
benefit
plan”
means
a
policy,
contract,
22
certificate,
or
agreement
offered
or
issued
by
a
health
carrier
23
to
provide,
deliver,
arrange
for,
pay
for,
or
reimburse
any
of
24
the
costs
of
health
care
services.
25
c.
“Health
care
professional”
means
a
physician
or
other
26
health
care
practitioner
licensed,
accredited,
registered,
or
27
certified
to
perform
specified
health
care
services
consistent
28
with
state
law.
29
d.
“Health
care
provider”
means
a
health
care
professional
30
or
a
facility.
31
e.
“Health
care
services”
means
services
for
the
diagnosis,
32
prevention,
treatment,
cure,
or
relief
of
a
health
condition,
33
illness,
injury,
or
disease.
34
f.
“Health
carrier”
means
an
entity
subject
to
the
insurance
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laws
of
this
state,
or
subject
to
the
jurisdiction
of
the
1
commissioner,
including
an
insurance
company
offering
sickness
2
and
accident
plans,
a
health
maintenance
organization,
a
3
nonprofit
health
service
corporation,
a
plan
established
4
pursuant
to
chapter
509A
for
public
employees,
or
any
other
5
entity
providing
a
plan
of
health
insurance,
health
care
6
benefits,
or
health
care
services.
“Health
carrier”
includes,
7
for
purposes
of
this
section,
an
organized
delivery
system.
8
g.
“Pharmacy
benefits
manager”
means
the
same
as
defined
in
9
section
510B.1.
10
2.
The
commissioner
shall
develop,
by
rule,
a
standard
prior
11
authorization
process
and
form
for
use
by
health
carriers
and
12
pharmacy
benefits
managers
that
require
prior
authorization
for
13
prescription
drug
benefits
pursuant
to
a
health
benefit
plan,
14
by
January
1,
2015.
15
3.
Prior
to
development
of
the
standard
prior
authorization
16
process
and
form,
the
commissioner
shall
hold
at
least
one
17
public
hearing
to
gather
input
in
developing
the
standard
18
process
and
form
from
interested
parties.
19
4.
The
standard
prior
authorization
process
shall
meet
all
20
of
the
following
requirements:
21
a.
Health
carriers
and
pharmacy
benefits
managers
shall
22
allow
health
care
providers
to
submit
a
prior
authorization
23
request
electronically.
24
b.
Health
carriers
and
pharmacy
benefits
managers
shall
25
provide
that
approval
of
a
prior
authorization
request
shall
be
26
valid
for
a
minimum
of
one
hundred
eighty
days.
27
c.
Health
carriers
and
pharmacy
benefits
managers
shall
28
ensure
that
the
prior
authorization
process
allows
a
health
29
carrier
or
pharmacy
benefits
manager
to
substitute
a
generic
30
drug
for
a
previously
approved
brand-name
drug
with
the
health
31
care
provider’s
approval
and
the
patient’s
consent.
32
d.
Health
carriers
and
pharmacy
benefits
managers
shall
make
33
the
following
available
and
accessible
on
their
internet
sites:
34
(1)
Prior
authorization
requirements
and
restrictions,
35
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including
a
list
of
drugs
that
require
prior
authorization.
1
(2)
Clinical
criteria
that
are
easily
understandable
2
to
health
care
providers,
including
clinical
criteria
for
3
reauthorization
of
a
previously
approved
drug
after
the
prior
4
authorization
period
has
expired.
5
(3)
Standards
for
submitting
and
considering
requests,
6
including
evidence-based
guidelines,
when
possible,
for
making
7
prior
authorization
determinations.
8
e.
Health
carriers
and
pharmacy
benefits
managers
shall
9
provide
a
process
for
health
care
providers
to
appeal
a
prior
10
authorization
determination.
11
5.
In
adopting
an
electronic
prior
authorization
standard,
12
the
commissioner
shall
consider
national
standards
pertaining
13
to
electronic
prior
authorization,
such
as
those
developed
by
14
the
national
council
for
prescription
drug
programs.
15
6.
The
standard
prior
authorization
form
shall
meet
all
of
16
the
following
requirements:
17
a.
Not
exceed
two
pages
in
length.
18
b.
Be
available
in
an
electronic
format.
19
c.
Be
transmissible
in
an
electronic
format.
20
7.
Health
carriers
and
pharmacy
benefits
managers
shall
use
21
and
accept
the
standard
prior
authorization
form
beginning
on
22
July
1,
2015.
Health
care
providers
shall
use
and
submit
the
23
standard
prior
authorization
form,
when
prior
authorization
is
24
required
by
a
health
benefit
plan,
beginning
on
July
1,
2015.
25
8.
a.
If
a
health
carrier
or
pharmacy
benefits
manager
26
fails
to
use
or
accept
the
standard
prior
authorization
form
27
or
to
respond
to
a
health
care
provider’s
request
for
prior
28
authorization
of
prescription
drug
benefits
within
seventy-two
29
hours
of
the
health
care
provider’s
submission
of
the
form,
30
the
request
for
prior
authorization
shall
be
considered
to
be
31
approved.
32
b.
However,
if
the
prior
authorization
request
is
33
incomplete,
the
health
carrier
or
pharmacy
benefits
manager
may
34
request
the
additional
information
within
the
seventy-two-hour
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