Bill Text: IA HF2460 | 2015-2016 | 86th General Assembly | Enrolled
Bill Title: A bill for an act relating to appropriations for health and human services and veterans and including other related provisions and appropriations, and including effective date and retroactive and other applicability provisions.
Sponsorship: Committee Bill
Status: (Enrolled - Dead) 2016-05-13 - Sent to Governor. H.J. 999. [HF2460 Detail]
Download: Iowa-2015-HF2460-Enrolled.html
House File 2460 - Enrolled
HOUSE FILE
BY COMMITTEE ON
APPROPRIATIONS
(SUCCESSOR TO LSB
5014HB)
\5
A BILL FOR
\1
House File 2460
AN ACT
RELATING TO APPROPRIATIONS FOR HEALTH AND HUMAN SERVICES
AND VETERANS AND INCLUDING OTHER RELATED PROVISIONS
AND APPROPRIATIONS, AND INCLUDING EFFECTIVE DATE AND
RETROACTIVE AND OTHER APPLICABILITY PROVISIONS.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
DIVISION I
DEPARTMENT ON AGING ==== FY 2016=2017
Section 1. 2015 Iowa Acts, chapter 137, section 121, is
amended to read as follows:
SEC. 121. DEPARTMENT ON AGING. There is appropriated
from the general fund of the state to the department on aging
for the fiscal year beginning July 1, 2016, and ending June
30, 2017, the following amount, or so much thereof as is
necessary, to be used for the purposes designated:
For aging programs for the department on aging and area
agencies on aging to provide citizens of Iowa who are 60 years
of age and older with case management for frail elders, Iowa's
aging and disabilities resource center, and other services
which may include but are not limited to adult day services,
respite care, chore services, information and assistance,
and material aid, for information and options counseling for
persons with disabilities who are 18 years of age or older,
and for salaries, support, administration, maintenance, and
miscellaneous purposes, and for not more than the following
full=time equivalent positions:
.................................................. $ 5,699,866
12,548,603
............................................... FTEs 31.00
1. Funds appropriated in this section may be used to
supplement federal funds under federal regulations. To
receive funds appropriated in this section, a local area
agency on aging shall match the funds with moneys from other
sources according to rules adopted by the department. Funds
appropriated in this section may be used for elderly services
not specifically enumerated in this section only if approved
by an area agency on aging for provision of the service within
the area.
2. Of the funds appropriated in this section, $139,973
$279,946 is transferred to the economic development authority
for the Iowa commission on volunteer services to be used for
the retired and senior volunteer program.
3. a. The department on aging shall establish and enforce
procedures relating to expenditure of state and federal funds
by area agencies on aging that require compliance with both
state and federal laws, rules, and regulations, including but
not limited to all of the following:
(1) Requiring that expenditures are incurred only for
goods or services received or performed prior to the end of
the fiscal period designated for use of the funds.
(2) Prohibiting prepayment for goods or services not
received or performed prior to the end of the fiscal period
designated for use of the funds.
(3) Prohibiting the prepayment for goods or services not
defined specifically by good or service, time period, or
recipient.
(4) Prohibiting the establishment of accounts from which
future goods or services which are not defined specifically by
good or service, time period, or recipient, may be purchased.
b. The procedures shall provide that if any funds are
expended in a manner that is not in compliance with the
procedures and applicable federal and state laws, rules, and
regulations, and are subsequently subject to repayment, the
area agency on aging expending such funds in contravention of
such procedures, laws, rules and regulations, not the state,
shall be liable for such repayment.
4. Of the funds appropriated in this section, at least
$125,000 $250,000 shall be used to fund the unmet needs
identified through Iowa's aging and disability resource center
network.
5. Of the funds appropriated in this section, at
least $300,000 $600,000 shall be used to fund home and
community=based services through the area agencies on aging
that enable older individuals to avoid more costly utilization
of residential or institutional services and remain in their
own homes.
6. Of the funds appropriated in this section, $406,833
$962,537 shall be used for the purposes of chapter 231E and
section 231.56A, of which $144,333 $350,000 shall be used for
the office of substitute decision maker pursuant to chapter
231E, and the remainder shall be distributed equally to the
area agencies on aging to administer the prevention of elder
abuse, neglect, and exploitation program pursuant to section
231.56A, in accordance with the requirements of the federal
Older Americans Act of 1965, 42 U.S.C. {3001 et seq., as
amended.
7. Of the funds appropriated in this section, $1,000,000
shall be used to fund continuation of the aging and disability
resource center lifelong links to provide individuals and
caregivers with information and services to plan for and
maintain independence.
DIVISION II
OFFICE OF LONG=TERM CARE OMBUDSMAN ==== FY 2016=2017
Sec. 2. 2015 Iowa Acts, chapter 137, section 122, is
amended to read as follows:
SEC. 122. OFFICE OF LONG=TERM CARE OMBUDSMAN.
1. There is appropriated from the general fund of the
state to the office of long=term care ombudsman for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purposes designated:
For salaries, support, administration, maintenance, and
miscellaneous purposes, and for not more than the following
full=time equivalent positions:
.................................................. $ 638,391
1,376,783
............................................... FTEs 17.00
18.00
2. Of the funds appropriated in this section, $110,000
$220,000 shall be used to continue to provide for additional
local long=term care ombudsmen.
3. Of the funds appropriated in this section, $100,000
shall be used to provide an additional long=term care
ombudsman to provide assistance and advocacy related to
long=term care services and supports under the Medicaid
program pursuant to section 231.44.
DIVISION III
DEPARTMENT OF PUBLIC HEALTH ==== FY 2016=2017
Sec. 3. 2015 Iowa Acts, chapter 137, section 123, is
amended to read as follows:
SEC. 123. DEPARTMENT OF PUBLIC HEALTH. There is
appropriated from the general fund of the state to the
department of public health for the fiscal year beginning July
1, 2016, and ending June 30, 2017, the following amounts, or
so much thereof as is necessary, to be used for the purposes
designated:
1. ADDICTIVE DISORDERS
For reducing the prevalence of the use of tobacco, alcohol,
and other drugs, and treating individuals affected by
addictive behaviors, including gambling, and for not more than
the following full=time equivalent positions:
.................................................. $ 13,631,845
26,988,690
............................................... FTEs 10.00
a. (1) Of the funds appropriated in this subsection,
$2,624,180 $5,248,361 shall be used for the tobacco use
prevention and control initiative, including efforts at the
state and local levels, as provided in chapter 142A. The
commission on tobacco use prevention and control established
pursuant to section 142A.3 shall advise the director of public
health in prioritizing funding needs and the allocation
of moneys appropriated for the programs and initiatives.
Activities of the programs and initiatives shall be in
alignment with the United States centers for disease control
and prevention best practices for comprehensive tobacco
control programs that include the goals of preventing youth
initiation of tobacco usage, reducing exposure to secondhand
smoke, and promotion of tobacco cessation. To maximize
resources, the department shall determine if third=party
sources are available to instead provide nicotine replacement
products to an applicant prior to provision of such products
to an applicant under the initiative. The department shall
track and report to the individuals specified in this Act, any
reduction in the provision of nicotine replacement products
realized by the initiative through implementation of the
prerequisite screening.
(2) (a) Of the funds allocated in this paragraph
"a", $226,533 is transferred to the The department shall
collaborate with the alcoholic beverages division of the
department of commerce for enforcement of tobacco laws,
regulations, and ordinances and to engage in tobacco control
activities approved by the division of tobacco use prevention
and control of the department of public health as specified
in the memorandum of understanding entered into between the
divisions.
(b) For the fiscal year beginning July 1, 2016, and
ending June 30, 2017, the terms of the memorandum of
understanding, entered into between the division of tobacco
use prevention and control of the department of public health
and the alcoholic beverages division of the department of
commerce, governing compliance checks conducted to ensure
licensed retail tobacco outlet conformity with tobacco laws,
regulations, and ordinances relating to persons under eighteen
18 years of age, shall continue to restrict the number of such
checks to one check per retail outlet, and one additional
check for any retail outlet found to be in violation during
the first check.
b. Of the funds appropriated in this subsection,
$11,007,664 $21,740,329 shall be used for problem gambling and
substance=related disorder prevention, treatment, and recovery
services, including a 24=hour helpline, public information
resources, professional training, youth prevention, and
program evaluation.
(1) Of the funds allocated in this paragraph "b",
$9,451,857 shall be used for substance=related disorder
prevention and treatment.
(a) Of the funds allocated in this subparagraph (1),
$449,650 shall be used for the public purpose of a grant
program to provide substance=related disorder prevention
programming for children.
(i) Of the funds allocated in this subparagraph
division (a), $213,769 shall be used for grant funding
for organizations that provide programming for children
by utilizing mentors. Programs approved for such grants
shall be certified or must be certified within six months of
receiving the grant award by the Iowa commission on volunteer
services as utilizing the standards for effective practice for
mentoring programs.
(ii) Of the funds allocated in this subparagraph
division (a), $213,419 shall be used for grant funding for
organizations providing programming that includes youth
development and leadership services. The programs shall
also be recognized as being programs that are scientifically
based with evidence of their effectiveness in reducing
substance=related disorders in children.
(iii) The department of public health shall utilize a
request for proposals process to implement the grant program.
(iv) All grant recipients shall participate in a program
evaluation as a requirement for receiving grant funds.
(v) Of the funds allocated in this subparagraph division
(a), up to $22,461 may be used to administer substance=related
disorder prevention grants and for program evaluations.
(b) Of the funds allocated in this subparagraph
(1), $136,301 shall be used for culturally competent
substance=related disorder treatment pilot projects.
(i) The department shall utilize the amount allocated
in this subparagraph division (b) for at least three pilot
projects to provide culturally competent substance=related
disorder treatment in various areas of the state. Each pilot
project shall target a particular ethnic minority population.
The populations targeted shall include but are not limited to
African American, Asian, and Latino.
(ii) The pilot project requirements shall provide for
documentation or other means to ensure access to the cultural
competence approach used by a pilot project so that such
approach can be replicated and improved upon in successor
programs.
(2) Of the funds allocated in this paragraph "b", up
to $1,555,807 may be used for problem gambling prevention,
treatment, and recovery services.
(a) Of the funds allocated in this subparagraph (2),
$1,286,881 shall be used for problem gambling prevention and
treatment.
(b) Of the funds allocated in this subparagraph (2),
up to $218,926 may be used for a 24=hour helpline, public
information resources, professional training, and program
evaluation.
(c) Of the funds allocated in this subparagraph (2), up
to $50,000 may be used for the licensing of problem gambling
treatment programs.
(3) It is the intent of the general assembly that from the
moneys allocated in this paragraph "b", persons with a dual
diagnosis of substance=related disorder and gambling addiction
shall be given priority in treatment services.
c. Notwithstanding any provision of law to the contrary,
to standardize the availability, delivery, cost of delivery,
and accountability of problem gambling and substance=related
disorder treatment services statewide, the department shall
continue implementation of a process to create a system
for delivery of treatment services in accordance with the
requirements specified in 2008 Iowa Acts, chapter 1187,
section 3, subsection 4. To ensure the system provides a
continuum of treatment services that best meets the needs of
Iowans, the problem gambling and substance=related disorder
treatment services in any area may be provided either by a
single agency or by separate agencies submitting a joint
proposal.
(1) The system for delivery of substance=related disorder
and problem gambling treatment shall include problem gambling
prevention.
(2) The system for delivery of substance=related disorder
and problem gambling treatment shall include substance=related
disorder prevention by July 1, 2017.
(3) Of the funds allocated in paragraph "b", the department
may use up to $50,000 for administrative costs to continue
developing and implementing the process in accordance with
this paragraph "c".
d. The requirement of section 123.53 123.17, subsection
5, is met by the appropriations and allocations made in
this division of this Act for purposes of substance=related
disorder treatment and addictive disorders for the fiscal year
beginning July 1, 2016.
e. The department of public health shall work with all
other departments that fund substance=related disorder
prevention and treatment services and all such departments
shall, to the extent necessary, collectively meet the state
maintenance of effort requirements for expenditures for
substance=related disorder services as required under the
federal substance=related disorder prevention and treatment
block grant.
2. HEALTHY CHILDREN AND FAMILIES
For promoting the optimum health status for children,
adolescents from birth through 21 years of age, and families,
and for not more than the following full=time equivalent
positions:
.................................................. $ 2,308,771
5,693,774
............................................... FTEs 12.00
a. Of the funds appropriated in this subsection,
not more than $367,420 $734,841 shall be used for the
healthy opportunities for parents to experience success
(HOPES)=healthy families Iowa (HFI) program established
pursuant to section 135.106. The funding shall be distributed
to renew the grants that were provided to the grantees that
operated the program during the fiscal year ending June 30,
2016.
b. In order to implement the legislative intent stated in
sections 135.106 and 256I.9, that priority for home visitation
program funding be given to programs using evidence=based
or promising models for home visitation, it is the intent
of the general assembly to phase in the funding priority in
accordance with 2012 Iowa Acts, chapter 1133, section 2,
subsection 2, paragraph "0b".
c. Of the funds appropriated in this subsection,
$1,099,414 $3,275,059 shall be used for continuation of the
department's initiative to provide for adequate developmental
surveillance and screening during a child's first five years.
The funds shall be used first to fully fund the current sites
to ensure that the sites are fully operational, with the
remaining funds to be used for expansion to additional sites.
The full implementation and expansion shall include enhancing
the scope of the program through collaboration with the child
health specialty clinics to promote healthy child development
through early identification and response to both biomedical
and social determinants of healthy development; by monitoring
child health metrics to inform practice, document long=term
health impacts and savings, and provide for continuous
improvement through training, education, and evaluation; and
by providing for practitioner consultation particularly for
children with behavioral conditions and needs. The department
of public health shall also collaborate with the Iowa
Medicaid enterprise and the child health specialty clinics
to integrate the activities of the first five initiative
into the establishment of patient=centered medical homes,
community utilities, accountable care organizations, and other
integrated care models developed to improve health quality and
population health while reducing health care costs. To the
maximum extent possible, funding allocated in this paragraph
shall be utilized as matching funds for medical assistance
program reimbursement.
d. Of the funds appropriated in this subsection, $37,320
$74,640 shall be distributed to a statewide dental carrier to
provide funds to continue the donated dental services program
patterned after the projects developed by the lifeline network
to provide dental services to indigent individuals who are
elderly or with disabilities.
e. Of the funds appropriated in this subsection, $55,997
$111,995 shall be used for childhood obesity prevention.
f. Of the funds appropriated in this subsection, $81,384
$162,768 shall be used to provide audiological services and
hearing aids for children. The department may enter into a
contract to administer this paragraph.
g. Of the funds appropriated in this subsection, $12,500
$25,000 is transferred to the university of Iowa college
of dentistry for provision of primary dental services to
children. State funds shall be matched on a dollar=for=dollar
basis. The university of Iowa college of dentistry shall
coordinate efforts with the department of public health,
bureau of oral and health delivery systems, to provide dental
care to underserved populations throughout the state.
h. Of the funds appropriated in this subsection, $25,000
$50,000 shall be used to address youth suicide prevention.
i. Of the funds appropriated in this subsection, $25,000
$50,000 shall be used to support the Iowa effort to address
the survey of children who experience adverse childhood
experiences known as ACEs.
j. The department of public health shall continue to
administer the program to assist parents in this state with
costs resulting from the death of a child in accordance with
the provisions of 2014 Iowa Acts, chapter 1140, section 22,
subsection 12.
3. CHRONIC CONDITIONS
For serving individuals identified as having chronic
conditions or special health care needs, and for not more than
the following full=time equivalent positions:
.................................................. $ 2,477,846
5,080,692
............................................... FTEs 5.00
a. Of the funds appropriated in this subsection, $79,966
$159,932 shall be used for grants to individual patients who
have an inherited metabolic disorder to assist with the costs
of medically necessary foods and formula.
b. Of the funds appropriated in this subsection, $445,822
$1,041,644 shall be used for the brain injury services program
pursuant to section 135.22B, including for continuation of
the contracts for resource facilitator services in accordance
with section 135.22B, subsection 9, and to enhance brain
injury training and recruitment of service providers on a
statewide basis. Of the amount allocated in this paragraph,
$47,500 $95,000 shall be used to fund one full=time equivalent
position to serve as the state brain injury services program
manager.
c. Of the funds appropriated in this subsection, $273,991
$547,982 shall be used as additional funding to leverage
federal funding through the federal Ryan White Care Act, Tit.
II, AIDS drug assistance program supplemental drug treatment
grants.
d. Of the funds appropriated in this subsection, $74,911
$149,823 shall be used for the public purpose of continuing
to contract with an existing national=affiliated organization
to provide education, client=centered programs, and client
and family support for people living with epilepsy and their
families. The amount allocated in this paragraph in excess
of $50,000 $100,000 shall be matched dollar=for=dollar by the
organization specified.
e. Of the funds appropriated in this subsection, $392,557
$785,114 shall be used for child health specialty clinics.
f. Of the funds appropriated in this subsection,
$200,000 $400,000 shall be used by the regional autism
assistance program established pursuant to section 256.35,
and administered by the child health specialty clinic located
at the university of Iowa hospitals and clinics. The funds
shall be used to enhance interagency collaboration and
coordination of educational, medical, and other human services
for persons with autism, their families, and providers of
services, including delivering regionalized services of
care coordination, family navigation, and integration of
services through the statewide system of regional child
health specialty clinics and fulfilling other requirements
as specified in chapter 225D. The university of Iowa shall
not receive funds allocated under this paragraph for indirect
costs associated with the regional autism assistance program.
g. Of the funds appropriated in this subsection, $285,496
$594,543 shall be used for the comprehensive cancer control
program to reduce the burden of cancer in Iowa through
prevention, early detection, effective treatment, and ensuring
quality of life. Of the funds allocated in this paragraph
"g", $75,000 $150,000 shall be used to support a melanoma
research symposium, a melanoma biorepository and registry,
basic and translational melanoma research, and clinical
trials.
h. Of the funds appropriated in this subsection, $63,225
$101,450 shall be used for cervical and colon cancer
screening, and $150,000 $300,000 shall be used to enhance the
capacity of the cervical cancer screening program to include
provision of recommended prevention and early detection
measures to a broader range of low=income women.
i. Of the funds appropriated in this subsection, $263,347
$526,695 shall be used for the center for congenital and
inherited disorders.
j. Of the funds appropriated in this subsection, $64,705
$129,411 shall be used for the prescription drug donation
repository program created in chapter 135M.
k. Of the funds appropriated in this subsection, $107,631
$215,263 shall be used by the department of public health
for reform=related activities, including but not limited to
facilitation of communication to stakeholders at the state
and local level, administering the patient=centered health
advisory council pursuant to section 135.159, and involvement
in health care system innovation activities occurring across
the state.
l. Of the funds appropriated in this subsection, $12,500
$25,000 shall be used for administration of chapter 124D, the
medical cannabidiol Act.
4. COMMUNITY CAPACITY
For strengthening the health care delivery system at the
local level, and for not more than the following full=time
equivalent positions:
.................................................. $ 4,410,667
7,339,136
............................................... FTEs 11.00
13.00
a. Of the funds appropriated in this subsection, $49,707
$99,414 is allocated for continuation of the child vision
screening program implemented through the university of Iowa
hospitals and clinics in collaboration with early childhood
Iowa areas. The program shall submit a report to the
individuals identified in this Act for submission of reports
regarding the use of funds allocated under this paragraph "a".
The report shall include the objectives and results for the
program year including the target population and how the funds
allocated assisted the program in meeting the objectives; the
number, age, and location within the state of individuals
served; the type of services provided to the individuals
served; the distribution of funds based on service provided;
and the continuing needs of the program.
b. Of the funds appropriated in this subsection, $55,328
$110,656 is allocated for continuation of an initiative
implemented at the university of Iowa and $49,952 $99,904
is allocated for continuation of an initiative at the state
mental health institute at Cherokee to expand and improve the
workforce engaged in mental health treatment and services.
The initiatives shall receive input from the university of
Iowa, the department of human services, the department of
public health, and the mental health and disability services
commission to address the focus of the initiatives.
c. Of the funds appropriated in this subsection, $582,314
$1,164,628 shall be used for essential public health services
that promote healthy aging throughout one's lifespan,
contracted through a formula for local boards of health, to
enhance health promotion and disease prevention services.
d. Of the funds appropriated in this section subsection,
$49,643 $99,286 shall be deposited in the governmental public
health system fund created in section 135A.8 to be used for
the purposes of the fund.
e. Of the funds appropriated in this subsection, $52,724
shall be used to continue to address the shortage of mental
health professionals in the state.
f. Of the funds appropriated in this subsection, $25,000
$50,000 shall be used for a grant to a statewide association
of psychologists that is affiliated with the American
psychological association to be used for continuation of
a program to rotate intern psychologists in placements in
urban and rural mental health professional shortage areas, as
defined in section 135.180.
g. (1) Of the funds appropriated in this subsection,
$1,441,484 $1,210,770 shall be allocated as a grant to
the Iowa primary care association to be used pursuant to
section 135.153 for the statewide coordination of the Iowa
collaborative safety net provider network. Coordination of
the network shall focus on increasing access by underserved
populations to health care services, increasing integration
of the health system and collaboration across the continuum
of care with a focus on safety net services, and enhancing the
Iowa collaborative safety net provider network's communication
and education efforts. The amount allocated as a grant under
this subparagraph (1) shall be used as follows to support
the Iowa collaborative safety net provider network goals of
increased access, health system integration, and engagement:
(a) For distribution to safety net partners in the state
that work to increase access of the underserved population to
health services:
.................................................. $ 512,742
1,025,485
(i) Of the amount allocated in this subparagraph
division (a), up to $206,707 not less than $413,415 shall be
distributed to the Iowa prescription drug corporation for
continuation of the pharmaceutical infrastructure for safety
net providers as described in 2007 Iowa Acts, chapter 218,
section 108.
(ii) Of the amount allocated in this subparagraph
division (a), up to $174,161 not less than $348,322 shall
be distributed to free clinics and free clinics of Iowa for
necessary infrastructure, statewide coordination, provider
recruitment, service delivery, and provision of assistance to
patients in securing a medical home inclusive of oral health
care.
(iii) Of the amount allocated in this subparagraph
division (a), up to $25,000 not less than $50,000 shall be
distributed to the Iowa coalition against sexual assault to
continue a training program for sexual assault response team
(SART) members, including representatives of law enforcement,
victim advocates, prosecutors, and certified medical
personnel.
(iv) Of the amount allocated in this subparagraph
division (a), up to $106,874 not less than $213,748 shall
be distributed to the Polk county medical society for
continuation of the safety net provider patient access to a
specialty health care initiative as described in 2007 Iowa
Acts, chapter 218, section 109.
(c) For distribution to safety net partners in the state
that work to serve as a resource for credible, accurate
information on health care=related needs and services
for vulnerable populations in the state including the
Iowa association of rural health clinics for necessary
infrastructure and service delivery transformation and the
Iowa primary care association to support partner engagement,
program management, and statewide coordination of the network:
.................................................. $ 92,642
185,285
(2) The amount allocated under this paragraph "g" shall
not be reduced for administrative or other costs prior to
distribution. The Iowa collaborative safety net provider
network may continue to distribute funds allocated pursuant
to this paragraph "g" through existing contracts or renewal
of existing contracts.
(3) For each goal of the Iowa collaborative safety net
provider network, the Iowa primary care association shall
submit a progress report to the individuals designated in this
Act for submission of reports by December 15, 2016, including
progress in developing and implementing the network, how the
funds were distributed and used in developing and implementing
the network, and the remaining needs identified to fully
develop and implement the network.
h. Of the funds appropriated in this subsection, $106,700
$213,400 shall be used for continuation of the work of the
direct care worker advisory council established pursuant to
2008 Iowa Acts, chapter 1188, section 69, in implementing
the recommendations in the final report submitted by the
advisory council to the governor and the general assembly in
March 2012, including by continuing to develop, promote, and
make available on a statewide basis the prepare=to=care core
curriculum and its associated modules and specialties through
various formats including online access, community colleges,
and other venues; exploring new and maintaining existing
specialties including but not limited to oral health and
dementia care; supporting instructor training; and assessing
and making recommendations concerning the Iowa care book and
information technology systems and infrastructure uses and
needs.
i. (1) Of the funds appropriated in this subsection,
$108,187 $216,375 shall be used for allocation to allocated
for continuation of the contract with an independent statewide
direct care worker organization previously selected through a
request for proposals process. The contract shall continue to
include performance and outcomes measures, and shall continue
to allow the contractor to use a portion of the funds received
under the contract to collect data to determine results based
on the performance and outcomes measures.
(2) Of the funds appropriated in this subsection, $37,500
$75,000 shall be used to provide scholarships or other
forms of subsidization for direct care worker educational
conferences, training, or outreach activities.
j. Of the funds appropriated in this subsection, the
department may use up to $29,087 $58,175 for up to one
full=time equivalent position to administer the volunteer
health care provider program pursuant to section 135.24.
k. Of the funds appropriated in this subsection, $50,000
$100,000 shall be used for a matching dental education loan
repayment program to be allocated to a dental nonprofit health
service corporation to continue to develop the criteria and
implement the loan repayment program.
l. Of the funds appropriated in this subsection, $52,911
$105,823 is transferred to the college student aid commission
for deposit in the rural Iowa primary care trust fund created
in section 261.113 to be used for the purposes of the fund.
m. Of the funds appropriated in this subsection, $125,000
$250,000 shall be used for the purposes of the Iowa donor
registry as specified in section 142C.18.
n. Of the funds appropriated in this subsection, $50,000
$100,000 shall be used for continuation of a grant to a
nationally affiliated volunteer eye organization that has an
established program for children and adults and that is solely
dedicated to preserving sight and preventing blindness through
education, nationally certified vision screening and training,
and community and patient service programs. The organization
shall submit a report to the individuals identified in this
Act for submission of reports regarding the use of funds
allocated under this paragraph "n". The report shall include
the objectives and results for the program year including
the target population and how the funds allocated assisted
the program in meeting the objectives; the number, age, and
location within the state of individuals served; the type of
services provided to the individuals served; the distribution
of funds based on services provided; and the continuing needs
of the program.
o. Of the funds appropriated in this subsection,
$1,000,000 $2,000,000 shall be deposited in the medical
residency training account created in section 135.175,
subsection 5, paragraph "a", and is appropriated from the
account to the department of public health to be used for the
purposes of the medical residency training state matching
grants program as specified in section 135.176. However,
notwithstanding any provision to the contrary in section
135.176, priority in the awarding of grants for the fiscal
year beginning July 1, 2016, shall be given to sponsors
approved but not funded in the prior fiscal year competitive
procurement process that proposed preference in the use of
the grant funds for internal medicine positions, and priority
in the awarding of the remaining moneys shall be given to
sponsors that propose preference in the use of the grant
funds for psychiatric residency positions and family practice
residency positions.
p. Of the funds appropriated in this subsection, $78,309
$156,619 is allocated to the university of Iowa hospitals and
clinics to continue a systematic and evidence=based practice
collaborative care model to improve outcomes of mental health
treatment in primary care settings in the state. Funds shall
be used to establish the collaborative care model in several
primary care practices in rural and urban areas throughout the
state, to provide staffing to administer the model, and to
provide staff training and database management to track and
manage patient outcomes.
q. Of the funds appropriated in this subsection, $100,000
shall be used by the department of public health to develop
recommendations to be submitted in a report by December 15,
2016, as otherwise described in this division of this Act,
including those for a broader, more systematic and strategic
workforce initiative, which may include a comprehensive
study of workforce program needs and the establishment of an
advisory workgroup.
5. HEALTHY AGING
To provide public health services that reduce risks and
invest in promoting and protecting good health over the
course of a lifetime with a priority given to older Iowans and
vulnerable populations:
.................................................. $ 3,648,571
7,297,142
6. INFECTIOUS DISEASES
For reducing the incidence and prevalence of communicable
diseases, and for not more than the following full=time
equivalent positions:
.................................................. $ 667,577
1,335,155
............................................... FTEs 4.00
7. PUBLIC PROTECTION
For protecting the health and safety of the public through
establishing standards and enforcing regulations, and for not
more than the following full=time equivalent positions:
.................................................. $ 2,169,595
4,399,191
............................................... FTEs 136.00
137.00
a. Of the funds appropriated in this subsection, not more
than $227,350 $454,700 shall be credited to the emergency
medical services fund created in section 135.25. Moneys in
the emergency medical services fund are appropriated to the
department to be used for the purposes of the fund.
b. Of the funds appropriated in this subsection, $101,516
$203,032 shall be used for sexual violence prevention
programming through a statewide organization representing
programs serving victims of sexual violence through the
department's sexual violence prevention program. The amount
allocated in this paragraph "b" shall not be used to supplant
funding administered for other sexual violence prevention or
victims assistance programs.
c. Of the funds appropriated in this subsection, $299,375
$598,751 shall be used for the state poison control center.
Pursuant to the directive under 2014 Iowa Acts, chapter 1140,
section 102, the federal matching funds available to the
state poison control center from the department of human
services under the federal Children's Health Insurance Program
Reauthorization Act allotment shall be subject to the federal
administrative cap rule of 10 percent applicable to funding
provided under Tit. XXI of the federal Social Security Act and
included within the department's calculations of the cap.
d. Of the funds appropriated in this subsection,
$268,875 $537,750 shall be used for childhood lead poisoning
provisions.
8. RESOURCE MANAGEMENT
For establishing and sustaining the overall ability of the
department to deliver services to the public, and for not more
than the following full=time equivalent positions:
.................................................. $ 427,536
1,005,072
............................................... FTEs 4.00
9. MISCELLANEOUS PROVISIONS
a. The university of Iowa hospitals and clinics under
the control of the state board of regents shall not receive
indirect costs from the funds appropriated in this section.
The university of Iowa hospitals and clinics billings to the
department shall be on at least a quarterly basis.
b. The department of public health shall conduct a sampling
of the entities to which appropriated funds are allocated,
granted, or otherwise distributed under this section and
shall require such entities to submit a progress report to the
department by September 1, 2016, which includes the objectives
and results of the program since the initial receipt of state
funding and how the funds are assisting the program in meeting
the objectives, specifying the target population served and
the type of services provided, and identifying the continuing
needs of the recipient entity and the service population. The
department shall review the information reported and shall
make recommendations to the governor and the general assembly
by December 15, 2016, to realign, bundle, or otherwise
redistribute funding to meet the needs identified and improve
services during the subsequent fiscal year.
c. The department of public health shall submit a report
to the individuals identified in this Act for submission
of reports by December 15, 2016, regarding a proposal
for realigning, bundling, redistributing, or otherwise
adjusting the department's funding streams to reflect the
department's priorities and goals and to provide increased
flexibility in the distribution of funding to meet these
priorities and goals. The proposal shall specifically include
recommendations for a broader, more systematic and strategic
workforce initiative which may include a comprehensive
study of workforce program needs and the establishment of an
advisory workgroup. The proposal shall also specifically
include strategies, developed in collaboration with the
department of education, to encourage elementary and secondary
education students to pursue careers in the fields of health
and health care.
DIVISION IV
DEPARTMENT OF VETERANS AFFAIRS ==== FY 2016=2017
Sec. 4. 2015 Iowa Acts, chapter 137, section 124, is
amended to read as follows:
SEC. 124. DEPARTMENT OF VETERANS AFFAIRS. There is
appropriated from the general fund of the state to the
department of veterans affairs for the fiscal year beginning
July 1, 2016, and ending June 30, 2017, the following amounts,
or so much thereof as is necessary, to be used for the
purposes designated:
1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION
For salaries, support, maintenance, and miscellaneous
purposes, and for not more than the following full=time
equivalent positions:
.................................................. $ 600,273
1,200,546
............................................... FTEs 15.00
2. IOWA VETERANS HOME
For salaries, support, maintenance, and miscellaneous
purposes:
.................................................. $ 3,797,498
7,594,996
a. The Iowa veterans home billings involving the
department of human services shall be submitted to the
department on at least a monthly basis.
c. Within available resources and in conformance with
associated state and federal program eligibility requirements,
the Iowa veterans home may implement measures to provide
financial assistance to or on behalf of veterans or their
spouses who are participating in the community reentry
program.
e. The Iowa veterans home shall expand the annual discharge
report to also include applicant information and to provide
for the collection of demographic information including
but not limited to the number of individuals applying for
admission and admitted or denied admittance and the basis for
the admission or denial; the age, gender, and race of such
individuals; and the level of care for which such individuals
applied for admission including residential or nursing level
of care.
3. HOME OWNERSHIP ASSISTANCE PROGRAM
For transfer to the Iowa finance authority for the
continuation of the home ownership assistance program for
persons who are or were eligible members of the armed forces
of the United States, pursuant to section 16.54:
.................................................. $ 1,250,000
2,500,000
Sec. 5. 2015 Iowa Acts, chapter 137, section 125, is
amended to read as follows:
SEC. 125. LIMITATION OF COUNTY COMMISSIONS OF VETERAN
AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the
standing appropriation in section 35A.16 for the fiscal year
beginning July 1, 2016, and ending June 30, 2017, the amount
appropriated from the general fund of the state pursuant to
that section for the following designated purposes shall not
exceed the following amount:
For the county commissions of veteran affairs fund under
section 35A.16:
.................................................. $ 495,000
990,000
DIVISION V
DEPARTMENT OF HUMAN SERVICES ==== FY 2016=2017
Sec. 6. 2015 Iowa Acts, chapter 137, section 126, is
amended to read as follows:
SEC. 126. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK
GRANT. There is appropriated from the fund created in section
8.41 to the department of human services for the fiscal year
beginning July 1, 2016, and ending June 30, 2017, from moneys
received under the federal temporary assistance for needy
families (TANF) block grant pursuant to the federal Personal
Responsibility and Work Opportunity Reconciliation Act of
1996, Pub. L. No. 104=193, and successor legislation, the
following amounts, or so much thereof as is necessary, to be
used for the purposes designated:
1. To be credited to the family investment program account
and used for assistance under the family investment program
under chapter 239B:
.................................................. $ 2,568,497
5,112,462
2. To be credited to the family investment program account
and used for the job opportunities and basic skills (JOBS)
program and implementing family investment agreements in
accordance with chapter 239B:
.................................................. $ 5,069,089
5,575,693
3. To be used for the family development and
self=sufficiency grant program in accordance with section
216A.107:
.................................................. $ 1,449,490
2,898,980
Notwithstanding section 8.33, moneys appropriated in this
subsection that remain unencumbered or unobligated at the
close of the fiscal year shall not revert but shall remain
available for expenditure for the purposes designated until
the close of the succeeding fiscal year. However, unless such
moneys are encumbered or obligated on or before September 30,
2016 2017, the moneys shall revert.
4. For field operations:
.................................................. $ 15,648,116
35,774,331
5. For general administration:
.................................................. $ 1,872,000
3,744,000
6. For state child care assistance:
.................................................. $ 17,523,555
46,866,826
a. Of the funds appropriated in this subsection,
$13,164,048 $26,328,097 is transferred to the child care and
development block grant appropriation made by the Eighty=sixth
General Assembly, 2016 Session, for the federal fiscal year
beginning October 1, 2016, and ending September 30, 2017. Of
this amount, $100,000 $200,000 shall be used for provision
of educational opportunities to registered child care home
providers in order to improve services and programs offered
by this category of providers and to increase the number of
providers. The department may contract with institutions
of higher education or child care resource and referral
centers to provide the educational opportunities. Allowable
administrative costs under the contracts shall not exceed 5
percent. The application for a grant shall not exceed two
pages in length.
b. Any funds appropriated in this subsection remaining
unallocated shall be used for state child care assistance
payments for families who are employed including but not
limited to individuals enrolled in the family investment
program.
7. For distribution to counties and regions through the
property tax relief fund for mental health and disability
services as provided in an appropriation made for this
purpose:
.................................................. $ 2,447,026
8. For child and family services:
.................................................. $ 16,042,215
37,256,580
9. For child abuse prevention grants:
.................................................. $ 62,500
125,000
10. For pregnancy prevention grants on the condition that
family planning services are funded:
.................................................. $ 965,033
1,930,067
Pregnancy prevention grants shall be awarded to programs
in existence on or before July 1, 2016, if the programs have
demonstrated positive outcomes. Grants shall be awarded to
pregnancy prevention programs which are developed after July
1, 2016, if the programs are based on existing models that
have demonstrated positive outcomes. Grants shall comply with
the requirements provided in 1997 Iowa Acts, chapter 208,
section 14, subsections 1 and 2, including the requirement
that grant programs must emphasize sexual abstinence.
Priority in the awarding of grants shall be given to programs
that serve areas of the state which demonstrate the highest
percentage of unplanned pregnancies of females of childbearing
age within the geographic area to be served by the grant.
11. For technology needs and other resources necessary
to meet federal welfare reform reporting, tracking, and case
management requirements:
.................................................. $ 518,593
1,037,186
12. For the family investment program share of the costs to
continue to develop and maintain a new, integrated eligibility
determination system:
.................................................. $ 3,327,440
5,654,880
13. a. Notwithstanding any provision to the contrary,
including but not limited to requirements in section 8.41 or
provisions in 2015 or 2016 Iowa Acts regarding the receipt
and appropriation of federal block grants, federal funds
from the temporary assistance for needy families block grant
received by the state and not otherwise appropriated in this
section and remaining available for the fiscal year beginning
July 1, 2016, are appropriated to the department of human
services to the extent as may be necessary to be used in the
following priority order: the family investment program, for
state child care assistance program payments for families who
are employed, and for the family investment program share of
costs to develop and maintain a new, integrated eligibility
determination system. The federal funds appropriated in this
paragraph "a" shall be expended only after all other funds
appropriated in subsection 1 for the assistance under the
family investment program, in subsection 6 for child care
assistance, or in subsection 12 for the family investment
program share of the costs to continue to develop and maintain
a new, integrated eligibility determination system, as
applicable, have been expended. For the purposes of this
subsection, the funds appropriated in subsection 6, paragraph
"a", for transfer to the child care and development block
grant appropriation are considered fully expended when the
full amount has been transferred.
b. The department shall, on a quarterly basis, advise the
legislative services agency and department of management of
the amount of funds appropriated in this subsection that was
expended in the prior quarter.
14. Of the amounts appropriated in this section,
$6,481,004 $12,962,008 for the fiscal year beginning July
1, 2016, is transferred to the appropriation of the federal
social services block grant made to the department of human
services for that fiscal year.
15. For continuation of the program providing categorical
eligibility for the food assistance program as specified for
the program in the section of this division of this 2016 Act
relating to the family investment program account:
.................................................. $ 12,500
25,000
16. The department may transfer funds allocated in this
section to the appropriations made in this division of this
Act for the same fiscal year for general administration and
field operations for resources necessary to implement and
operate the services referred to in this section and those
funded in the appropriation made in this division of this Act
for the same fiscal year for the family investment program
from the general fund of the state.
Sec. 7. 2015 Iowa Acts, chapter 137, section 127, is
amended to read as follows:
SEC. 127. FAMILY INVESTMENT PROGRAM ACCOUNT.
1. Moneys credited to the family investment program
(FIP) account for the fiscal year beginning July 1, 2016, and
ending June 30, 2017, shall be used to provide assistance in
accordance with chapter 239B.
2. The department may use a portion of the moneys credited
to the FIP account under this section as necessary for
salaries, support, maintenance, and miscellaneous purposes.
3. The department may transfer funds allocated in
subsection 4 to the appropriations made in this division of
this Act for the same fiscal year for general administration
and field operations for resources necessary to implement and
operate the family investment program services referred to in
this section and those funded in the appropriation made in
this division of this Act for the same fiscal year for the
family investment program from the general fund of the state.
4. Moneys appropriated in this division of this Act and
credited to the FIP account for the fiscal year beginning July
1, 2016, and ending June 30, 2017, are allocated as follows:
a. To be retained by the department of human services to be
used for coordinating with the department of human rights to
more effectively serve participants in FIP and other shared
clients and to meet federal reporting requirements under the
federal temporary assistance for needy families block grant:
.................................................. $ 10,000
20,000
b. To the department of human rights for staffing,
administration, and implementation of the family development
and self=sufficiency grant program in accordance with section
216A.107:
.................................................. $ 3,096,417
6,192,834
(1) Of the funds allocated for the family development
and self=sufficiency grant program in this paragraph "b",
not more than 5 percent of the funds shall be used for the
administration of the grant program.
(2) The department of human rights may continue to
implement the family development and self=sufficiency grant
program statewide during fiscal year 2016=2017.
(3) The department of human rights may engage in activities
to strengthen and improve family outcomes measures and
data collection systems under the family development and
self=sufficiency grant program.
c. For the diversion subaccount of the FIP account:
.................................................. $ 407,500
815,000
A portion of the moneys allocated for the subaccount may
be used for field operations, salaries, data management
system development, and implementation costs and support
deemed necessary by the director of human services in order
to administer the FIP diversion program. To the extent
moneys allocated in this paragraph "c" are not deemed by the
department to be necessary to support diversion activities,
such moneys may be used for other efforts intended to increase
engagement by family investment program participants in work,
education, or training activities.
d. For the food assistance employment and training
program:
.................................................. $ 33,294
66,588
(1) The department shall apply the federal supplemental
nutrition assistance program (SNAP) employment and training
state plan in order to maximize to the fullest extent
permitted by federal law the use of the 50 percent federal
reimbursement provisions for the claiming of allowable federal
reimbursement funds from the United States department of
agriculture pursuant to the federal SNAP employment and
training program for providing education, employment, and
training services for eligible food assistance program
participants, including but not limited to related dependent
care and transportation expenses.
(2) The department shall continue the categorical federal
food assistance program eligibility at 160 percent of the
federal poverty level and continue to eliminate the asset test
from eligibility requirements, consistent with federal food
assistance program requirements. The department shall include
as many food assistance households as is allowed by federal
law. The eligibility provisions shall conform to all federal
requirements including requirements addressing individuals who
are incarcerated or otherwise ineligible.
e. For the JOBS program:
.................................................. $ 8,770,199
16,129,101
5. Of the child support collections assigned under FIP,
an amount equal to the federal share of support collections
shall be credited to the child support recovery appropriation
made in this division of this Act. Of the remainder of the
assigned child support collections received by the child
support recovery unit, a portion shall be credited to the FIP
account, a portion may be used to increase recoveries, and a
portion may be used to sustain cash flow in the child support
payments account. If as a consequence of the appropriations
and allocations made in this section the resulting amounts
are insufficient to sustain cash assistance payments and meet
federal maintenance of effort requirements, the department
shall seek supplemental funding. If child support collections
assigned under FIP are greater than estimated or are otherwise
determined not to be required for maintenance of effort, the
state share of either amount may be transferred to or retained
in the child support payments account.
6. The department may adopt emergency rules for the family
investment, JOBS, food assistance, and medical assistance
programs if necessary to comply with federal requirements.
Sec. 8. 2015 Iowa Acts, chapter 137, section 128, is
amended to read as follows:
SEC. 128. FAMILY INVESTMENT PROGRAM GENERAL FUND. There
is appropriated from the general fund of the state to the
department of human services for the fiscal year beginning
July 1, 2016, and ending June 30, 2017, the following amount,
or so much thereof as is necessary, to be used for the purpose
designated:
To be credited to the family investment program (FIP)
account and used for family investment program assistance
under chapter 239B:
.................................................. $ 24,336,937
48,673,875
1. Of the funds appropriated in this section, $3,701,110
$10,553,408 is allocated for the JOBS program.
2. Of the funds appropriated in this section, $1,656,927
$3,313,854 is allocated for the family development and
self=sufficiency grant program.
3. Notwithstanding section 8.39, for the fiscal year
beginning July 1, 2016, if necessary to meet federal
maintenance of effort requirements; or to transfer federal
temporary assistance for needy families block grant funding
to be used for purposes of the federal social services block
grant; or to meet cash flow needs resulting from delays in
receiving federal funding; or to implement, in accordance with
this division of this Act, activities currently funded with
juvenile court services, county, or community moneys and state
moneys used in combination with such moneys; to comply with
federal requirements; or to maximize the use of federal funds,
the department of human services may transfer funds within
or between any of the appropriations made in this division
of this Act and appropriations in law for the federal social
services block grant to the department for the following
purposes, provided that the combined amount of state and
federal temporary assistance for needy families block grant
funding for each appropriation remains the same before and
after the transfer:
a. For the family investment program.
b. For child care assistance.
c. For child and family services.
d. For field operations.
e. For general administration.
f. For distribution to counties or regions through the
property tax relief fund for mental health and disability
services as provided in an appropriation for this purpose.
This subsection shall not be construed to prohibit the use
of existing state transfer authority for other purposes. The
department shall report any transfers made pursuant to this
subsection to the legislative services agency.
4. Of the funds appropriated in this section, $97,839
$195,678 shall be used for continuation of a grant to an
Iowa=based nonprofit organization with a history of providing
tax preparation assistance to low=income Iowans in order to
expand the usage of the earned income tax credit. The purpose
of the grant is to supply this assistance to underserved areas
of the state.
5. Of the funds appropriated in this section, $30,000
$60,000 shall be used for the continuation of an unfunded
pilot project, as defined in 441 IAC 100.1, relating to
parental obligations, in which the child support recovery
unit participates, to support the efforts of a nonprofit
organization committed to strengthening the community through
youth development, healthy living, and social responsibility
headquartered in a county with a population over 350,000.
The funds allocated in this subsection shall be used by
the recipient organization to develop a larger community
effort, through public and private partnerships, to support
a broad=based multi=county fatherhood initiative that
promotes payment of child support obligations, improved family
relationships, and full=time employment.
6. The department may transfer funds appropriated in
this section to the appropriations made in this division of
this Act for general administration and field operations as
necessary to administer this section and the overall family
investment program.
Sec. 9. 2015 Iowa Acts, chapter 137, section 129, is
amended to read as follows:
SEC. 129. CHILD SUPPORT RECOVERY. There is appropriated
from the general fund of the state to the department of human
services for the fiscal year beginning July 1, 2016, and
ending June 30, 2017, the following amount, or so much thereof
as is necessary, to be used for the purposes designated:
For child support recovery, including salaries, support,
maintenance, and miscellaneous purposes, and for not more than
the following full=time equivalent positions:
.................................................. $ 7,331,686
14,663,373
............................................... FTEs 464.00
1. The department shall expend up to $12,164 $24,329,
including federal financial participation, for the fiscal year
beginning July 1, 2016, for a child support public awareness
campaign. The department and the office of the attorney
general shall cooperate in continuation of the campaign. The
public awareness campaign shall emphasize, through a variety
of media activities, the importance of maximum involvement of
both parents in the lives of their children as well as the
importance of payment of child support obligations.
2. Federal access and visitation grant moneys shall be
issued directly to private not=for=profit agencies that
provide services designed to increase compliance with the
child access provisions of court orders, including but not
limited to neutral visitation sites and mediation services.
3. The appropriation made to the department for child
support recovery may be used throughout the fiscal year in the
manner necessary for purposes of cash flow management, and for
cash flow management purposes the department may temporarily
draw more than the amount appropriated, provided the amount
appropriated is not exceeded at the close of the fiscal year.
4. With the exception of the funding amount specified,
the requirements established under 2001 Iowa Acts, chapter
191, section 3, subsection 5, paragraph "c", subparagraph (3),
shall be applicable to parental obligation pilot projects
for the fiscal year beginning July 1, 2016, and ending June
30, 2017. Notwithstanding 441 IAC 100.8, providing for
termination of rules relating to the pilot projects, the rules
shall remain in effect until June 30, 2017.
Sec. 10. 2015 Iowa Acts, chapter 137, section 132, is
amended to read as follows:
SEC. 132. MEDICAL ASSISTANCE. There is appropriated from
the general fund of the state to the department of human
services for the fiscal year beginning July 1, 2016, and
ending June 30, 2017, the following amount, or so much thereof
as is necessary, to be used for the purpose designated:
For medical assistance program reimbursement and
associated costs as specifically provided in the reimbursement
methodologies in effect on June 30, 2016, except as otherwise
expressly authorized by law, consistent with options under
federal law and regulations, and contingent upon receipt of
approval from the office of the governor of reimbursement for
each abortion performed under the program:
.................................................. $651,595,782
1,318,246,446
1. Iowans support reducing the number of abortions
performed in our state. Funds appropriated under this section
shall not be used for abortions, unless otherwise authorized
under this section.
2. The provisions of this section relating to abortions
shall also apply to the Iowa health and wellness plan created
pursuant to chapter 249N.
3. The department shall utilize not more than $30,000
$60,000 of the funds appropriated in this section to continue
the AIDS/HIV health insurance premium payment program as
established in 1992 Iowa Acts, Second Extraordinary Session,
chapter 1001, section 409, subsection 6. Of the funds
allocated in this subsection, not more than $2,500 $5,000 may
be expended for administrative purposes.
4. Of the funds appropriated in this Act to the
department of public health for addictive disorders,
$475,000 $950,000 for the fiscal year beginning July 1,
2016, is transferred to the department of human services
for an integrated substance=related disorder managed care
system. The department shall not assume management of the
substance=related disorder system in place of the managed care
contractor unless such a change in approach is specifically
authorized in law. The departments of human services and
public health shall work together to maintain the level
of mental health and substance=related disorder treatment
services provided by the managed care contractor through the
Iowa plan for behavioral health contractors. Each department
shall take the steps necessary to continue the federal waivers
as necessary to maintain the level of services.
5. a. The department shall aggressively pursue options
for providing medical assistance or other assistance to
individuals with special needs who become ineligible to
continue receiving services under the early and periodic
screening, diagnostic, and treatment program under the
medical assistance program due to becoming 21 years of age
who have been approved for additional assistance through the
department's exception to policy provisions, but who have
health care needs in excess of the funding available through
the exception to policy provisions.
b. Of the funds appropriated in this section, $50,000
$100,000 shall be used for participation in one or more
pilot projects operated by a private provider to allow the
individual or individuals to receive service in the community
in accordance with principles established in Olmstead v.
L.C., 527 U.S. 581 (1999), for the purpose of providing
medical assistance or other assistance to individuals with
special needs who become ineligible to continue receiving
services under the early and periodic screening, diagnostic,
and treatment program under the medical assistance program
due to becoming 21 years of age who have been approved for
additional assistance through the department's exception to
policy provisions, but who have health care needs in excess
of the funding available through the exception to the policy
provisions.
6. Of the funds appropriated in this section, up to
$1,525,041 $3,050,082 may be transferred to the field
operations or general administration appropriations in this
division of this Act for operational costs associated with
Part D of the federal Medicare Prescription Drug Improvement
and Modernization Act of 2003, Pub. L. No. 108=173.
7. Of the funds appropriated in this section, up to
$221,050 $442,100 may be transferred to the appropriation in
this division of this Act for medical contracts to be used
for clinical assessment services and prior authorization of
services.
8. A portion of the funds appropriated in this section
may be transferred to the appropriations in this division of
this Act for general administration, medical contracts, the
children's health insurance program, or field operations to
be used for the state match cost to comply with the payment
error rate measurement (PERM) program for both the medical
assistance and children's health insurance programs as
developed by the centers for Medicare and Medicaid services
of the United States department of health and human services
to comply with the federal Improper Payments Information Act
of 2002, Pub. L. No. 107=300.
9. The department shall continue to implement the
recommendations of the assuring better child health and
development initiative II (ABCDII) clinical panel to the
Iowa early and periodic screening, diagnostic, and treatment
services healthy mental development collaborative board
regarding changes to billing procedures, codes, and eligible
service providers.
10. Of the funds appropriated in this section, a sufficient
amount is allocated to supplement the incomes of residents of
nursing facilities, intermediate care facilities for persons
with mental illness, and intermediate care facilities for
persons with an intellectual disability, with incomes of
less than $50 in the amount necessary for the residents to
receive a personal needs allowance of $50 per month pursuant
to section 249A.30A.
11. Of the funds appropriated in this section, the
following amounts are transferred to the appropriations made
in this division of this Act for the state mental health
institutes:
a. Cherokee mental health institute $ 4,549,212
b. Independence mental health institute $ 4,522,947
12. a. Of the funds appropriated in this section,
$2,041,939 $3,000,000 is allocated for the state match for
a disproportionate share hospital payment of $4,544,712
$6,861,848 to hospitals that meet both of the conditions
specified in subparagraphs (1) and (2). In addition, the
hospitals that meet the conditions specified shall either
certify public expenditures or transfer to the medical
assistance program an amount equal to provide the nonfederal
share for a disproportionate share hospital payment of
$8,772,003 $19,771,582. The hospitals that meet the
conditions specified shall receive and retain 100 percent
of the total disproportionate share hospital payment of
$13,316,715 $26,633,430.
(1) The hospital qualifies for disproportionate share and
graduate medical education payments.
(2) The hospital is an Iowa state=owned hospital with more
than 500 beds and eight or more distinct residency specialty
or subspecialty programs recognized by the American college
of graduate medical education.
b. Distribution of the disproportionate share payments
shall be made on a monthly basis. The total amount of
disproportionate share payments including graduate medical
education, enhanced disproportionate share, and Iowa
state=owned teaching hospital payments shall not exceed the
amount of the state's allotment under Pub. L. No. 102=234.
In addition, the total amount of all disproportionate
share payments shall not exceed the hospital=specific
disproportionate share limits under Pub. L. No. 103=66.
c. The university of Iowa hospitals and clinics shall
either certify public expenditures or transfer to the
appropriations made in this division of this Act for medical
assistance an amount equal to provide the nonfederal share
for increased medical assistance payments for inpatient and
outpatient hospital services of $4,950,000 $9,900,000. The
university of Iowa hospitals and clinics shall receive and
retain 100 percent of the total increase in medical assistance
payments.
d. Payment methodologies utilized for disproportionate
share hospitals and graduate medical education, and other
supplemental payments under the Medicaid program may be
adjusted or converted to other methodologies or payment types
to provide these payments through Medicaid managed care after
April 1, 2016. The department of human services shall obtain
approval from the centers for Medicare and Medicaid services
of the United States department of health and human services
prior to implementation of any such adjusted or converted
methodologies or payment types.
13. One hundred percent of the nonfederal share of payments
to area education agencies that are medical assistance
providers for medical assistance=covered services provided to
medical assistance=covered children, shall be made from the
appropriation made in this section.
14. Any new or renewed contract entered into by the
department with a third party to administer services under the
medical assistance program shall provide that any interest
earned on payments from the state during the state fiscal year
shall be remitted to the department and treated as recoveries
to offset the costs of the medical assistance program.
15. A portion of the funds appropriated in this section
may be transferred to the appropriation in this division of
this Act for medical contracts to be used for administrative
activities associated with the money follows the person
demonstration project.
16. Of the funds appropriated in this section, $174,505
$349,011 shall be used for the administration of the health
insurance premium payment program, including salaries,
support, maintenance, and miscellaneous purposes.
17. a. The department may increase the amounts allocated
for salaries, support, maintenance, and miscellaneous purposes
associated with the medical assistance program, as necessary,
to implement cost containment strategies. The department
shall report any such increase to the legislative services
agency and the department of management.
b. If the savings to the medical assistance program
from cost containment efforts exceed the cost for the
fiscal year beginning July 1, 2016, the department may
transfer any savings generated for the fiscal year due to
medical assistance program cost containment efforts to the
appropriation made in this division of this Act for medical
contracts or general administration to defray the increased
contract costs associated with implementing such efforts.
18. For the fiscal year beginning July 1, 2016, and
ending June 30, 2017, the replacement generation tax revenues
required to be deposited in the property tax relief fund
pursuant to section 437A.8, subsection 4, paragraph "d", and
section 437A.15, subsection 3, paragraph "f", shall instead
be credited to and supplement the appropriation made in this
section and used for the allocations made in this section.
19. The department shall continue to administer the state
balancing incentive payments program as specified in 2012 Iowa
Acts, chapter 1133, section 14.
20. a. Of the funds appropriated in this section, up
to $25,000 $50,000 may be transferred by the department to
the appropriation made in this division of this Act to the
department for the same fiscal year for general administration
to be used for associated administrative expenses and for not
more than one full=time equivalent position, in addition to
those authorized for the same fiscal year, to be assigned to
implementing the children's mental health home project.
b. Of the funds appropriated in this section, up to
$200,000 $400,000 may be transferred by the department to the
appropriation made to the department in this division of this
Act for the same fiscal year for Medicaid program=related
general administration planning and implementation activities.
The funds may be used for contracts or for personnel in
addition to the amounts appropriated for and the positions
authorized for general administration for the fiscal year.
c. Of the funds appropriated in this section, up to
$1,500,000 $3,000,000 may be transferred by the department
to the appropriations made in this division of this Act
for the same fiscal year for general administration or
medical contracts to be used to support the development
and implementation of standardized assessment tools for
persons with mental illness, an intellectual disability, a
developmental disability, or a brain injury.
21. Of the funds appropriated in this section, $125,000
$250,000 shall be used for lodging expenses associated with
care provided at the university of Iowa hospitals and clinics
for patients with cancer whose travel distance is 30 miles
or more and whose income is at or below 200 percent of the
federal poverty level as defined by the most recently revised
poverty income guidelines published by the United States
department of health and human services. The department of
human services shall establish the maximum number of overnight
stays and the maximum rate reimbursed for overnight lodging,
which may be based on the state employee rate established
by the department of administrative services. The funds
allocated in this subsection shall not be used as nonfederal
share matching funds.
23. The department of human services shall not implement
the following cost containment strategies as recommended by
the governor for the fiscal year beginning July 1, 2016:
a. A policy to ensure that reimbursement for Medicare
Part A and Medicare Part B crossover claims is limited to the
Medicaid reimbursement rate.
b. An adjustment to the reimbursement policy in order
to end the primary care physician rate increase originally
authorized by the federal Health Care and Education
Reconciliation Act of 2010, section 1202, Pub. L. No. 111=152,
42 U.S.C. {1396a(a)(13)(C) that allows qualified primary care
physicians to receive the greater of the Medicare rate or
Medicaid rate for a specified set of codes.
24. The department shall report the implementation of
any cost containment strategies to the individuals specified
in this division of this Act for submission of reports upon
implementation.
25. The department shall report the implementation of any
improved processing changes and any related cost reductions
to the individuals specified in this division of this Act for
submission of reports upon implementation.
26. Of the funds appropriated in this section, $2,000,000
shall be used to implement reductions in the waiting lists
of all medical assistance home and community=based services
waivers.
27. The department shall submit a report to the individuals
identified in this Act for submission of reports, regarding
the impact of changes in home and community=based services
waiver supported employment and prevocational services by
December 15, 2016.
28. Any dental benefit manager contracting with the
department of human services for the dental wellness plan
on or after July 1, 2016, shall meet the same contract
requirements. Readiness review of such a dental benefit
manager shall be based on the criteria applicable to the
dental wellness plan when implemented on May 1, 2014,
including but not limited to network adequacy, access to
services, performance measures, benefit design, and other
requirements as determined by the department for the dental
wellness program. Any dental benefit manager that has been
approved by a readiness review prior to July 1, 2016, shall
not be required to repeat such review for the department.
29. The department of human services shall review the
fiscal impact and potential benefit to Medicaid recipients of
including single=tablet regimens or long=acting alternatives
for the treatment of HIV or acquired immune deficiency
syndrome on the preferred drug list, as an alternative
to multi=tablet regimens. The department shall identify
opportunities to align the cost of single=tablet regimens for
the treatment of HIV or acquired immune deficiency syndrome
with the corresponding multi=tablet regimens, and shall pursue
manufacturer supplemental rebate offers through the sovereign
states drug consortium supplemental rebate negotiation process
to determine if any supplemental rebate opportunities are
available for calendar year 2018. If such opportunities
are available, the department shall implement any such
supplemental rebate offer opportunities beginning in calendar
year 2018.
Sec. 11. 2015 Iowa Acts, chapter 137, section 133, is
amended to read as follows:
SEC. 133. MEDICAL CONTRACTS. There is appropriated from
the general fund of the state to the department of human
services for the fiscal year beginning July 1, 2016, and
ending June 30, 2017, the following amount, or so much thereof
as is necessary, to be used for the purpose designated:
For medical contracts:
.................................................. $ 9,806,982
17,045,964
1. The department of inspections and appeals shall
provide all state matching funds for survey and certification
activities performed by the department of inspections
and appeals. The department of human services is solely
responsible for distributing the federal matching funds for
such activities.
2. Of the funds appropriated in this section, $25,000
$50,000 shall be used for continuation of home and
community=based services waiver quality assurance programs,
including the review and streamlining of processes and
policies related to oversight and quality management to meet
state and federal requirements.
3. Of the amount appropriated in this section, up to
$100,000 $200,000 may be transferred to the appropriation
for general administration in this division of this Act
to be used for additional full=time equivalent positions
in the development of key health initiatives such as cost
containment, development and oversight of managed care
programs, and development of health strategies targeted toward
improved quality and reduced costs in the Medicaid program.
4. Of the funds appropriated in this section, $500,000
$1,000,000 shall be used for planning and development,
in cooperation with the department of public health, of a
phased=in program to provide a dental home for children.
5. Of the funds appropriated in this section, $1,000,000
$2,000,000 shall be credited to the autism support program
fund created in section 225D.2 to be used for the autism
support program created in chapter 225D, with the exception of
the following amounts of this allocation which shall be used
as follows:
a. Of the funds allocated in this subsection, $125,000
$250,000 shall be deposited in the board=certified behavior
analyst and board=certified assistant behavior analyst grants
program fund created in section 135.181, as enacted in this
Act, to be used for the purposes of the fund.
b. Of the funds allocated in this subsection, $12,500
$25,000 shall be used for the public purpose of continuation
of a grant to a child welfare services provider headquartered
in a county with a population between 205,000 and 215,000 in
the latest certified federal census that provides multiple
services including but not limited to a psychiatric medical
institution for children, shelter, residential treatment,
after school programs, school=based programming, and an
Asperger's syndrome program, to be used for support services
for children with autism spectrum disorder and their families.
c. Of the funds allocated in this subsection, $12,500
$25,000 shall be used for the public purpose of continuing a
grant to a hospital=based provider headquartered in a county
with a population between 90,000 and 95,000 in the latest
certified federal census that provides multiple services
including but not limited to diagnostic, therapeutic, and
behavioral services to individuals with autism spectrum
disorder across one's lifespan. The grant recipient shall
utilize the funds to continue the pilot project to determine
the necessary support services for children with autism
spectrum disorder and their families to be included in the
children's disabilities services system. The grant recipient
shall submit findings and recommendations based upon the
results of the pilot project to the individuals specified
in this division of this Act for submission of reports by
December 31, 2015 2016.
Sec. 12. 2015 Iowa Acts, chapter 137, section 134, is
amended to read as follows:
SEC. 134. STATE SUPPLEMENTARY ASSISTANCE.
1. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
For the state supplementary assistance program:
.................................................. $ 6,498,593
11,611,442
2. The department shall increase the personal needs
allowance for residents of residential care facilities by the
same percentage and at the same time as federal supplemental
security income and federal social security benefits are
increased due to a recognized increase in the cost of living.
The department may adopt emergency rules to implement this
subsection.
3. If during the fiscal year beginning July 1, 2016,
the department projects that state supplementary assistance
expenditures for a calendar year will not meet the federal
pass=through requirement specified in Tit. XVI of the federal
Social Security Act, section 1618, as codified in 42 U.S.C.
{1382g, the department may take actions including but not
limited to increasing the personal needs allowance for
residential care facility residents and making programmatic
adjustments or upward adjustments of the residential care
facility or in=home health=related care reimbursement rates
prescribed in this division of this Act to ensure that federal
requirements are met. In addition, the department may make
other programmatic and rate adjustments necessary to remain
within the amount appropriated in this section while ensuring
compliance with federal requirements. The department may
adopt emergency rules to implement the provisions of this
subsection.
Sec. 13. 2015 Iowa Acts, chapter 137, section 135, is
amended to read as follows:
SEC. 135. CHILDREN'S HEALTH INSURANCE PROGRAM.
1. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
For maintenance of the healthy and well kids in Iowa
(hawk=i) program pursuant to chapter 514I, including
supplemental dental services, for receipt of federal financial
participation under Tit. XXI of the federal Social Security
Act, which creates the children's health insurance program:
.................................................. $ 10,206,922
9,176,652
2. Of the funds appropriated in this section, $21,400
$42,800 is allocated for continuation of the contract for
outreach with the department of public health.
Sec. 14. 2015 Iowa Acts, chapter 137, section 136, is
amended to read as follows:
SEC. 136. CHILD CARE ASSISTANCE. There is appropriated
from the general fund of the state to the department of human
services for the fiscal year beginning July 1, 2016, and
ending June 30, 2017, the following amount, or so much thereof
as is necessary, to be used for the purpose designated:
For child care programs:
.................................................. $ 25,704,334
36,389,561
1. Of the funds appropriated in this section, $21,844,620
$30,039,561 shall be used for state child care assistance in
accordance with section 237A.13.
2. Nothing in this section shall be construed or is
intended as or shall imply a grant of entitlement for services
to persons who are eligible for assistance due to an income
level consistent with the waiting list requirements of
section 237A.13. Any state obligation to provide services
pursuant to this section is limited to the extent of the funds
appropriated in this section.
3. Of the funds appropriated in this section, $216,226
is allocated for the statewide grant program for child care
resource and referral services under section 237A.26. A list
of the registered and licensed child care facilities operating
in the area served by a child care resource and referral
service shall be made available to the families receiving
state child care assistance in that area.
4. Of the funds appropriated in this section, $468,487
is allocated for child care quality improvement initiatives
including but not limited to the voluntary quality rating
system in accordance with section 237A.30.
5. Of the funds appropriated in this section, $3,175,000
$6,350,000 shall be credited to the early childhood programs
grants account in the early childhood Iowa fund created
in section 256I.11. The moneys shall be distributed for
funding of community=based early childhood programs targeted
to children from birth through five years of age developed
by early childhood Iowa areas in accordance with approved
community plans as provided in section 256I.8.
6. The department may use any of the funds appropriated
in this section as a match to obtain federal funds for use
in expanding child care assistance and related programs.
For the purpose of expenditures of state and federal child
care funding, funds shall be considered obligated at the
time expenditures are projected or are allocated to the
department's service areas. Projections shall be based on
current and projected caseload growth, current and projected
provider rates, staffing requirements for eligibility
determination and management of program requirements
including data systems management, staffing requirements
for administration of the program, contractual and grant
obligations and any transfers to other state agencies, and
obligations for decategorization or innovation projects.
7. A portion of the state match for the federal child care
and development block grant shall be provided as necessary to
meet federal matching funds requirements through the state
general fund appropriation made for child development grants
and other programs for at=risk children in section 279.51.
8. If a uniform reduction ordered by the governor under
section 8.31 or other operation of law, transfer, or federal
funding reduction reduces the appropriation made in this
section for the fiscal year, the percentage reduction in the
amount paid out to or on behalf of the families participating
in the state child care assistance program shall be equal
to or less than the percentage reduction made for any other
purpose payable from the appropriation made in this section
and the federal funding relating to it. The percentage
reduction to the other allocations made in this section shall
be the same as the uniform reduction ordered by the governor
or the percentage change of the federal funding reduction, as
applicable. If there is an unanticipated increase in federal
funding provided for state child care assistance, the entire
amount of the increase shall be used for state child care
assistance payments. If the appropriations made for purposes
of the state child care assistance program for the fiscal year
are determined to be insufficient, it is the intent of the
general assembly to appropriate sufficient funding for the
fiscal year in order to avoid establishment of waiting list
requirements.
9. Notwithstanding section 8.33, moneys advanced for
purposes of the programs developed by early childhood Iowa
areas, advanced for purposes of wraparound child care, or
received from the federal appropriations made for the purposes
of this section that remain unencumbered or unobligated at
the close of the fiscal year shall not revert to any fund
but shall remain available for expenditure for the purposes
designated until the close of the succeeding fiscal year.
Sec. 15. 2015 Iowa Acts, chapter 137, section 137, is
amended to read as follows:
SEC. 137. JUVENILE INSTITUTION. There is appropriated
from the general fund of the state to the department of
human services for the fiscal year beginning July 1, 2016,
and ending June 30, 2017, the following amounts, or so
much thereof as is necessary, to be used for the purposes
designated:
1. For operation of the state training school at Eldora
and for salaries, support, maintenance, and miscellaneous
purposes, and for not more than the following full=time
equivalent positions:
.................................................. $ 6,116,710
12,233,420
............................................... FTEs 169.30
188.30
Of the funds appropriated in this subsection, $45,575
$91,150 shall be used for distribution to licensed classroom
teachers at this and other institutions under the control
of the department of human services based upon the average
student yearly enrollment at each institution as determined
by the department.
2. A portion of the moneys appropriated in this section
shall be used by the state training school at Eldora for
grants for adolescent pregnancy prevention activities at the
institution in the fiscal year beginning July 1, 2016.
Sec. 16. 2015 Iowa Acts, chapter 137, section 138, is
amended to read as follows:
SEC. 138. CHILD AND FAMILY SERVICES.
1. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
For child and family services:
.................................................. $ 42,670,969
84,482,419
2. Up to $2,600,000 of the amount of federal temporary
assistance for needy families block grant funding appropriated
in this division of this Act for child and family services
shall be made available for purposes of juvenile delinquent
graduated sanction services.
3. The department may transfer funds appropriated in this
section as necessary to pay the nonfederal costs of services
reimbursed under the medical assistance program, state child
care assistance program, or the family investment program
which are provided to children who would otherwise receive
services paid under the appropriation in this section. The
department may transfer funds appropriated in this section
to the appropriations made in this division of this Act for
general administration and for field operations for resources
necessary to implement and operate the services funded in this
section.
4. a. Of the funds appropriated in this section, up
to $17,910,893 $35,736,649 is allocated as the statewide
expenditure target under section 232.143 for group foster care
maintenance and services. If the department projects that
such expenditures for the fiscal year will be less than the
target amount allocated in this paragraph "a", the department
may reallocate the excess to provide additional funding for
shelter care or the child welfare emergency services addressed
with the allocation for shelter care.
b. If at any time after September 30, 2016, annualization
of a service area's current expenditures indicates a service
area is at risk of exceeding its group foster care expenditure
target under section 232.143 by more than 5 percent, the
department and juvenile court services shall examine all
group foster care placements in that service area in order to
identify those which might be appropriate for termination.
In addition, any aftercare services believed to be needed
for the children whose placements may be terminated shall
be identified. The department and juvenile court services
shall initiate action to set dispositional review hearings for
the placements identified. In such a dispositional review
hearing, the juvenile court shall determine whether needed
aftercare services are available and whether termination of
the placement is in the best interest of the child and the
community.
5. In accordance with the provisions of section 232.188,
the department shall continue the child welfare and juvenile
justice funding initiative during fiscal year 2016=2017. Of
the funds appropriated in this section, $858,876 $1,717,753
is allocated specifically for expenditure for fiscal year
2016=2017 through the decategorization services funding pools
and governance boards established pursuant to section 232.188.
6. A portion of the funds appropriated in this section
may be used for emergency family assistance to provide other
resources required for a family participating in a family
preservation or reunification project or successor project to
stay together or to be reunified.
7. Notwithstanding section 234.35 or any other provision
of law to the contrary, state funding for shelter care and
the child welfare emergency services contracting implemented
to provide for or prevent the need for shelter care shall be
limited to $4,034,237 $8,096,158.
8. Federal funds received by the state during the fiscal
year beginning July 1, 2016, as the result of the expenditure
of state funds appropriated during a previous state fiscal
year for a service or activity funded under this section
are appropriated to the department to be used as additional
funding for services and purposes provided for under this
section. Notwithstanding section 8.33, moneys received in
accordance with this subsection that remain unencumbered or
unobligated at the close of the fiscal year shall not revert
to any fund but shall remain available for the purposes
designated until the close of the succeeding fiscal year.
9. a. Of the funds appropriated in this section, up to
$1,645,000 $3,290,000 is allocated for the payment of the
expenses of court=ordered services provided to juveniles
who are under the supervision of juvenile court services,
which expenses are a charge upon the state pursuant to
section 232.141, subsection 4. Of the amount allocated in
this paragraph "a", up to $778,143 $1,556,287 shall be made
available to provide school=based supervision of children
adjudicated under chapter 232, of which not more than $7,500
$15,000 may be used for the purpose of training. A portion of
the cost of each school=based liaison officer shall be paid by
the school district or other funding source as approved by the
chief juvenile court officer.
b. Of the funds appropriated in this section, up to
$374,492 $748,985 is allocated for the payment of the expenses
of court=ordered services provided to children who are under
the supervision of the department, which expenses are a charge
upon the state pursuant to section 232.141, subsection 4.
c. Notwithstanding section 232.141 or any other provision
of law to the contrary, the amounts allocated in this
subsection shall be distributed to the judicial districts
as determined by the state court administrator and to the
department's service areas as determined by the administrator
of the department of human services' division of child and
family services. The state court administrator and the
division administrator shall make the determination of the
distribution amounts on or before June 15, 2016.
d. Notwithstanding chapter 232 or any other provision of
law to the contrary, a district or juvenile court shall not
order any service which is a charge upon the state pursuant
to section 232.141 if there are insufficient court=ordered
services funds available in the district court or departmental
service area distribution amounts to pay for the service. The
chief juvenile court officer and the departmental service area
manager shall encourage use of the funds allocated in this
subsection such that there are sufficient funds to pay for
all court=related services during the entire year. The chief
juvenile court officers and departmental service area managers
shall attempt to anticipate potential surpluses and shortfalls
in the distribution amounts and shall cooperatively request
the state court administrator or division administrator to
transfer funds between the judicial districts' or departmental
service areas' distribution amounts as prudent.
e. Notwithstanding any provision of law to the contrary,
a district or juvenile court shall not order a county to pay
for any service provided to a juvenile pursuant to an order
entered under chapter 232 which is a charge upon the state
under section 232.141, subsection 4.
f. Of the funds allocated in this subsection, not more
than $41,500 $83,000 may be used by the judicial branch for
administration of the requirements under this subsection.
g. Of the funds allocated in this subsection, $8,500
$17,000 shall be used by the department of human services to
support the interstate commission for juveniles in accordance
with the interstate compact for juveniles as provided in
section 232.173.
10. Of the funds appropriated in this section, $4,026,613
$13,253,227 is allocated for juvenile delinquent graduated
sanctions services. Any state funds saved as a result of
efforts by juvenile court services to earn a federal Tit. IV=E
match for juvenile court services administration may be used
for the juvenile delinquent graduated sanctions services.
11. Of the funds appropriated in this section, $804,142
$1,658,285 is transferred to the department of public health
to be used for the child protection center grant program for
child protection centers located in Iowa in accordance with
section 135.118. The grant amounts under the program shall be
equalized so that each center receives a uniform base amount
of $122,500 $245,000, so that $50,000 is awarded to establish
a satellite child protection center in a city in north central
Iowa that is the county seat of a county with a population
between 44,000 and 45,000 according to the 2010 federal
decennial census, and so that the remaining funds shall be are
awarded through a funding formula based upon the volume of
children served.
12. If the department receives federal approval to
implement a waiver under Tit. IV=E of the federal Social
Security Act to enable providers to serve children who remain
in the children's families and communities, for purposes of
eligibility under the medical assistance program through 25
years of age, children who participate in the waiver shall be
considered to be placed in foster care.
13. Of the funds appropriated in this section, $2,012,583
$4,025,167 is allocated for the preparation for adult living
program pursuant to section 234.46.
14. Of the funds appropriated in this section, $113,668
$227,337 shall be used for the public purpose of continuing
a grant to a nonprofit human services organization providing
services to individuals and families in multiple locations in
southwest Iowa and Nebraska for support of a project providing
immediate, sensitive support and forensic interviews, medical
exams, needs assessments, and referrals for victims of child
abuse and their nonoffending family members.
15. Of the funds appropriated in this section, $150,310
$300,620 is allocated for the foster care youth council
approach of providing a support network to children placed in
foster care.
16. Of the funds appropriated in this section, $101,000
$202,000 is allocated for use pursuant to section 235A.1 for
continuation of the initiative to address child sexual abuse
implemented pursuant to 2007 Iowa Acts, chapter 218, section
18, subsection 21.
17. Of the funds appropriated in this section, $315,120
$630,240 is allocated for the community partnership for child
protection sites.
18. Of the funds appropriated in this section, $185,625
$371,250 is allocated for the department's minority youth
and family projects under the redesign of the child welfare
system.
19. Of the funds appropriated in this section, $593,297
$1,186,595 is allocated for funding of the community circle of
care collaboration for children and youth in northeast Iowa.
20. Of the funds appropriated in this section, at least
$73,579 $147,158 shall be used for the continuation of the
child welfare provider training academy, a collaboration
between the coalition for family and children's services in
Iowa and the department.
21. Of the funds appropriated in this section, $105,936
$211,872 shall be used for continuation of the central Iowa
system of care program grant through June 30, 2017.
22. Of the funds appropriated in this section, $117,500
$235,000 shall be used for the public purpose of the
continuation and expansion of a system of care program grant
implemented in Cerro Gordo and Linn counties to utilize a
comprehensive and long=term approach for helping children
and families by addressing the key areas in a child's life
of childhood basic needs, education and work, family, and
community.
23. Of the funds appropriated in this section, at least
$12,500 $25,000 shall be used to continue and to expand the
foster care respite pilot program in which postsecondary
students in social work and other human services=related
programs receive experience by assisting family foster care
providers with respite and other support.
24. Of the funds appropriated in this section, $55,000
$110,000 shall be used for the public purpose of funding
community=based services and other supports with a system
of care approach for children with a serious emotional
disturbance and their families through a nonprofit provider
of child welfare services that has been in existence for more
than 115 years, is located in a county with a population of
more than 200,000 but less than 220,000 according to the
latest census information issued by the United States census
bureau, is licensed as a psychiatric medical institution for
children, and was a system of care grantee prior to July 1,
2016.
Sec. 17. 2015 Iowa Acts, chapter 137, section 139, is
amended to read as follows:
SEC. 139. ADOPTION SUBSIDY.
1. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
a. For adoption subsidy payments and services:
.................................................. $ 21,499,143
43,046,664
b. (1) The funds appropriated in this section shall be
used as authorized or allowed by federal law or regulation for
any of the following purposes:
(a) For adoption subsidy payments and related costs.
(b) For post=adoption services and for other purposes
under Tit. IV=B or Tit. IV=E of the federal Social Security
Act.
(2) The department of human services may transfer funds
appropriated in this subsection to the appropriation for
child and family services in this Act for the purposes of
post=adoption services as specified in this paragraph "b".
2. The department may transfer funds appropriated in
this section to the appropriation made in this division of
this Act for general administration for costs paid from the
appropriation relating to adoption subsidy.
3. Federal funds received by the state during the fiscal
year beginning July 1, 2016, as the result of the expenditure
of state funds during a previous state fiscal year for a
service or activity funded under this section are appropriated
to the department to be used as additional funding for
the services and activities funded under this section.
Notwithstanding section 8.33, moneys received in accordance
with this subsection that remain unencumbered or unobligated
at the close of the fiscal year shall not revert to any fund
but shall remain available for expenditure for the purposes
designated until the close of the succeeding fiscal year.
Sec. 18. 2015 Iowa Acts, chapter 137, section 141, is
amended to read as follows:
SEC. 141. FAMILY SUPPORT SUBSIDY PROGRAM.
1. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
For the family support subsidy program subject to the
enrollment restrictions in section 225C.37, subsection 3:
.................................................. $ 536,966
1,069,282
2. The department shall use at At least $320,750 $727,500
of the moneys appropriated in this section is transferred
to the department of public health for the family support
center component of the comprehensive family support program
under section 225C.47 chapter 225C, subchapter V. Not more
than $12,500 of the amount allocated in this subsection shall
be used for administrative costs. The department of human
services shall submit a report to the individuals identified
in this Act for submission of reports by December 15, 2016,
regarding the outcomes of the program and recommendations for
future program improvement.
3. If at any time during the fiscal year, the amount of
funding available for the family support subsidy program
is reduced from the amount initially used to establish the
figure for the number of family members for whom a subsidy
is to be provided at any one time during the fiscal year,
notwithstanding section 225C.38, subsection 2, the department
shall revise the figure as necessary to conform to the amount
of funding available.
Sec. 19. 2015 Iowa Acts, chapter 137, section 142, is
amended to read as follows:
SEC. 142. CONNER DECREE. There is appropriated from the
general fund of the state to the department of human services
for the fiscal year beginning July 1, 2016, and ending June
30, 2017, the following amount, or so much thereof as is
necessary, to be used for the purpose designated:
For building community capacity through the coordination
and provision of training opportunities in accordance with the
consent decree of Conner v. Branstad, No. 4=86=CV=30871(S.D.
Iowa, July 14, 1994):
.................................................. $ 16,816
33,632
Sec. 20. 2015 Iowa Acts, chapter 137, section 143, is
amended to read as follows:
SEC. 143. MENTAL HEALTH INSTITUTES. There is appropriated
from the general fund of the state to the department of
human services for the fiscal year beginning July 1, 2016,
and ending June 30, 2017, the following amounts, or so
much thereof as is necessary, to be used for the purposes
designated which amounts shall not be transferred or
expended for any purpose other than the purposes designated,
notwithstanding section 218.6 to the contrary:
1. For operation of the state mental health institute at
Cherokee as required by chapters 218 and 226 for salaries,
support, maintenance, and miscellaneous purposes, and for not
more than the following full=time equivalent positions:
.................................................. $ 2,772,808
14,644,041
............................................... FTEs 169.20
2. For operation of the state mental health institute at
Independence as required by chapters 218 and 226 for salaries,
support, maintenance, and miscellaneous purposes, and for not
more than the following full=time equivalent positions:
.................................................. $ 5,162,104
18,552,103
............................................... FTEs 233.00
Sec. 21. 2015 Iowa Acts, chapter 137, section 144, is
amended to read as follows:
SEC. 144. STATE RESOURCE CENTERS.
1. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amounts, or so much thereof as is necessary, to be
used for the purposes designated:
a. For the state resource center at Glenwood for salaries,
support, maintenance, and miscellaneous purposes:
.................................................. $ 10,762,241
20,719,486
b. For the state resource center at Woodward for salaries,
support, maintenance, and miscellaneous purposes:
.................................................. $ 7,291,903
14,053,011
2. The department may continue to bill for state resource
center services utilizing a scope of services approach used
for private providers of intermediate care facilities for
persons with an intellectual disability services, in a manner
which does not shift costs between the medical assistance
program, counties, or other sources of funding for the state
resource centers.
3. The state resource centers may expand the time=limited
assessment and respite services during the fiscal year.
4. If the department's administration and the department
of management concur with a finding by a state resource
center's superintendent that projected revenues can reasonably
be expected to pay the salary and support costs for a new
employee position, or that such costs for adding a particular
number of new positions for the fiscal year would be less than
the overtime costs if new positions would not be added, the
superintendent may add the new position or positions. If the
vacant positions available to a resource center do not include
the position classification desired to be filled, the state
resource center's superintendent may reclassify any vacant
position as necessary to fill the desired position. The
superintendents of the state resource centers may, by mutual
agreement, pool vacant positions and position classifications
during the course of the fiscal year in order to assist one
another in filling necessary positions.
5. If existing capacity limitations are reached in
operating units, a waiting list is in effect for a service or
a special need for which a payment source or other funding
is available for the service or to address the special need,
and facilities for the service or to address the special need
can be provided within the available payment source or other
funding, the superintendent of a state resource center may
authorize opening not more than two units or other facilities
and begin implementing the service or addressing the special
need during fiscal year 2016=2017.
Sec. 22. 2015 Iowa Acts, chapter 137, section 145, is
amended to read as follows:
SEC. 145. SEXUALLY VIOLENT PREDATORS.
1. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
For costs associated with the commitment and treatment of
sexually violent predators in the unit located at the state
mental health institute at Cherokee, including costs of legal
services and other associated costs, including salaries,
support, maintenance, and miscellaneous purposes, and for not
more than the following full=time equivalent positions:
.................................................. $ 4,946,539
10,193,079
............................................... FTEs 132.50
2. Unless specifically prohibited by law, if the amount
charged provides for recoupment of at least the entire amount
of direct and indirect costs, the department of human services
may contract with other states to provide care and treatment
of persons placed by the other states at the unit for sexually
violent predators at Cherokee. The moneys received under
such a contract shall be considered to be repayment receipts
and used for the purposes of the appropriation made in this
section.
Sec. 23. 2015 Iowa Acts, chapter 137, section 146, is
amended to read as follows:
SEC. 146. FIELD OPERATIONS. There is appropriated from the
general fund of the state to the department of human services
for the fiscal year beginning July 1, 2016, and ending June
30, 2017, the following amount, or so much thereof as is
necessary, to be used for the purposes designated:
For field operations, including salaries, support,
maintenance, and miscellaneous purposes, and for not more than
the following full=time equivalent positions:
.................................................. $ 29,460,488
54,442,877
............................................... FTEs 1,837.00
2. Priority in filling full=time equivalent positions
shall be given to those positions related to child protection
services and eligibility determination for low=income
families.
Sec. 24. 2015 Iowa Acts, chapter 137, section 147, is
amended to read as follows:
SEC. 147. GENERAL ADMINISTRATION. There is appropriated
from the general fund of the state to the department of human
services for the fiscal year beginning July 1, 2016, and
ending June 30, 2017, the following amount, or so much thereof
as is necessary, to be used for the purpose designated:
For general administration, including salaries, support,
maintenance, and miscellaneous purposes, and for not more than
the following full=time equivalent positions:
.................................................. $ 7,449,099
15,673,198
............................................... FTEs 309.00
2. Of the funds appropriated in this section, $75,000
$150,000 shall be used to continue the contract for the
provision of a program to provide technical assistance,
support, and consultation to providers of habilitation
services and home and community=based services waiver services
for adults with disabilities under the medical assistance
program.
3. Of the funds appropriated in this section, $25,000
$50,000 is transferred to the Iowa finance authority to be
used for administrative support of the council on homelessness
established in section 16.2D and for the council to fulfill
its duties in addressing and reducing homelessness in the
state.
4. Of the funds appropriated in this section, $125,000
$250,000 shall be transferred to and deposited in the
administrative fund of the Iowa ABLE savings plan trust
created in section 12I.4, if enacted in this or any other Act,
to be used for implementation and administration activities of
the Iowa ABLE savings plan trust.
5. Of the funds appropriated in this section, $300,000
shall be used to contract for planning grants for the
development and implementation of children's mental health
crisis services as provided in this Act.
6. Of the funds appropriated in this section, $200,000
shall be used to continue to expand the provision of
nationally accredited and recognized internet=based training
to include mental health and disability services providers.
7. Of the funds appropriated in this section, $300,000
is transferred to the economic development authority for
the Iowa commission on volunteer services to be used for
RefugeeRISE AmeriCorps program member recruitment and training
to improve the economic well=being and health of economically
disadvantaged refugees in local communities across Iowa.
Funds transferred may be used to supplement federal funds
under federal regulations.
Sec. 25. 2015 Iowa Acts, chapter 137, is amended by adding
the following new section:
NEW SECTION. SEC. 147A. DEPARTMENT=WIDE DUTIES. There
is appropriated from the general fund of the state to the
department of human services for the fiscal year beginning
July 1, 2016, and ending June 30, 2017, the following amount,
or so much thereof as is necessary, to be used for the
purposes designated:
For salaries, support, maintenance, and miscellaneous
purposes at facilities under the purview of the department of
human services:
.................................................. $ 2,879,274
Sec. 26. 2015 Iowa Acts, chapter 137, section 148, is
amended to read as follows:
SEC. 148. VOLUNTEERS. There is appropriated from the
general fund of the state to the department of human services
for the fiscal year beginning July 1, 2016, and ending June
30, 2017, the following amount, or so much thereof as is
necessary, to be used for the purpose designated:
For development and coordination of volunteer services:
.................................................. $ 42,343
84,686
Sec. 27. 2015 Iowa Acts, chapter 137, section 149, is
amended to read as follows:
SEC. 149. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY
ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE
DEPARTMENT OF HUMAN SERVICES.
1. a.(1) For the fiscal year beginning July 1, 2016,
the total state funding amount for the nursing facility budget
shall not exceed $151,421,458.
(2) The department, in cooperation with nursing facility
representatives, shall review projections for state funding
expenditures for reimbursement of nursing facilities on a
quarterly basis and the department shall determine if an
adjustment to the medical assistance reimbursement rate is
necessary in order to provide reimbursement within the state
funding amount for the fiscal year. Notwithstanding 2001
Iowa Acts, chapter 192, section 4, subsection 2, paragraph
"c", and subsection 3, paragraph "a", subparagraph (2), if
the state funding expenditures for the nursing facility
budget for the fiscal year are projected to exceed the amount
specified in subparagraph (1), the department shall adjust
the reimbursement for nursing facilities reimbursed under the
case=mix reimbursement system to maintain expenditures of the
nursing facility budget within the specified amount for the
fiscal year.
(3) (a) For the fiscal year beginning July 1, 2016,
case=mix, non=case mix, and special population nursing
facilities shall be reimbursed in accordance with the
methodology in effect on June 30, 2016.
(b) For managed care claims, the department of human
services shall adjust the payment rate floor for nursing
facilities, annually, to maintain a rate floor that is no
lower than the Medicaid fee=for=service case=mix adjusted rate
calculated in accordance with 441 IAC 81.6. The department
shall then calculate adjusted reimbursement rates, including
but not limited to add=on=payments, annually, and shall
notify Medicaid managed care organizations of the adjusted
reimbursement rates within 30 days of determining the adjusted
reimbursement rates. Any adjustment of reimbursement rates
under this subparagraph division shall be budget neutral to
the state budget.
(4) For any open or unsettled nursing facility cost report
for a fiscal year prior to and including the fiscal year
beginning July 1, 2015, including any cost report remanded
on judicial review for inclusion of prescription drug,
laboratory, or x=ray costs, the department shall offset all
reported prescription drug, laboratory, and x=ray costs with
any revenue received from Medicare or other revenue source for
any purpose. For purposes of this subparagraph, a nursing
facility cost report is not considered open or unsettled
if the facility did not initiate an administrative appeal
under chapter 17A or if any appeal rights initiated have been
exhausted.
b. (1) For the fiscal year beginning July 1, 2016,
the department shall establish the pharmacy dispensing fee
reimbursement at $11.73 per prescription, until a cost of
dispensing survey is completed. The actual dispensing fee
shall be determined by a cost of dispensing survey performed
by the department and required to be completed by all medical
assistance program participating pharmacies every two years,
adjusted as necessary to maintain expenditures within the
amount appropriated to the department for this purpose for the
fiscal year.
(2) The department shall utilize an average acquisition
cost reimbursement methodology for all drugs covered under the
medical assistance program in accordance with 2012 Iowa Acts,
chapter 1133, section 33.
(3) Notwithstanding subparagraph (2), if the centers
for Medicare and Medicaid services of the United States
department of health and human services (CMS) requires, as a
condition of federal Medicaid funding, that the department
implement an aggregate federal upper limit (FUL) for drug
reimbursement based on the average manufacturer's price (AMP),
the department may utilize a reimbursement methodology for
all drugs covered under the Medicaid program based on the
national average drug acquisition cost (NADAC) methodology
published by CMS, in order to assure compliance with the
aggregate FUL, minimize outcomes of drug reimbursements below
pharmacy acquisition costs, limit administrative costs, and
minimize any change in the aggregate reimbursement for drugs.
The department may adopt emergency rules to implement this
subparagraph.
c. (1) For the fiscal year beginning July 1, 2016,
reimbursement rates for outpatient hospital services shall
remain at the rates in effect on June 30, 2016, subject to
Medicaid program upper payment limit rules, and adjusted
as necessary to maintain expenditures within the amount
appropriated to the department for this purpose for the fiscal
year.
(2) For the fiscal year beginning July 1, 2016,
reimbursement rates for inpatient hospital services shall
remain at the rates in effect on June 30, 2016, subject to
Medicaid program upper payment limit rules, and adjusted
as necessary to maintain expenditures within the amount
appropriated to the department for this purpose for the fiscal
year.
(3) For the fiscal year beginning July 1, 2016, the
graduate medical education and disproportionate share hospital
fund shall remain at the amount in effect on June 30, 2016,
except that the portion of the fund attributable to graduate
medical education shall be reduced in an amount that reflects
the elimination of graduate medical education payments made to
out=of=state hospitals.
(4) In order to ensure the efficient use of limited state
funds in procuring health care services for low=income Iowans,
funds appropriated in this Act for hospital services shall
not be used for activities which would be excluded from a
determination of reasonable costs under the federal Medicare
program pursuant to 42 U.S.C. {1395x(v)(1)(N).
d. For the fiscal year beginning July 1, 2016,
reimbursement rates for rural health clinics, hospices, and
acute mental hospitals shall be increased in accordance with
increases under the federal Medicare program or as supported
by their Medicare audited costs.
e. For the fiscal year beginning July 1, 2016, independent
laboratories and rehabilitation agencies shall be reimbursed
using the same methodology in effect on June 30, 2016.
f. (1) For the fiscal year beginning July 1, 2016,
reimbursement rates for home health agencies shall continue to
be based on the Medicare low utilization payment adjustment
(LUPA) methodology with state geographic wage adjustments,
and updated to reflect the most recent Medicare LUPA rates
shall be adjusted to increase the rates to the extent possible
within the $1,000,000 of state funding appropriated for this
purpose. The department shall continue to update the rates
every two years to reflect the most recent Medicare LUPA
rates.
(2) For the fiscal year beginning July 1, 2016, rates
for private duty nursing and personal care services under
the early and periodic screening, diagnostic, and treatment
program benefit shall be calculated based on the methodology
in effect on June 30, 2016.
g. For the fiscal year beginning July 1, 2016, federally
qualified health centers and rural health clinics shall
receive cost=based reimbursement for 100 percent of the
reasonable costs for the provision of services to recipients
of medical assistance.
h. For the fiscal year beginning July 1, 2016, the
reimbursement rates for dental services shall remain at the
rates in effect on June 30, 2016.
i. (1) For the fiscal year beginning July 1, 2016,
state=owned psychiatric medical institutions for children
shall receive cost=based reimbursement for 100 percent of the
actual and allowable costs for the provision of services to
recipients of medical assistance.
(2) For the nonstate=owned psychiatric medical
institutions for children, reimbursement rates shall be based
on the reimbursement methodology developed by the Medicaid
managed care contractor for behavioral health services as
required for federal compliance in effect on June 30, 2016.
(3) As a condition of participation in the medical
assistance program, enrolled providers shall accept the
medical assistance reimbursement rate for any covered goods
or services provided to recipients of medical assistance
who are children under the custody of a psychiatric medical
institution for children.
j. For the fiscal year beginning July 1, 2016, unless
otherwise specified in this Act, all noninstitutional
medical assistance provider reimbursement rates shall remain
at the rates in effect on June 30, 2016, except for area
education agencies, local education agencies, infant and
toddler services providers, home and community=based services
providers including consumer=directed attendant care providers
under a section 1915(c) or 1915(i) waiver, targeted case
management providers, and those providers whose rates are
required to be determined pursuant to section 249A.20.
k. Notwithstanding any provision to the contrary, for the
fiscal year beginning July 1, 2016, the reimbursement rate for
anesthesiologists shall remain at the rate in effect on June
30, 2016.
l. Notwithstanding section 249A.20, for the fiscal year
beginning July 1, 2016, the average reimbursement rate for
health care providers eligible for use of the federal Medicare
resource=based relative value scale reimbursement methodology
under section 249A.20 shall remain at the rate in effect on
June 30, 2016; however, this rate shall not exceed the maximum
level authorized by the federal government.
m. For the fiscal year beginning July 1, 2016, the
reimbursement rate for residential care facilities shall not
be less than the minimum payment level as established by the
federal government to meet the federally mandated maintenance
of effort requirement. The flat reimbursement rate for
facilities electing not to file annual cost reports shall not
be less than the minimum payment level as established by the
federal government to meet the federally mandated maintenance
of effort requirement.
n. For the fiscal year beginning July 1, 2016, the
reimbursement rates for inpatient mental health services
provided at hospitals shall remain at the rates in effect on
June 30, 2016, subject to Medicaid program upper payment limit
rules; and psychiatrists shall be reimbursed at the medical
assistance program fee=for=service rate in effect on June 30,
2016.
o. For the fiscal year beginning July 1, 2016, community
mental health centers may choose to be reimbursed for the
services provided to recipients of medical assistance through
either of the following options:
(1) For 100 percent of the reasonable costs of the
services.
(2) In accordance with the alternative reimbursement rate
methodology established by the medical assistance program's
managed care contractor for mental health services and
approved by the department of human services in effect on June
30, 2016.
p. For the fiscal year beginning July 1, 2016, the
reimbursement rate for providers of family planning services
that are eligible to receive a 90 percent federal match shall
remain at the rates in effect on June 30, 2016.
q. For the fiscal year beginning July 1, 2016, the upper
limits on and reimbursement rates for providers of home and
community=based services waiver services shall remain at the
limits in effect on June 30, 2016 for which the rate floor
is based on the average aggregate reimbursement rate for the
fiscal year beginning July 1, 2014, shall be determined as
follows:
(1) For fee=for=service claims, the reimbursement rate
shall be increased by 1 percent over the rates in effect on
June 30, 2016.
(2) For managed care claims, the reimbursement rate floor
shall be increased by 1 percent over the rate floor in effect
on April 1, 2016.
r. For the fiscal year beginning July 1, 2016, the
reimbursement rates for emergency medical service providers
shall remain at the rates in effect on June 30, 2016.
2. For the fiscal year beginning July 1, 2016, the
reimbursement rate for providers reimbursed under the
in=home=related care program shall not be less than the
minimum payment level as established by the federal government
to meet the federally mandated maintenance of effort
requirement.
3. Unless otherwise directed in this section, when the
department's reimbursement methodology for any provider
reimbursed in accordance with this section includes an
inflation factor, this factor shall not exceed the amount
by which the consumer price index for all urban consumers
increased during the calendar year ending December 31, 2002.
4. For Notwithstanding section 234.38, for the fiscal
year beginning July 1, 2016, the foster family basic daily
maintenance rate and the maximum adoption subsidy rate for
children ages 0 through 5 years shall be $16.78, the rate for
children ages 6 through 11 years shall be $17.45, the rate for
children ages 12 through 15 years shall be $19.10, and the
rate for children and young adults ages 16 and older shall be
$19.35. For youth ages 18 to 21 who have exited foster care,
the preparation for adult living program maintenance rate
shall be $602.70 per month. The maximum payment for adoption
subsidy nonrecurring expenses shall be limited to $500 and the
disallowance of additional amounts for court costs and other
related legal expenses implemented pursuant to 2010 Iowa Acts,
chapter 1031, section 408, shall be continued.
5. For the fiscal year beginning July 1, 2016, the maximum
reimbursement rates for social services providers under
contract shall remain at the rates in effect on June 30, 2016,
or the provider's actual and allowable cost plus inflation for
each service, whichever is less. However, if a new service
or service provider is added after June 30, 2016, the initial
reimbursement rate for the service or provider shall be
based upon a weighted average of provider rates for similar
services.
6. For the fiscal year beginning July 1, 2016, the
reimbursement rates for resource family recruitment and
retention contractors, child welfare emergency services
contractors, and supervised apartment living foster care
providers shall remain at the rates in effect on June 30,
2016.
7. a. For the purposes of this subsection, "combined
reimbursement rate" means the combined service and maintenance
reimbursement rate for a service level under the department's
reimbursement methodology. Effective July 1, 2016, the
combined reimbursement rate for a group foster care service
level shall be the amount designated in this subsection.
However, if a group foster care provider's reimbursement rate
for a service level as of June 30, 2016, is more than the rate
designated in this subsection, the provider's reimbursement
shall remain at the higher rate.
b. Unless a group foster care provider is subject to
the exception provided in paragraph "a", effective July 1,
2016, the combined reimbursement rates for the service levels
under the department's reimbursement methodology shall be as
follows:
(1) For service level, community = D1, the daily rate shall
be at least $84.17.
(2) For service level, comprehensive = D2, the daily rate
shall be at least $119.09.
(3) For service level, enhanced = D3, the daily rate shall
be at least $131.09.
8. The group foster care reimbursement rates paid for
placement of children out of state shall be calculated
according to the same rate=setting principles as those used
for in=state providers, unless the director of human services
or the director's designee determines that appropriate care
cannot be provided within the state. The payment of the daily
rate shall be based on the number of days in the calendar
month in which service is provided.
9. a. For the fiscal year beginning July 1, 2016, the
reimbursement rate paid for shelter care and the child welfare
emergency services implemented to provide or prevent the need
for shelter care shall be established by contract.
b. For the fiscal year beginning July 1, 2016, the combined
service and maintenance components of the reimbursement rate
paid for shelter care services shall be based on the financial
and statistical report submitted to the department. The
maximum reimbursement rate shall be $101.83 per day. The
department shall reimburse a shelter care provider at the
provider's actual and allowable unit cost, plus inflation, not
to exceed the maximum reimbursement rate.
c. Notwithstanding section 232.141, subsection 8, for
the fiscal year beginning July 1, 2016, the amount of the
statewide average of the actual and allowable rates for
reimbursement of juvenile shelter care homes that is utilized
for the limitation on recovery of unpaid costs shall remain
at the amount in effect for this purpose in the fiscal year
beginning July 1, 2015.
10. For the fiscal year beginning July 1, 2016,
the department shall calculate reimbursement rates for
intermediate care facilities for persons with an intellectual
disability at the 80th percentile. Beginning July 1, 2016,
the rate calculation methodology shall utilize the consumer
price index inflation factor applicable to the fiscal year
beginning July 1, 2016.
11. For the fiscal year beginning July 1, 2016, for
child care providers reimbursed under the state child
care assistance program, the department shall set provider
reimbursement rates based on the rate reimbursement survey
completed in December 2004. Effective July 1, 2016, the child
care provider reimbursement rates shall remain at the rates
in effect on June 30, 2016. The department shall set rates
in a manner so as to provide incentives for a nonregistered
provider to become registered by applying the increase only to
registered and licensed providers.
11A. For the fiscal year beginning July 1, 2016,
notwithstanding any provision to the contrary under this
section, affected providers or services shall be reimbursed
as follows:
a. For fee=for=service claims, reimbursement shall be
calculated based on the methodology otherwise specified in
this section for the fiscal year beginning July 1, 2016, for
the respective provider or service.
b. For claims subject to a managed care contract:
(1) With the exception of any provider or service to
which a reimbursement increase is applicable for the fiscal
year under this section, reimbursement shall be based on
the methodology established by the managed care contract.
However, any reimbursement established under such contract
shall not be lower than the rate floor established by the
department of human services as the managed care organization
provider or service reimbursement rate floor for the
respective provider or service in effect on April 1, 2016.
(2) For any provider or service to which a reimbursement
increase is applicable for the fiscal year under this section,
upon the effective date of the reimbursement increase, the
department of human services shall modify the rate floor in
effect on April 1, 2016, to reflect the increase specified
under this section. Any reimbursement established under the
managed care contract shall not be lower than the rate floor
as modified by the department of human services to reflect the
provider rate increase specified under this section.
13. The department may adopt emergency rules to implement
this section.
Sec. 28. 2015 Iowa Acts, chapter 137, is amended by adding
the following new section:
NEW SECTION. SEC. 151A. TRANSFER OF MEDICAID
MODERNIZATION SAVINGS BETWEEN APPROPRIATIONS FY
2016=2017. Notwithstanding section 8.39, subsection 1, for
the fiscal year beginning July 1, 2016, if savings resulting
from the governor's Medicaid modernization initiative accrue
to the medical contracts or children's health insurance
program appropriation from the general fund of the state
and not to the medical assistance appropriation from the
general fund of the state under this division of this Act,
such savings may be transferred to such medical assistance
appropriation for the same fiscal year without prior written
consent and approval of the governor and the director of the
department of management. The department of human services
shall report any transfers made pursuant to this section to
the legislative services agency.
DIVISION VI
HEALTH CARE ACCOUNTS AND FUNDS ==== FY 2016=2017
Sec. 29. 2015 Iowa Acts, chapter 137, section 152, is
amended to read as follows:
SEC. 152. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is
appropriated from the pharmaceutical settlement account
created in section 249A.33 to the department of human services
for the fiscal year beginning July 1, 2016, and ending June
30, 2017, the following amount, or so much thereof as is
necessary, to be used for the purpose designated:
Notwithstanding any provision of law to the contrary, to
supplement the appropriations made in this Act for medical
contracts under the medical assistance program for the fiscal
year beginning July 1, 2016, and ending June 30, 2017:
.................................................. $ 1,001,088
1,300,000
Sec. 30. 2015 Iowa Acts, chapter 137, section 153, is
amended to read as follows:
SEC. 153. QUALITY ASSURANCE TRUST FUND ==== DEPARTMENT
OF HUMAN SERVICES. Notwithstanding any provision to the
contrary and subject to the availability of funds, there is
appropriated from the quality assurance trust fund created in
section 249L.4 to the department of human services for the
fiscal year beginning July 1, 2016, and ending June 30, 2017,
the following amounts, or so much thereof as is necessary, for
the purposes designated:
To supplement the appropriation made in this Act from the
general fund of the state to the department of human services
for medical assistance for the same fiscal year:
.................................................. $ 18,602,604
36,705,208
Sec. 31. 2015 Iowa Acts, chapter 137, section 154, is
amended to read as follows:
SEC. 154. HOSPITAL HEALTH CARE ACCESS TRUST FUND ====
DEPARTMENT OF HUMAN SERVICES. Notwithstanding any provision
to the contrary and subject to the availability of funds,
there is appropriated from the hospital health care access
trust fund created in section 249M.4 to the department of
human services for the fiscal year beginning July 1, 2016,
and ending June 30, 2017, the following amounts, or so much
thereof as is necessary, for the purposes designated:
To supplement the appropriation made in this Act from the
general fund of the state to the department of human services
for medical assistance for the same fiscal year:
.................................................. $ 17,350,000
34,700,000
DIVISION VII
PROPERTY TAX RELIEF FUND BLOCK GRANT MONEY ==== FY 2016=2017
Sec. 32. 2015 Iowa Acts, chapter 137, section 157, is
amended to read as follows:
SEC. 157. PROPERTY TAX RELIEF FUND BLOCK GRANT MONEYS. The
moneys transferred to the property tax relief fund for the
fiscal year beginning July 1, 2015 2016, from the federal
social services block grant pursuant to 2015 Iowa Acts,
House File 630, and from the federal temporary assistance for
needy families block grant, totaling at least $11,774,275
$7,456,296, are appropriated to the department of human
services for the fiscal year beginning July 1, 2015 2016,
and ending June 30, 2016 2017, to be used for the purposes
designated, notwithstanding any provision of law to the
contrary:
1. For distribution to any mental health and disability
services region where 25 percent of the region's projected
expenditures exceeds the region's projected fund balance:
.................................................. $ 480,000
a. For purposes of this subsection:
(1) "Available funds" means a county mental health and
services fund balance on June 30, 2015, plus the maximum
amount a county was allowed to levy for the fiscal year
beginning July 1, 2015.
(2) "Projected expenditures" means the actual expenditures
of a mental health and disability services region as of June
30, 2015, multiplied by an annual inflation rate of 2 percent
plus the projected costs for new core services administered by
the region as provided in a region's regional service system
management plan approved pursuant to section 331.393 for the
fiscal year beginning July 1, 2015.
(3) "Projected fund balance" means the difference between
a mental health and disability services region's available
funds and projected expenditures.
b. If sufficient funds are not available to implement this
subsection, the department of human services shall distribute
funds to a region in proportion to the availability of funds.
2. To be transferred to the appropriation in this Act for
child and family services for the fiscal year beginning July
1, 2016, to be used for the purpose of that appropriation:
.................................................. $ 5,407,137
6,880,223
DIVISION VIII
PRIOR YEAR APPROPRIATIONS AND OTHER PROVISIONS
FAMILY INVESTMENT PROGRAM ACCOUNT FY 2015=2016
Sec. 33. 2015 Iowa Acts, chapter 137, section 7, subsection
4, paragraph e, is amended to read as follows:
e. For the JOBS program:
.................................................. $ 17,540,398
17,140,398
FAMILY INVESTMENT PROGRAM GENERAL FUND FY 2015=2016
Sec. 34. 2015 Iowa Acts, chapter 137, section 8, unnumbered
paragraph 2, is amended to read as follows:
To be credited to the family investment program (FIP)
account and used for family investment program assistance
under chapter 239B:
.................................................. $ 48,673,875
44,773,875
Sec. 35. 2015 Iowa Acts, chapter 137, section 8, subsection
1, is amended to read as follows:
1. Of the funds appropriated in this section, $7,402,220
$7,002,220 is allocated for the JOBS program.
MEDICAL ASSISTANCE APPROPRIATION ==== FY 2015=2016
Sec. 36. 2015 Iowa Acts, chapter 137, section 12,
unnumbered paragraph 2, is amended to read as follows:
For medical assistance program reimbursement and
associated costs as specifically provided in the reimbursement
methodologies in effect on June 30, 2015, except as otherwise
expressly authorized by law, consistent with options under
federal law and regulations, and contingent upon receipt of
approval from the office of the governor of reimbursement for
each abortion performed under the program:
.................................................. $1,303,191,564
1,318,191,564
MODERNIZATION EMERGENCY RULES FY 2015=2016
Sec. 37. 2015 Iowa Acts, chapter 137, section 12,
subsection 24, is amended to read as follows:
24. The department of human services may adopt emergency
rules as necessary to implement the governor's Medicaid
modernization initiative beginning January 1, 2016.
AUTISM SUPPORT PROGRAM FUND FY 2015=2016
Sec. 38. 2015 Iowa Acts, chapter 137, section 13,
subsection 5, unnumbered paragraph 1, is amended to read as
follows:
Of the funds appropriated in this section, $2,000,000
shall be credited to the autism support program fund created
in section 225D.2 to be used for the autism support program
created in chapter 225D, with the exception of the following
amounts of this allocation which shall be used as follows:
STATE SUPPLEMENTARY ASSISTANCE FY 2015=2016
Sec. 39. 2015 Iowa Acts, chapter 137, section 14,
unnumbered paragraph 2, is amended to read as follows:
For the state supplementary assistance program:
.................................................. $ 12,997,187
11,897,187
CHILD CARE ASSISTANCE FY 2015=2016
Sec. 40. 2015 Iowa Acts, chapter 137, section 16,
unnumbered paragraph 2, is amended to read as follows:
For child care programs:
.................................................. $ 51,408,668
41,408,668
Sec. 41. 2015 Iowa Acts, chapter 137, section 16,
subsection 1, is amended to read as follows:
1. Of the funds appropriated in this section, $43,689,241
$33,689,241 shall be used for state child care assistance in
accordance with section 237A.13.
Sec. 42. 2015 Iowa Acts, chapter 137, section 16,
subsection 9, is amended to read as follows:
9. Notwithstanding section 8.33, moneys advanced for
purposes of the programs developed by early childhood Iowa
areas, advanced for purposes of wraparound child care,
appropriated in this section or received from the federal
appropriations made for the purposes of this section that
remain unencumbered or unobligated at the close of the fiscal
year shall not revert to any fund but shall remain available
for expenditure for the purposes designated until the close
of the succeeding fiscal year.
NURSING FACILITY BUDGET FY 2015=2016
Sec. 43. 2015 Iowa Acts, chapter 137, section 29,
subsection 1, paragraph a, subparagraph (1), is amended to
read as follows:
(1) For the fiscal year beginning July 1, 2015, the total
state funding amount for the nursing facility budget shall not
exceed $151,421,158 $227,131,737.
Sec. 44. EFFECTIVE UPON ENACTMENT. This division of this
Act, being deemed of immediate importance, takes effect upon
enactment.
Sec. 45. RETROACTIVE APPLICABILITY. This division of this
Act is retroactively applicable to July 1, 2015.
DIVISION IX
DECATEGORIZATION
Sec. 46. DECATEGORIZATION CARRYOVER FUNDING ==== TRANSFER TO
MEDICAID PROGRAM. Notwithstanding section 232.188, subsection
5, paragraph "b", any state appropriated moneys in the funding
pool that remained unencumbered or unobligated at the close
of the fiscal year beginning July 1, 2013, and were deemed
carryover funding to remain available for the two succeeding
fiscal years that still remain unencumbered or unobligated at
the close of the fiscal year beginning July 1, 2015, shall
not revert but shall be transferred to the medical assistance
program for the fiscal year beginning July 1, 2015.
Sec. 47. EFFECTIVE UPON ENACTMENT. This division of this
Act, being deemed of immediate importance, takes effect upon
enactment.
Sec. 48. RETROACTIVE APPLICABILITY. This division of this
Act is retroactively applicable to July 1, 2015.
DIVISION X
CODE CHANGES
LOCAL OFFICES OF SUBSTITUTE DECISION MAKER
Sec. 49. Section 231E.4, subsection 3, paragraph a, Code
2016, is amended to read as follows:
a. Select persons through a request for proposals process
to establish local offices of substitute decision maker in
each of the planning and service areas. Local offices shall
be established statewide on or before July 1, 2017 2018.
INSTITUTIONS FOR PERSONS WITH AN INTELLECTUAL DISABILITY ====
ASSESSMENT
Sec. 50. Section 222.60A, Code 2016, is amended to read as
follows:
222.60A Cost of assessment.
Notwithstanding any provision of this chapter to the
contrary, any amount attributable to any fee assessed
assessment pursuant to section 249A.21 that would otherwise
be the liability of any county shall be paid by the state.
The department may transfer funds from the appropriation for
medical assistance to pay any amount attributable to any fee
assessed assessment pursuant to section 249A.21 that is a
liability of the state.
Sec. 51. Section 249A.12, subsection 3, paragraph c, Code
2016, is amended to read as follows:
c. Effective February 1, 2002, the The state shall be
responsible for all of the nonfederal share of the costs of
intermediate care facility for persons with an intellectual
disability services provided under medical assistance
attributable to the assessment fee for intermediate care
facilities for individuals with an intellectual disability
imposed pursuant to section 249A.21. Effective February 1,
2003, a A county is not required to reimburse the department
and shall not be billed for the nonfederal share of the costs
of such services attributable to the assessment fee.
Sec. 52. Section 249A.21, Code 2016, is amended to read as
follows:
249A.21 Intermediate care facilities for persons with an
intellectual disability ==== assessment.
1. The department may assess An intermediate care
facilities facility for persons with an intellectual
disability, as defined in section 135C.1, a fee in shall be
assessed an amount for the preceding calendar quarter, not to
exceed six percent of the total annual revenue of the facility
for the preceding fiscal year actual paid claims for the
previous quarter.
2. The assessment shall be paid by each intermediate care
facility for persons with an intellectual disability to the
department in equal monthly amounts on or before the fifteenth
day of each month on a quarterly basis. The department may
deduct the monthly amount from medical assistance payments to
a facility described in subsection 1. The amount deducted
from payments shall not exceed the total amount of the
assessments due An intermediate care facility for persons with
an intellectual disability shall submit the assessment amount
no later than thirty days following the end of each calendar
quarter.
3. Revenue from the assessments shall be credited The
department shall collect the assessment imposed and shall
credit all revenues collected to the state medical assistance
appropriation. This revenue may be used only for services
for which federal financial participation under the medical
assistance program is available to match state funds.
4. If the department determines that an intermediate care
facility for persons with an intellectual disability has
underpaid or overpaid the assessment, the department shall
notify the intermediate care facility for persons with an
intellectual disability of the amount of the unpaid assessment
or refund due. Such payment or refund shall be due or
refunded within thirty days of the issuance of the notice.
5. An intermediate care facility for persons with an
intellectual disability that fails to pay the assessment
within the time frame specified in this section shall pay,
in addition to the outstanding assessment, a penalty in the
amount of one and five=tenths percent of the assessment amount
owed for each month or portion of each month the payment
is overdue. However, if the department determines that
good cause is shown for failure to comply with payment of
the assessment, the department shall waive the penalty or a
portion of the penalty.
6. If an assessment has not been received by the department
by the last day of the third month after the payment is due,
the department shall suspend payment due the intermediate care
facility for persons with an intellectual disability under the
medical assistance program including payments made on behalf
of the medical assistance program by a Medicaid managed care
contractor.
7. The assessment imposed under this section constitutes
a debt due and owing the state and may be collected by civil
action, including but not limited to the filing of tax liens,
and any other method provided for by law.
8. If federal financial participation to match the
assessments made under subsection 1 becomes unavailable under
federal law, the department shall terminate the imposing
of the assessments beginning on the date that the federal
statutory, regulatory, or interpretive change takes effect.
5. 9. The department of human services may procure a sole
source contract to implement the provisions of this section.
6. 10. The department may adopt administrative rules under
section 17A.4, subsection 3, and section 17A.5, subsection 2,
paragraph "b", to implement this section, and any fee assessed
pursuant to this section against an intermediate care facility
for persons with an intellectual disability that is operated
by the state may be made retroactive to October 1, 2003.
DIVISION XI
HOSPITAL HEALTH CARE ACCESS ASSESSMENT
Sec. 53. Section 249M.5, Code 2016, is amended to read as
follows:
249M.5 Future repeal.
This chapter is repealed June 30, 2016 July 1, 2017.
Sec. 54. REVIEW OF ALTERNATIVE ASSESSMENT
METHODOLOGY. The department of human services shall
explore alternative hospital health care access assessment
methodologies and shall make recommendations to the governor
and the general assembly by December 15, 2016, regarding
continuation of the hospital health care access assessment
program beyond July 1, 2017, and an alternative assessment
methodology. Any continuation of the program and assessment
methodology shall meet all of the following guidelines:
1. All funds generated by the assessment shall be returned
to participating hospitals in the form of higher Medicaid
payments, with the exception of $3,800,000 which shall be used
to supplement the medical assistance appropriation.
2. Continuation of the program and any new assessment
methodology shall be subject to any required federal approval.
3. Any new assessment methodology shall minimize the
negative financial impact on participating hospitals to the
greatest extent possible.
4. Any new assessment methodology shall result in at
least the same if not a greater aggregate financial benefit
to participating hospitals compared with the benefit existing
under the program prior to July 1, 2016.
5. Only participating hospitals subject to imposition
of the assessment shall receive a financial return from the
program.
6. Any continuation of the program shall include a means
of tracking the financial return to individual participating
hospitals.
7. Any quality metrics utilized by the program, if
continued, shall align with similar metrics being used under
Medicare and the state innovation model initiative process.
8. Any new assessment methodology shall incorporate a
recognition of the increased costs attributable to care and
services such as inpatient psychiatric care, rehabilitation
services, and neonatal intensive care units.
9. Any continuation of the program shall include oversight
and review by the hospital health care access trust fund board
created in section 249M.4.
Sec. 55. EFFECTIVE UPON ENACTMENT. This division of this
Act, being deemed of immediate importance, takes effect upon
enactment.
Sec. 56. RETROACTIVE APPLICABILITY. The section of this
division of this Act amending section 249M.5, Code 2016, is
retroactively applicable to June 30, 2016.
DIVISION XII
AUTISM SUPPORT PROGRAM
Sec. 57. Section 135.181, subsections 1 and 2, Code 2016,
are amended to read as follows:
1. The department shall establish a board=certified
behavior analyst and board=certified assistant behavior
analyst grants program to provide grants to Iowa resident and
nonresident applicants who have been accepted for admission
or are attending a board of regents university, community
college, or an accredited private institution, within or
outside the state of Iowa, are enrolled in a program that is
accredited and meets coursework requirements to prepare the
applicant to be eligible for board certification as a behavior
analyst or assistant behavior analyst, and demonstrate
financial need. Priority in the awarding of a grant shall be
given to applicants who are residents of Iowa.
2. The department, in cooperation with the department
of education, shall adopt rules pursuant to chapter 17A to
establish minimum standards for applicants to be eligible for
a grant that address all of the following:
a. Eligibility requirements for and qualifications of
an applicant to receive a grant. The applicant shall agree
to practice in the state of Iowa for a period of time, not
to exceed four years, as specified in the contract entered
into between the applicant and the department at the time the
grant is awarded. In addition, the applicant shall agree, as
specified in the contract, that during the contract period,
the applicant will assist in supervising an individual working
toward board certification as a behavior analyst or assistant
behavior analyst or to consult with schools and service
providers that provide services and supports to individuals
with autism.
b. The application process for the grant.
c. Criteria for preference in awarding of the grants.
Priority in the awarding of a grant shall be given to
applicants who are residents of Iowa.
d. Determination of the amount of a grant. The amount
of funding awarded to each applicant shall be based on the
applicant's enrollment status, the number of applicants, and
the total amount of available funds. The total amount of
funds awarded to an individual applicant shall not exceed
fifty percent of the total costs attributable to program
tuition and fees, annually.
e. Use of the funds awarded. Funds awarded may be used
to offset the costs attributable to tuition and fees for the
accredited behavior analyst or assistant behavior analyst
program.
Sec. 58. Section 135.181, Code 2016, is amended by adding
the following new subsection:
NEW SUBSECTION. 4. The department shall submit a report
to the governor and the general assembly no later than January
1, annually, that includes but is not limited to all of the
following:
a. The number of applications received for the immediately
preceding fiscal year.
b. The number of applications approved and the total amount
of funding awarded in grants in the immediately preceding
fiscal year.
c. The cost of administering the program in the immediately
preceding fiscal year.
d. Recommendations for any changes to the program.
Sec. 59. Section 225D.1, subsection 8, Code 2016, is
amended to read as follows:
8. "Eligible individual" means a child less than nine
fourteen years of age who has been diagnosed with autism
based on a diagnostic assessment of autism, is not otherwise
eligible for coverage for applied behavioral analysis
treatment under the medical assistance program, section
514C.28, or private insurance coverage, and whose household
income does not exceed four five hundred percent of the
federal poverty level.
Sec. 60. Section 225D.2, subsection 2, paragraphs c and d,
Code 2016, are amended to read as follows:
c. Notwithstanding the age limitation for an eligible
individual, a provision that if an eligible individual reaches
nine fourteen years of age prior to completion of the maximum
applied behavioral analysis treatment period specified in
paragraph "b", the individual may complete such treatment in
accordance with the individual's treatment plan, not to exceed
the maximum treatment period.
d. A graduated schedule for cost=sharing by an eligible
individual based on a percentage of the total benefit amount
expended for the eligible individual, annually. Cost=sharing
shall be applicable to eligible individuals with household
incomes at or above two hundred percent of the federal poverty
level in incrementally increased amounts up to a maximum of
ten fifteen percent. The rules shall provide a financial
hardship exemption from payment of the cost=sharing based on
criteria established by rule of the department.
Sec. 61. AUTISM SUPPORT FUND ==== TRANSFER.
Notwithstanding section 225D.2, moneys credited to the autism
support fund that remain unexpended or unobligated at the
close of the fiscal year beginning July 1, 2015, shall be
transferred to the appropriation in this Act for medical
contracts to be used for the purpose of that appropriation for
the succeeding fiscal year.
Sec. 62. EFFECTIVE DATE. The section of this division
of this Act providing for transfer of moneys in the autism
support fund that remain unexpended or unobligated at the
close of the fiscal year beginning July 1, 2015, being deemed
of immediate importance, takes effect upon enactment.
Sec. 63. RETROACTIVE APPLICABILITY. The section of this
division of this Act providing for transfer of moneys in the
autism support fund that remain unexpended or unobligated
at the close of the fiscal year beginning July 1, 2015, is
retroactively applicable to July 1, 2015.
DIVISION XIII
CHILDREN'S MENTAL HEALTH AND WELL=BEING
Sec. 64. CHILDREN'S MENTAL HEALTH CRISIS SERVICES ====
PLANNING GRANTS.
1. The department of human services shall establish
a request for proposals process, in cooperation with the
departments of public health and education and the judicial
branch, which shall be based upon recommendations for
children's mental health crisis services described in the
children's mental health and well=being workgroup final report
submitted to the department on December 15, 2015.
2. Planning grants shall be awarded to two lead entities.
Each lead entity should be a member of a specifically
designated coalition of three to four other entities that
propose to serve different geographically defined areas of
the state, but a lead entity shall not be a mental health and
disability services region.
3. The request for proposals shall require each grantee to
develop a plan for children's mental health crisis services
for the grantee's defined geographic area that includes all
of the following:
a. Identification of the existing children's mental health
crisis services in the defined area.
b. Identification of gaps in children's mental health
crisis services in the defined area.
c. A plan for collection of data that demonstrates the
effects of children's mental health crisis services through
the collection of outcome data and surveys of the children
affected and their families.
d. A method for using federal, state, and other funding
including funding currently available, to implement and
support children's mental health crisis services.
e. Utilization of collaborative processes developed from
the recommendations from the children's mental health and
well=being workgroup final report submitted to the department
on December 15, 2015.
f. A recommendation for any additional state funding
needed to establish a children's mental health crisis service
system in the defined area.
g. A recommendation for statewide standard requirements
for children's mental health crisis services, as defined in
the children's mental health and well=being workgroup final
report submitted to the department of human services on
December 15, 2015, including but not limited to all of the
following:
(1) Standardized primary care practitioner screenings.
(2) Standardized mental health crisis screenings.
(3) Standardized mental health and substance use disorder
assessments.
(4) Requirements for certain inpatient psychiatric
hospitals and psychiatric medical institutions for children
to accept and treat all children regardless of the acuity of
their condition.
4. Each grantee shall submit a report to the department
by December 15, 2016. The department shall combine the
essentials of each report and shall submit a report to
the general assembly by January 15, 2017, regarding the
department's conclusions and recommendations.
Sec. 65. CHILDREN'S WELL=BEING LEARNING LABS. The
department of human services, utilizing existing departmental
resources and with the continued assistance of a private child
welfare foundation focused on improving child well=being,
shall study and collect data on emerging, collaborative
efforts in existing programs engaged in addressing well=being
for children with complex needs and their families in
communities across the state. The department shall establish
guidelines based upon recommendations in the children's mental
health and well=being workgroup final report submitted to
the department on December 15, 2015, to select three to five
such programs to be designated learning labs to enable the
department to engage in a multi=site learning process during
the 2016 calendar year with a goal of creating an expansive
structured learning network. The department shall submit
a report with recommendations including lessons learned,
suggested program design refinements, and implications for
funding, policy changes, and best practices to the general
assembly by January 15, 2017.
Sec. 66. DEPARTMENT OF HUMAN SERVICES ==== ADDITIONAL
STUDY REPORTS. The department of human services shall, in
consultation with the department of public health, the mental
health and disability services commission, and the mental
health planning council, submit a report with recommendations
to the general assembly by December 15, 2016, regarding all of
the following:
1. The creation and implementation of a statewide
children's mental health crisis service system to include
but not be limited to an inventory of all current children's
mental health crisis service systems in the state including
children's mental health crisis service system telephone
lines. The report shall include recommendations regarding
proposed changes to improve the effectiveness of and access to
children's mental health crisis services.
2. The development and implementation of a children's
mental health public education and awareness campaign that
targets the reduction of stigma for children with mental
illness and that supports children with mental illness and
their families in seeking effective treatment. The plan shall
include potential methods for funding such a campaign.
Sec. 67. CHILDREN'S MENTAL HEALTH AND WELL=BEING ADVISORY
COMMITTEE. The department of human services shall create and
provide support to a children's mental health and well=being
advisory committee to continue the coordinated efforts of
the children's mental health subcommittee and the children's
well=being subcommittee of the children's mental health
and well=being workgroup. Consideration shall be given to
continued service by members of the children's mental health
and well=being workgroup created pursuant to 2015 Iowa Acts,
ch. 137, and representatives from the departments of human
services, public health, and education; the judicial branch;
and other appropriate stakeholders designated by the director.
The advisory committee shall do all of the following:
1. Provide guidance regarding implementation of the
recommendations in the children's mental health and well=being
workgroup final report submitted to the department on December
15, 2015, and subsequent reports required by this Act.
2. Select and study additional children's well=being
learning labs to assure a continued commitment to joint
learning and comparison for all learning lab sites.
DIVISION XIV
OPIOID ANTAGONIST REVISION
Sec. 68. Section 135.190, subsection 1, as enacted by 2016
Iowa Acts, Senate File 2218, section 1, is amended by adding
the following new paragraph:
NEW PARAGRAPH. 0a. "Licensed health care professional"
means the same as defined in section 280.16.
Sec. 69. Section 135.190, as enacted by 2016 Iowa Acts,
Senate File 2218, section 1, is amended by adding the
following new subsections:
NEW SUBSECTION. 1A. a. Notwithstanding any other
provision of law to the contrary, a licensed health care
professional may prescribe an opioid antagonist to a person
in a position to assist.
b. (1) Notwithstanding any other provision of law to the
contrary, a pharmacist licensed under chapter 155A may, by
standing order or through collaborative agreement, dispense,
furnish, or otherwise provide an opioid antagonist to a person
in a position to assist.
(2) A pharmacist who dispenses, furnishes, or otherwise
provides an opioid antagonist pursuant to a valid
prescription, standing order, or collaborative agreement shall
provide instruction to the recipient in accordance with any
protocols and instructions developed by the department under
this section.
NEW SUBSECTION. 4. The department may adopt rules pursuant
to chapter 17A to implement and administer this section.
Sec. 70. Section 135.190, subsection 3, as enacted by 2016
Iowa Acts, Senate File 2218, section 1, is amended to read as
follows:
3. A person in a position to assist or a prescriber of an
opioid antagonist who has acted reasonably and in good faith
shall not be liable for any injury arising from the provision,
administration, or assistance in the administration of an
opioid antagonist as provided in this section.
Sec. 71. Section 147A.18, subsections 1 and 5, as enacted
by 2016 Iowa Acts, Senate File 2218, section 3, are amended to
read as follows:
1. a. Notwithstanding any other provision of law to the
contrary, a licensed health care professional may prescribe
an opioid antagonist in the name of a service program, law
enforcement agency, or fire department to be maintained for
use as provided in this section.
b. (1) Notwithstanding any other provision of law to the
contrary, a pharmacist licensed under chapter 155A may, by
standing order or through collaborative agreement, dispense,
furnish, or otherwise provide an opioid antagonist in the
name of a service program, law enforcement agency, or fire
department to be maintained for use as provided in this
section.
(2) A pharmacist who dispenses, furnishes, or otherwise
provides an opioid antagonist pursuant to a valid
prescription, standing order, or collaborative agreement shall
provide instruction to the recipient in accordance with the
protocols and instructions developed by the department under
this section.
5. The department shall may adopt rules pursuant to chapter
17A to implement and administer this section, including but
not limited to standards and procedures for the prescription,
distribution, storage, replacement, and administration of
opioid antagonists, and for the training and authorization
to be required for first responders to administer an opioid
antagonist.
Sec. 72. OPIOID ANTAGONIST IMPLEMENTATION
CONTINGENCY. 2016 Iowa Acts, Senate File 2218, section
4, is repealed.
Sec. 73. 2016 Iowa Acts, Senate File 2218, as enacted, is
amended by adding the following new section:
NEW SECTION. SEC. ___. EFFECTIVE UPON ENACTMENT. This
Act, being deemed of immediate importance, takes effect upon
enactment.
Sec. 74. EFFECTIVE DATE. This division of this Act, being
deemed of immediate importance, takes effect upon enactment.
Sec. 75. RETROACTIVE APPLICABILITY. This division of this
Act applies retroactively to April 6, 2016.
DIVISION XV
NURSING GRANT PROGRAMS
Sec. 76. Section 135.178, Code 2016, is amended to read as
follows:
135.178 Nurse residency state matching grants program ====
repeal.
1. The department shall establish a nurse residency state
matching grants program to provide matching state funding
to sponsors of nurse residency programs in this state to
establish, expand, or support nurse residency programs that
meet standards adopted by rule of the department. Funding for
the program may be provided through the health care workforce
shortage fund or the nurse residency state matching grants
program account created in section 135.175. The department,
in cooperation with the Iowa board of nursing, the department
of education, Iowa institutions of higher education with board
of nursing=approved programs to educate nurses, and the Iowa
nurses association, shall adopt rules pursuant to chapter 17A
to establish minimum standards for nurse residency programs
to be eligible for a matching grant that address all of the
following:
a. 1. Eligibility requirements for and qualifications of
a sponsor of a nurse residency program to receive a grant,
including that the program includes both rural and urban
components.
b. 2. The application process for the grant.
c. 3. Criteria for preference in awarding of the grants.
d. 4. Determination of the amount of a grant.
e. 5. Use of the funds awarded. Funds may be used to pay
the costs of establishing, expanding, or supporting a nurse
residency program as specified in this section, including but
not limited to the costs associated with residency stipends
and nursing faculty stipends.
2. This section is repealed June 30, 2016.
Sec. 77. Section 261.129, Code 2016, is amended to read as
follows:
261.129 Iowa needs nurses now initiative ==== repeal.
1. Nurse educator incentive payment program.
a. The commission shall establish a nurse educator
incentive payment program. Funding for the program may
be provided through the health care workforce shortage
fund or the health care professional and Iowa needs nurses
now initiative account created in section 135.175. For
the purposes of this subsection, "nurse educator" means a
registered nurse who holds a master's degree or doctorate
degree and is employed as a faculty member who teaches nursing
in a nursing education program as provided in 655 IAC 2.6 at a
community college, an accredited private institution, or an
institution of higher education governed by the state board
of regents.
b. The program shall consist of incentive payments to
recruit and retain nurse educators. The program shall provide
for incentive payments of up to twenty thousand dollars for a
nurse educator who remains teaching in a qualifying teaching
position for a period of not less than four consecutive
academic years.
c. The nurse educator and the commission shall enter
into an agreement specifying the obligations of the nurse
educator and the commission. If the nurse educator leaves
the qualifying teaching position prior to teaching for four
consecutive academic years, the nurse educator shall be liable
to repay the incentive payment amount to the state, plus
interest as specified by rule. However, if the nurse educator
leaves the qualifying teaching position involuntarily, the
nurse educator shall be liable to repay only a pro rata
amount of the incentive payment based on incompleted years of
service.
d. The commission, in consultation with the department
of public health, the board of nursing, the department of
education, and the Iowa nurses association, shall adopt
rules pursuant to chapter 17A relating to the establishment
and administration of the nurse educator incentive payment
program. The rules shall include provisions specifying what
constitutes a qualifying teaching position.
2. Nursing faculty fellowship program.
a. The commission shall establish a nursing faculty
fellowship program to provide funds to nursing schools in
the state, including but not limited to nursing schools
located at community colleges, for fellowships for individuals
employed in qualifying positions on the nursing faculty.
Funding for the program may be provided through the health
care workforce shortage fund or the health care professional
and the Iowa needs nurses now initiative account created in
section 135.175. The program shall be designed to assist
nursing schools in filling vacancies in qualifying positions
throughout the state.
b. The commission, in consultation with the department
of public health, the board of nursing, the department of
education, and the Iowa nurses association, and in cooperation
with nursing schools throughout the state, shall develop a
distribution formula which shall provide that no more than
thirty percent of the available moneys are awarded to a single
nursing school. Additionally, the program shall limit funding
for a qualifying position in a nursing school to no more than
ten thousand dollars per year for up to three years.
c. The commission, in consultation with the department
of public health, the board of nursing, the department of
education, and the Iowa nurses association, shall adopt
rules pursuant to chapter 17A to administer the program. The
rules shall include provisions specifying what constitutes a
qualifying position at a nursing school.
d. In determining eligibility for a fellowship, the
commission shall consider all of the following:
(1) The length of time a qualifying position has gone
unfilled at a nursing school.
(2) Documented recruiting efforts by a nursing school.
(3) The geographic location of a nursing school.
(4) The type of nursing program offered at the nursing
school, including associate, bachelor's, master's, or doctoral
degrees in nursing, and the need for the specific nursing
program in the state.
3. Nurse educator scholarship program.
a. The commission shall establish a nurse educator
scholarship program. Funding for the program may be provided
through the health care workforce shortage fund or the health
care professional and the Iowa needs nurses now initiative
account created in section 135.175. The goal of the nurse
educator scholarship program is to address the waiting list of
qualified applicants to Iowa's nursing schools by providing
incentives for the training of additional nursing educators.
For the purposes of this subsection, "nurse educator" means
a registered nurse who holds a master's degree or doctorate
degree and is employed as a faculty member who teaches nursing
in a nursing education program as provided in 655 IAC 2.6 at a
community college, an accredited private institution, or an
institution of higher education governed by the state board
of regents.
b. The program shall consist of scholarships to further
advance the education of nurses to become nurse educators.
The program shall provide for scholarship payments in an
amount established by rule for students who are preparing to
teach in qualifying teaching positions.
c. The commission, in consultation with the department
of public health, the board of nursing, the department of
education, and the Iowa nurses association, shall adopt rules
pursuant to chapter 17A relating to the establishment and
administration of the nurse educator scholarship program. The
rules shall include provisions specifying what constitutes
a qualifying teaching position and the amount of any
scholarship.
4. Nurse educator scholarship=in=exchange=for=service
program.
a. The commission shall establish a nurse educator
scholarship=in=exchange=for=service program. Funding for the
program may be provided through the health care workforce
shortage fund or the health care professional and Iowa needs
nurses now initiative account created in section 135.175. The
goal of the nurse educator scholarship=in=exchange=for=service
program is to address the waiting list of qualified applicants
to Iowa's nursing schools by providing incentives for the
education of additional nursing educators. For the purposes
of this subsection, "nurse educator" means a registered
nurse who holds a master's degree or doctorate degree and is
employed as a faculty member who teaches nursing in a nursing
education program as provided in 655 IAC 2.6 at a community
college, an accredited private institution, or an institution
of higher education governed by the state board of regents.
b. The program shall consist of scholarships to
further advance the education of nurses to become
nurse educators. The program shall provide for
scholarship=in=exchange=for=service payments in an amount
established by rule for students who are preparing to teach in
qualifying teaching positions for a period of not less than
four consecutive academic years.
c. The scholarship=in=exchange=for=service recipient
and the commission shall enter into an agreement specifying
the obligations of the applicant and the commission.
If the nurse educator leaves the qualifying teaching
position prior to teaching for four consecutive academic
years, the nurse educator shall be liable to repay the
scholarship=in=exchange=for=service amount to the state plus
interest as specified by rule. However, if the nurse educator
leaves the qualified teaching position involuntarily, the
nurse educator shall be liable to repay only a pro rata amount
of the scholarship based on incomplete years of service.
d. The receipt of a nurse educator
scholarship=in=exchange=for=service shall not impact
eligibility of an individual for other financial incentives
including but not limited to loan forgiveness programs.
e. The commission, in consultation with the department
of public health, the board of nursing, the department
of education, and the Iowa nurses association, shall
adopt rules pursuant to chapter 17A relating to the
establishment and administration of the nurse educator
scholarship=in=exchange=for=service program. The rules
shall include the provisions specifying what constitutes
a qualifying teaching position and the amount of any
scholarship=in=exchange=for=service.
5. Repeal. This section is repealed June 30, 2016.
Sec. 78. EFFECTIVE UPON ENACTMENT. This division of this
Act, being deemed of immediate importance, takes effect upon
enactment.
Sec. 79. RETROACTIVE APPLICABILITY. This division of this
Act is retroactively applicable to June 30, 2016.
DIVISION XVI
NON=STATE GOVERNMENT=OWNED NURSING FACILITY UPPER PAYMENT
LIMIT SUPPLEMENTAL PAYMENT PROGRAM
Sec. 80. Section 249L.2, Code 2016, is amended by adding
the following new subsections:
NEW SUBSECTION. 5A. "Non=state governmental entity" means
a hospital authority, hospital district, health care district,
city, or county.
NEW SUBSECTION. 5B. "Non=state government=owned nursing
facility" means a nursing facility owned or operated by
a non=state governmental entity for which a non=state
governmental entity holds the nursing facility's license and
is party to the nursing facility's Medicaid contract.
Sec. 81. Section 249L.2, subsection 6, Code 2016, is
amended to read as follows:
6. "Nursing facility" means a licensed nursing facility as
defined in section 135C.1 that is a freestanding facility or
a nursing facility operated by a hospital licensed pursuant
to chapter 135B, but does not include a distinct=part skilled
nursing unit or a swing=bed unit operated by a hospital, or
a nursing facility owned by the state or federal government
or other governmental unit. "Nursing facility" includes a
non=state government=owned nursing facility if the nursing
facility participates in the non=state government=owned
nursing facility upper payment limit supplemental payment
program.
Sec. 82. NON=STATE GOVERNMENT=OWNED NURSING FACILITY UPPER
PAYMENT LIMIT SUPPLEMENTAL PAYMENT PROGRAM.
1. The department of human services shall submit, to
the centers for Medicare and Medicaid services (CMS) of the
United States department of health and human services, a
Medicaid state plan amendment to allow qualifying non=state
government=owned nursing facilities to receive a supplemental
payment in accordance with the upper payment limit
requirements pursuant to 42 C.F.R. {447.272. The supplemental
payment shall be in addition to the greater of the Medicaid
fee=for=service per diem reimbursement rate or the per diem
payment established for the nursing facility under a Medicaid
managed care contract.
2. At a minimum, the Medicaid state plan amendment shall
provide for all of the following:
a. A non=state governmental entity shall provide the state
share of the expected supplemental payment in the form of an
intergovernmental transfer to the state.
b. The state shall claim federal matching funds and shall
make supplemental payments to eligible non=state governmental
entities based on the supplemental amount as calculated by
the state for each nursing facility for which a non=state
governmental entity owns the nursing facility's license.
A managed care contractor shall not retain any portion of
the supplemental payment, but shall treat the supplemental
payment as a pass through payment to the eligible non=state
governmental entity.
c. The supplemental payment program shall be budget
neutral to the state. No general fund revenue shall
be expended under the program including for costs of
administration. If payments under the program result in
overpayment to a nursing facility, or if CMS disallows federal
participation related to a nursing facility's receipt or
use of supplemental payments authorized under the program,
the state may recoup an amount equivalent to the amount of
supplemental payments overpaid or disallowed. Supplemental
payments shall be subject to any adjustment for payments
made in error, including but not limited to adjustments made
by state or federal law, and the state may recoup an amount
equivalent to any such adjustment.
d. A nursing facility participating in the program shall
notify the state of any changes in ownership that may affect
the nursing facility's continued eligibility for the program
within thirty days of any such change.
e. No portion of the supplemental payment paid to a
participating nursing facility may be used for contingent
fees. Expenditures for development fees, legal fees,
or consulting fees shall not exceed five percent of
the supplemental funds received, annually, and any such
expenditures shall be reported to the department of human
services, and included in the department's annual report
pursuant to subsection 3.
f. The supplemental payment paid to a participating
nursing facility shall only be used as specified in state and
federal law. Supplemental payments paid to a participating
nursing facility shall only be used as follows:
(1) A portion of the amount received may be used for
nursing facility quality improvement initiatives including
but not limited to educational scholarships and nonmandatory
training. Priority in the awarding of contracts for such
training shall be for Iowa=based organizations.
(2) A portion of the amount received may be used for
nursing facility remodeling or renovation. Priority in the
awarding of contracts for such remodeling or renovations shall
be for Iowa=based organizations and skilled laborers.
(3) A portion of the amount received may be used for health
information technology infrastructure and software. Priority
in the awarding of contracts for such health information
technology infrastructure and software shall be for Iowa=based
organizations.
(4) A portion of the amount received may be used for
endowments to offset costs associated with maintenance of
hospitals licensed under chapter 135B and nursing facilities
licensed under chapter 135C.
g. A non=state governmental entity shall only be eligible
for supplemental payments attributable to up to 10 percent of
the potential non=state government=owned nursing facilities
licensed in the state.
3. Following receipt of approval and implementation of the
program, the department shall submit a report to the governor
and the general assembly, annually, on or before December
15, regarding the program. The report shall include, at a
minimum, the name and location of participating non=state
governmental entities and the non=state government=owned
nursing facilities with which the non=state governmental
entities have partnered to participate in the program; the
amount of the matching funds provided by each non=state
governmental entity; the net supplemental payment amount
received by each participating non=governmental entity and
non=state government=owned nursing facility; and the amount
expended for each of the specified categories of approved
expenditure.
4. The department of human services shall work
collaboratively with representatives of nursing facilities,
hospitals, and other affected stakeholders in adopting
administrative rules, and in implementing and administering
this program.
5. As used in this section:
a. "Non=state governmental entity" means a hospital
authority, hospital district, health care district, city, or
county.
b. "Non=state government=owned nursing facility" means a
nursing facility owned or operated by a non=state governmental
entity for which a non=state governmental entity holds
the nursing facility's license and is party to the nursing
facility's Medicaid contract.
Sec. 83. EFFECTIVE UPON ENACTMENT. This division of this
Act, being deemed of immediate importance, takes effect upon
enactment.
Sec. 84. IMPLEMENTATION PROVISIONS.
1. The section of this division of this Act directing the
department of human services to submit a Medicaid state plan
amendment to CMS shall be implemented as soon as possible
following enactment, consistent with all applicable federal
requirements.
2. The sections of this division of this Act amending
section 249L.2, shall only be implemented upon receipt by
the department of human services of approval of the Medicaid
state plan amendment by the centers for Medicare and Medicaid
services of the United States department of health and human
services, and if such approval is received, are applicable no
earlier than the first day of the calendar quarter following
the date of receipt of such approval.
DIVISION XVII
TRAUMA CARE SYSTEM
Sec. 85. Section 147A.23, subsection 2, paragraph c, Code
2016, is amended to read as follows:
c. (1) Upon verification and the issuance of a certificate
of verification, a hospital or emergency care facility agrees
to maintain a level of commitment and resources sufficient to
meet responsibilities and standards as required by the trauma
care criteria established by rule under this subchapter.
Verifications are valid for a period of three years or as
determined by the department and are renewable. As part
of the verification and renewal process, the department
may conduct periodic on=site reviews of the services and
facilities of the hospital or emergency care facility.
(2) Notwithstanding subparagraph (1), the department shall
not decrease a level II certificate of verification issued to
a trauma care facility by the department on or before July 1,
2015, unless the facility subsequently fails to comply with
the trauma care criteria established in administrative rules
in effect on July 1, 2015.
Sec. 86. EFFECTIVE UPON ENACTMENT. This division of this
Act, being deemed of immediate importance, takes effect upon
enactment.
Sec. 87. RETROACTIVE APPLICABILITY. This division of this
Act applies retroactively to June 30, 2015.
DIVISION XVIII
MENTAL HEALTH AND DISABILITY SERVICES REGIONS ==== FUNDING
Sec. 88. MENTAL HEALTH AND DISABILITY SERVICES REGIONS ====
FUNDING.
1. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
For a grant to a five=county mental health and disability
services region with a population of between 290,000 to
300,000 as determined by the latest federal decennial census,
for the provision of mental health and disability services
within the region:
.................................................. $ 500,000
The moneys appropriated in this subsection are contingent
upon the continuation of sustainable service funding
relationships between all counties in the region for the
fiscal year beginning July 1, 2016, and ending June 30, 2017.
The department and the region shall enter into a memorandum of
understanding regarding the use of the moneys by the region
prior to the region's receipt of moneys under this subsection.
2. There is appropriated from the general fund of the
state to the department of human services for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
For a grant to a single=county mental health and disability
services region with a population of over 350,000 as
determined by the latest federal decennial census, for the
provision of mental health and disability services within the
region:
.................................................. $ 2,500,000
The department shall work with the region awarded moneys
pursuant to this subsection to a complete a three=year
sustainable cash flow funding plan for the delivery of mental
health and disability services in the region to be submitted
to the department by November 15, 2016. The department and
the region shall enter into a memorandum of understanding
regarding the use of the moneys and detailing the provisions
of the plan prior to the region's receipt of moneys under this
subsection.
3. The department shall distribute moneys appropriated
in this section within 60 days of the date of signing of the
memorandum of understanding between the department and each
region.
4. Moneys awarded under this section shall be used by
the regions consistent with each region's service system
management plan as approved by the department.
DIVISION XIX
MENTAL HEALTH AND DISABILITY SERVICES REDESIGN PROGRESS REPORT
Sec. 89. MENTAL HEALTH AND DISABILITY SERVICES REDESIGN
PROGRESS REPORT. The department of human services shall
review and report progress on the implementation of the
adult mental health and disability services redesign and
shall identify any challenges faced in achieving the goals
of the redesign. The progress report shall include but
not be limited to information regarding the mental health
and disability services regional service system including
governance, management, and administration; the implementation
of best practices including evidence=based best practices;
the availability of, access to, and provision of initial core
services and additional core services to and for required core
service populations and additional core service populations;
and the financial stability and fiscal viability of the
redesign. The department shall submit its report with
findings to the governor and the general assembly no later
than November 15, 2016.
DIVISION XX
REFUGEERISE AMERICORPS PROGRAM
Sec. 90. Section 15H.5, subsection 5, paragraph a, Code
2016, is amended to read as follows:
a. Funding for the Iowa summer youth corps program, the
Iowa green corps program established pursuant to section
15H.6, and the Iowa reading corps program established
pursuant to section 15H.7, and the RefugeeRISE AmeriCorps
program established pursuant to section 15H.8, shall be
obtained from private sector, and local, state, and federal
government sources, or from other available funds credited
to the community programs account, which shall be created
within the economic development authority under the authority
of the commission. Moneys available in the account for a
fiscal year are appropriated to the commission to be used
for the programs. The commission may establish an escrow
account within the authority and obligate moneys within
that escrow account for tuition or program payments to be
made beyond the term of any fiscal year. Notwithstanding
section 12C.7, subsection 2, interest earned on moneys in the
community programs account shall be credited to the account.
Notwithstanding section 8.33, moneys in the community programs
account or escrow account shall not revert to the general fund
but shall remain available for expenditure in future fiscal
years.
Sec. 91. NEW SECTION. 15H.8 RefugeeRISE AmeriCorps
program.
1. a. The Iowa commission on volunteer service, in
collaboration with the department of human services, shall
establish a Refugee Rebuild, Integrate, Serve, Empower
(RefugeeRISE) AmeriCorps program to increase community
integration and engagement for diverse refugee communities in
rural and urban areas across the state.
b. The commission, in collaboration with the department
of human services, may adopt rules pursuant to chapter 17A to
implement and administer this section.
2. The commission may use moneys in and lawfully available
to the community programs account created in section 15H.5 to
fund the program.
3. The commission shall submit an annual report to the
general assembly and the department of human services relating
to the efficacy of the program.
DIVISION XXI
MENINGOCOCCAL IMMUNIZATION
Sec. 92. Section 139A.8, subsection 2, Code 2016, is
amended by adding the following new paragraph:
NEW PARAGRAPH. e. A person shall not be enrolled in school
in the seventh grade or twelfth grade in Iowa without evidence
of adequate immunization against meningococcal disease in
accordance with standards approved by the United States public
health service of the United States department of health
and human services for such biological products and is in
accordance with immunization practices recommended by the
advisory committee on immunization practices of the centers
for disease control and prevention.
DIVISION XXII
MEDICAID MANAGED CARE OVERSIGHT
REPORTING AND PUBLIC POSTING OF REPORTS ==== CONSUMER
PROTECTION, OUTCOME ACHIEVEMENT, AND PROGRAM INTEGRITY
INFORMATION
Sec. 93. DEPARTMENT OF HUMAN SERVICES ==== REPORTS. The
department of human services shall submit to the chairpersons
and ranking members of the human resources committees of
the senate and the house of representatives and to the
chairpersons and ranking members of the joint appropriations
subcommittee on health and human services, quarterly reports,
and an annual report beginning December 15, 2016, and annually
by December 15, thereafter, regarding Medicaid program
consumer protections, outcome achievement, and program
integrity as specified in this division. The reports shall be
based on and updated to include the most recent information
available. The reports shall include an executive summary
of the information and data compiled, an analysis of the
information and data, and any trends or issues identified
through such analysis, to the extent such information is not
otherwise considered confidential or protected information
pursuant to federal or state law. The joint appropriations
subcommittee on health and human services shall dedicate a
meeting of the subcommittee during the subsequent session of
the general assembly to review the annual report.
1. CONSUMER PROTECTION.
The general assembly recognizes the need for ongoing review
of Medicaid member engagement with and feedback regarding
Medicaid managed care. The Iowa high quality health care
initiative shall ensure access to medically necessary services
and shall ensure that Medicaid members are fully engaged in
their own health care in order to achieve overall positive
health outcomes. The consumer protection component of the
reports submitted as required under this section shall be
based on all of the following reports relating to member and
provider services:
a. Member enrollment and disenrollment.
b. Member grievances and appeals including all of the
following:
(1) The percentage of grievances and appeals resolved
timely.
(2) The number of grievances and appeals received.
c. Member call center performance including the service
level for members, providers, and pharmacy.
d. Prior authorization denials and modifications including
all of the following:
(1) The percentage of prior authorizations approved,
denied, and modified.
(2) The percentage of prior authorizations processed
within required timeframes.
e. Provider network access including key gaps in provider
coverage based on contract time, distance standards, and
market share.
f. Care coordination and case management, including the
ratio of members to care coordinators or case managers, and
the average number of contacts made with members per reporting
period.
g. Level of care and functional assessments, including the
percentage of level of care assessments completed timely.
h. Population=specific reporting including all of the
following:
(1) General population, including adults and children.
(2) Special needs, including adults and children.
(3) Behavioral health, including adults and children.
(4) Elderly.
i. Number of individuals served on the home and
community=based services (HCBS) waivers by waiver type, and
HCBS waiver waiting list reductions or increases.
2. OUTCOME ACHIEVEMENT.
The primary focus of the general assembly in moving to
Medicaid managed care is to improve the quality of care and
outcomes for Medicaid members. The state has demonstrated
how preventive services and the coordination of care for all
of a Medicaid member's treatment significantly improve the
health and well=being of the state's most vulnerable citizens.
In order to ensure continued improvement, ongoing review of
member outcomes as well as of the process that supports a
strong provider network is necessary. The outcome achievement
component of the reports submitted as required under this
section shall be based on all of the following reports:
a. Contract management including all of the following:
(1) Claims processing including all of the following:
(a) The percentage of claims paid, denied, and disputed,
and the ten most common reasons for claims denials.
(b) The percentage of claims adjudicated timely.
(2) Encounter data including all of the following:
(a) Timeliness.
(b) Completeness.
(c) Accuracy.
(3) Value=based purchasing (VBP) enrollment including the
percentage of members covered by a VBP arrangement.
(4) Financial information including all of the following:
(a) Managed care organization capitation payments.
(b) The medical loss ratio, administrative loss ratio, and
underwriting ratio.
(c) Program cost savings.
(5) Utilization of health care services by diagnostic
related group and ambulatory payment classification as well
as total claims volume.
(6) Utilization of value=added services.
(7) Payment of claims by department=identified provider
type.
b. Member health outcomes including all of the following:
(1) Annual health care effectiveness and information set
(HEDIS) performance.
(2) Other quality measures including all of the following:
(a) Behavioral health.
(b) Children's health outcomes.
(c) Prenatal and birth outcomes.
(d) Chronic condition management.
(e) Adult preventative care.
(3) Value index score (VIS) performance.
(4) Annual consumer assessment of health care providers
and systems (CAHPS) performance.
(5) Utilization information including all of the
following:
(a) Inpatient hospital admissions and potential
preventative admissions.
(b) Readmissions.
(c) Outpatient visits.
(d) Emergency department visits and potentially
preventable emergency department visits.
c. Consumer satisfaction survey.
3. PROGRAM INTEGRITY.
a. The Medicaid program has traditionally included
comprehensive oversight and program integrity controls.
Under Medicaid managed care, federal, state, and contractual
safeguards will continue to be incorporated to prevent,
detect, and eliminate provider fraud, waste, and abuse
to maintain a sustainable Medicaid program. The program
integrity component of the reports submitted as required under
this section shall be based on all of the following reports
relating to program integrity:
(1) The level of fraud, waste, and abuse identified by the
managed care organizations.
(2) Managed care organization adherence to the program
integrity plan, including identification of program
overpayments.
(3) Notification of the state by the managed care
organizations regarding fraud, waste, and abuse.
(4) The impact of program activities on capitation
payments.
(5) Enrollment and payment information including all of
the following:
(a) Eligibility.
(b) Third=party liability.
(6) Managed care organization reserves compared to minimum
reserves required by the insurance division of the department
of commerce.
(7) A summary report by the insurance division of the
department of commerce including information relating
to health maintenance organization licensure, the annual
independent audit, insurance division reporting, and
reinsurance.
b. The results of any external quality review organization
review shall be submitted directly to the governor, the
general assembly, and the health policy oversight committee
created in section 2.45.
c. The department of human services shall require each
Medicaid managed care organization to authorize the national
committee for quality assurance (NCQA) to submit directly to
the governor, the general assembly, and the health policy
oversight committee created in section 2.45, the evaluation
report upon which the Medicaid managed care organization's
NCQA accreditation was granted, and any subsequent evaluations
of the Medicaid managed care organization.
4. INCLUSION OF INFORMATION FROM OTHER OVERSIGHT ENTITIES.
The council on human services, the medical assistance
advisory council, the hawk=i board, the mental health and
disability services commission, and the office of long=term
care ombudsman shall regularly review Medicaid managed care
as it relates to the entity's respective statutory duties.
These entities shall submit executive summaries of pertinent
information regarding their deliberations during the prior
year relating to Medicaid managed care to the department
of human services no later than November 15, annually, for
inclusion in the annual report submitted as required under
this section.
5. PUBLIC POSTING OF INFORMATION REPORTED.
The department of human services shall post all of the
reports specified under this section, as the information
becomes available and to the extent such information is not
otherwise considered confidential or protected information
pursuant to federal or state law, on the Iowa health link
internet site.
Sec. 94. ADDITIONAL OVERSIGHT.
1. The council on human services, the medical assistance
advisory council, and the hawk=i board shall submit to the
chairpersons and ranking members of the human resources
committees of the senate and the house of representatives
and to the chairpersons and ranking members of the joint
appropriations subcommittee on health and human services, on a
quarterly basis, minutes of their respective meetings during
which the council or board addressed Medicaid managed care.
2. The director of human services shall submit the
compilation of the input and recommendations from stakeholders
and Medicaid members attending the public meetings convened
pursuant to 2015 Iowa Acts, chapter 137, section 63, to the
chairpersons and ranking members of the human resources
committees of the senate and the house of representatives
and to the chairpersons and ranking members of the joint
appropriations subcommittee on health and human services, on
a quarterly basis.
Sec. 95. PROGRAM POLICY IMPROVEMENT. The department
of human services shall ensure that Medicaid managed care
organizations comply with all of the following:
1. In accordance with 42 C.F.R. {438.420, a Medicaid
managed care organization, upon a recipient's request, shall
continue a recipient's benefits during an appeal process. If,
as allowed when final resolution of an appeal is adverse to
the Medicaid recipient, the Medicaid managed care organization
chooses to recover the costs of the services furnished to the
recipient while an appeal is pending, the Medicaid managed
care organization shall provide adequate prior notice of
potential recovery of costs to the recipient at the time the
appeal is filed.
2. A Medicaid managed care organization shall allow
providers to appeal on a recipient's behalf if the recipient
designates the provider as the recipient's representative.
3. a. A Medicaid managed care organization may include as
a primary care provider any provider designated by the state
as a primary care provider, subject to a provider's respective
state certification standards, including but not limited to
all of the following:
(1) A physician who is a family or general practitioner,
a pediatrician, an internist, an obstetrician, or a
gynecologist.
(2) An advanced registered nurse practitioner.
(3) A physician assistant.
(4) A chiropractor licensed pursuant to chapter 151.
b. A Medicaid managed care organization shall not impose
more restrictive, scope of practice requirements or standards
of practice on a primary care provider than those prescribed
by state law as a prerequisite for participation in the
managed care organization's provider network.
Sec. 96. SINGLE=CASE AGREEMENT. A Medicaid managed care
organization shall, at the request of a Medicaid recipient,
attempt to negotiate in good faith a single=case agreement
with a recipient's out=of=network provider, including a
provider outside of the state, to provide for continuity of
care when the recipient has an existing relationship with such
provider. If a provider of a medically necessary service
is not available within the managed care organization's
network, the managed care organization shall, at the request
of a Medicaid recipient, attempt to negotiate in good faith
a single=case agreement with an out=of=network provider,
regardless of the existence of an established relationship
between the recipient and the provider.
HEALTH POLICY OVERSIGHT COMMITTEE
Sec. 97. Section 2.45, subsection 6, Code 2016, is amended
to read as follows:
6. The legislative health policy oversight committee,
which shall be composed of ten members of the general
assembly, consisting of five members from each house, to be
appointed by the legislative council. The legislative health
policy oversight committee shall receive updates and review
data, public input and concerns, and make recommendations for
improvements to and changes in law or rule regarding meet at
least two times, annually, during the legislative interim
to provide continuing oversight for Medicaid managed care,
and to ensure effective and efficient administration of the
program, address stakeholder concerns, monitor program costs
and expenditures, and make recommendations.
MANAGED CARE OMBUDSMAN
Sec. 98. Section 231.44, Code 2016, is amended by adding
the following new subsection:
NEW SUBSECTION. 3A. The office of long=term care ombudsman
and representatives of the office, when providing assistance
and advocacy services under this section, shall be considered
a health oversight agency as defined in 45 C.F.R. {164.501 for
the purposes of health oversight activities as described in
45 C.F.R. {164.512(d). Recipient information available to
the office of long=term care ombudsman and representatives
of the office under this subsection shall be limited to the
recipient's protected health information as defined in 45
C.F.R. {160.103 for the purpose of recipient case resolution.
When providing assistance and advocacy services under this
section, the office of long=term care ombudsman shall act
as an independent agency, and the office of long=term care
ombudsman and representatives of the office shall be free of
any undue influence that restrains the ability of the office
or the office's representatives from providing such services
and assistance. The office of long=term care ombudsman shall
adopt rules applicable to long=term care ombudsmen providing
assistance and advocacy services under this section to
authorize such ombudsmen to function in a manner consistent
with long=term care ombudsmen under the federal Act.
MEDICAL ASSISTANCE ADVISORY COUNCIL
Sec. 99. Section 249A.4B, Code 2016, is amended to read as
follows:
249A.4B Medical assistance advisory council.
1. A medical assistance advisory council is created to
comply with 42 C.F.R. {431.12 based on section 1902(a)(4) of
the federal Social Security Act and to advise the director
about health and medical care services under the medical
assistance program. The council shall meet no more than
quarterly. The director of public health and a public member
of the council selected by the public members of the council
specified in subsection 2, paragraph "b", shall serve as
chairperson co=chairpersons of the council.
2. The council shall include all of the following voting
members:
a. The president, or the president's representative, of
each of the following professional or business entities, or
a member of each of the following professional or business
entities, selected by the entity:
(1) The Iowa medical society.
(2) The Iowa osteopathic medical association.
(3) The Iowa academy of family physicians.
(4) The Iowa chapter of the American academy of pediatrics.
(5) The Iowa physical therapy association.
(6) The Iowa dental association.
(7) The Iowa nurses association.
(8) The Iowa pharmacy association.
(9) The Iowa podiatric medical society.
(10) The Iowa optometric association.
(11) The Iowa association of community providers.
(12) The Iowa psychological association.
(13) The Iowa psychiatric society.
(14) The Iowa chapter of the national association of social
workers.
(15) The coalition for family and children's services in
Iowa.
(16) The Iowa hospital association.
(17) The Iowa association of rural health clinics.
(18) The Iowa primary care association.
(19) Free clinics of Iowa.
(20) The opticians' association of Iowa, inc.
(21) The Iowa association of hearing health professionals.
(22) The Iowa speech and hearing association.
(23) The Iowa health care association.
(24) The Iowa association of area agencies on aging.
(25) AARP.
(26) The Iowa caregivers association.
(27) The Iowa coalition of home and community=based
services for seniors.
(28) The Iowa adult day services association.
(29) Leading age Iowa.
(30) The Iowa association for home care.
(31) The Iowa council of health care centers.
(32) The Iowa physician assistant society.
(33) The Iowa association of nurse practitioners.
(34) The Iowa nurse practitioner society.
(35) The Iowa occupational therapy association.
(36) The ARC of Iowa, formerly known as the association for
retarded citizens of Iowa.
(37) The national alliance for the mentally ill of Iowa on
mental illness.
(38) The Iowa state association of counties.
(39) The Iowa developmental disabilities council.
(40) The Iowa chiropractic society.
(41) The Iowa academy of nutrition and dietetics.
(42) The Iowa behavioral health association.
(43) The midwest association for medical equipment
services or an affiliated Iowa organization.
b. Public Ten public representatives which may include
members of consumer groups, including recipients of medical
assistance or their families, consumer organizations, and
others, equal in number to the number of representatives
of the professional and business entities specifically
represented under paragraph "a", appointed by the governor
for staggered terms of two years each, none of whom shall be
members of, or practitioners of, or have a pecuniary interest
in any of the professional or business entities specifically
represented under paragraph "a", and a majority of whom shall
be current or former recipients of medical assistance or
members of the families of current or former recipients.
c. A member of the hawk=i board created in section 514I.5,
selected by the members of the hawk=i board.
3. The council shall include all of the following nonvoting
members:
c. a. The director of public health, or the director's
designee.
d. b. The director of the department on aging, or the
director's designee.
c. The long=term care ombudsman, or the long=term care
ombudsman's designee.
e. d. The dean of Des Moines university ==== osteopathic
medical center, or the dean's designee.
f. e. The dean of the university of Iowa college of
medicine, or the dean's designee.
g. f. The following members of the general assembly, each
for a term of two years as provided in section 69.16B:
(1) Two members of the house of representatives, one
appointed by the speaker of the house of representatives
and one appointed by the minority leader of the house of
representatives from their respective parties.
(2) Two members of the senate, one appointed by the
president of the senate after consultation with the majority
leader of the senate and one appointed by the minority leader
of the senate.
3. 4. a. An executive committee of the council is created
and shall consist of the following members of the council:
(1) Five of the professional or business entity members
designated pursuant to subsection 2, paragraph "a", and
selected by the members specified under that paragraph, as
voting members.
(2) Five of the public members appointed pursuant to
subsection 2, paragraph "b", and selected by the members
specified under that paragraph, as voting members. Of the
five public members, at least one member shall be a recipient
of medical assistance.
(3) The director of public health, or the director's
designee, as a nonvoting member.
b. The executive committee shall meet on a monthly basis.
The director of public health and the public member serving
as co=chairperson of the council shall serve as chairperson
co=chairpersons of the executive committee.
c. Based upon the deliberations of the council and the
executive committee, the executive committee shall make
recommendations to the director regarding the budget, policy,
and administration of the medical assistance program.
4. 5. For each council meeting, other than those held
during the time the general assembly is in session, each
legislative member of the council shall be reimbursed for
actual travel and other necessary expenses and shall receive
a per diem as specified in section 7E.6 for each day in
attendance, as shall the members of the council or the
executive committee who are recipients or the family members
of recipients of medical assistance, regardless of whether the
general assembly is in session.
5. 6. The department shall provide staff support and
independent technical assistance to the council and the
executive committee.
6. 7. The director shall consider the recommendations
offered by the council and the executive committee in
the director's preparation of medical assistance budget
recommendations to the council on human services pursuant to
section 217.3 and in implementation of medical assistance
program policies.
Sec. 100. APPOINTMENT OF PUBLIC REPRESENTATIVES TO
MEDICAL ASSISTANCE ADVISORY COUNCIL ==== 2016. The director
of human services shall make recommendations to the governor
for appointment of public representatives to the medical
assistance advisory council pursuant to section 249A.4B,
subsection 1, paragraph "b", in order to fill all public
representative positions on the council no later than June 30,
2016.
Sec. 101. EFFECTIVE UPON ENACTMENT. The following
provision of this division of this Act, being deemed of
immediate importance, takes effect upon enactment:
1. The section of this division of this Act directing
the appointment of public representatives to the medical
assistance advisory council no later than June 30, 2016.
CONTINUATION OF STATEWIDE PUBLIC MEETINGS
Sec. 102. 2015 Iowa Acts, chapter 137, section 63, is
amended to read as follows:
SEC. 63. HEALTH POLICY OVERSIGHT ==== MEDICAID MANAGED CARE.
1. The department of human services shall partner with
appropriate stakeholders to convene monthly statewide public
meetings beginning in March 2016, and bi=monthly statewide
public meetings beginning March 2017 and continuing through
December 31, 2017, to receive input and recommendations from
stakeholders and members of the public regarding Medicaid
managed care, beginning in March 2016. The meetings shall
be held in both rural and urban areas, in small communities
and large population centers, and in a manner that is
geographically balanced. The department shall encourage
representatives of Medicaid managed care organizations to
attend the public meetings. The input and recommendations of
the public meetings shall be compiled by the department of
human services and submitted to the executive committee of
the medical assistance advisory council created in section
249A.4B.
2. a. The executive committee of the medical assistance
advisory council shall review the compilation of the input and
recommendations of the public meetings convened pursuant to
subsection 1, and shall submit recommendations based upon the
compilation to the director of human services on a quarterly
basis through December 31, 2017.
b. The director of human services shall submit the
compilation and the recommendations made under paragraph "a"
to the legislative health policy oversight committee created
in section 2.45 through December 31, 2017.
Sec. 103. EFFECTIVE UPON ENACTMENT. The sections of this
division of this Act amending 2015 Iowa Acts, chapter 137,
section 63, being deemed of immediate importance, takes effect
upon enactment.
HAWK=I PROGRAM
Sec. 104. Section 514I.5, subsection 8, paragraph d, Code
2016, is amended by adding the following new subparagraph:
NEW SUBPARAGRAPH. (17) Occupational therapy.
Sec. 105. Section 514I.5, Code 2016, is amended by adding
the following new subsection:
NEW SUBSECTION. 10. The hawk=i board shall monitor
the capacity of Medicaid managed care organizations to
specifically and appropriately address the unique needs of
children and children's health delivery.
DIVISION XXIII
FOOD PROGRAM
Sec. 106. IOWA EMERGENCY FOOD PURCHASE PROGRAM. There
is appropriated from the general fund of the state to the
department of agriculture and land stewardship for the fiscal
year beginning July 1, 2016, and ending June 30, 2017, the
following amount, or so much thereof as is necessary, to be
used for the purpose designated:
1. For purposes of supporting an Iowa emergency food
purchase program:
.................................................. $ 100,000
2. The purpose of the Iowa emergency food purchase
program is to relieve situations of emergency experienced by
families or individuals who reside in this state, including
low=income families and individuals and unemployed families
and individuals, by distributing food to those persons.
3. The Iowa emergency food purchase program shall be
managed by an Iowa food bank association selected by the
department. The department may enter into a contract with the
Iowa food bank association. The Iowa food bank association
managing the program shall distribute food under the program
to emergency feeding organizations in this state. The Iowa
food bank association shall report to the department as
required by the department.
4. The moneys appropriated in this section shall be
allocated to support the Iowa emergency food purchase program
only to the extent that the allocated moneys are matched on a
dollar=for=dollar basis.
5. "Iowa food bank association" means a private nonprofit
entity that meets all of the following requirements:
a. The association is organized under chapter 504.
b. The association qualifies under section 501(c)(3) of the
Internal Revenue Code as an organization exempt from federal
income tax under section 501(a) of the Internal Revenue Code.
c. The association's members include food banks, or
affiliations of food banks, that together serve all counties
in this state.
d. The association's principal office is located in this
state.
LINDA UPMEYER
Speaker of the House
PAM JOCHUM
President of the Senate
I hereby certify that this bill originated in the House and
is known as House File 2460, Eighty=sixth General Assembly.
CARMINE BOAL
Chief Clerk of the House
Approved , 2016
TERRY E. BRANSTAD
Governor
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