Bill Text: IA HF726 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to services, treatment, research, education, and other activities relating to substance use disorder, mental health, and other conditions including opioid addiction and providing appropriations.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Introduced - Dead) 2023-05-02 - Introduced, referred to Health and Human Services. H.J. 977. [HF726 Detail]
Download: Iowa-2023-HF726-Introduced.html
House
File
726
-
Introduced
HOUSE
FILE
726
BY
ISENHART
and
WILSON
A
BILL
FOR
An
Act
relating
to
services,
treatment,
research,
education,
1
and
other
activities
relating
to
substance
use
disorder,
2
mental
health,
and
other
conditions
including
opioid
3
addiction
and
providing
appropriations.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
TLSB
1319YH
(10)
90
pf/rn
H.F.
726
Section
1.
IOWA
BOARD
OF
PHARMACY
——
REDUCTION
OF
OPIOID
1
MISUSE
OR
OVERUSE
——
OPIOID
SETTLEMENT.
2
1.
There
is
appropriated
from
the
opioid
settlement
fund
3
created
in
section
12.51
to
the
board
of
pharmacy
for
the
4
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
5
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
6
the
purposes
designated:
7
a.
For
the
board
of
pharmacy
to
integrate
the
state’s
8
prescription
monitoring
program
with
health
care
providers’
9
electronic
medical
record
or
pharmacy
dispensing
systems
to
10
allow
a
seamless
connection
between
the
prescription
monitoring
11
program
and
those
systems:
12
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.
$
60,000
13
b.
For
the
board
of
pharmacy
to
implement
the
opioid
and
14
naloxone
education
(ONE)
program
to
provide
resources
to
15
pharmacists
to
educate
patients
regarding
opioid
misuse
and
16
accidental
overdose
in
order
to
decrease
opioid
prescription
17
rates
and
the
related
addiction
and
overdose
deaths
in
the
18
state:
19
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.
$
450,000
20
2.
If
sufficient
funds
are
not
available
through
the
opioid
21
settlement
fund
created
in
section
12.51,
there
is
appropriated
22
from
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
23
section
8.57G
to
the
board
of
pharmacy
for
the
fiscal
year
24
beginning
July
1,
2023,
and
ending
June
30,
2024,
an
amount
25
sufficient
to
provide
the
total
amounts
specified
under
26
subsection
1
for
the
purposes
designated
under
this
section.
27
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
28
this
section
that
remain
unencumbered
or
unobligated
at
the
29
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
30
available
for
the
purposes
designated
until
expended.
31
Sec.
2.
INCREASED
ACCESS
TO
NALOXONE
——
OPIOID
SETTLEMENT.
32
1.
There
is
appropriated
from
the
opioid
settlement
fund
33
created
in
section
12.51
for
deposit
in
the
opioid
antagonist
34
medication
fund
created
in
section
135.190A
for
the
fiscal
year
35
-1-
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1319YH
(10)
90
pf/rn
1/
24
H.F.
726
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
following
1
amount,
or
so
much
thereof
as
is
necessary,
for
the
purpose
2
designated:
3
.
.
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.
.
.
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.
$
250,000
4
2.
The
department
of
health
and
human
services
shall
utilize
5
the
moneys
appropriated
for
deposit
under
this
section
for
the
6
purchase,
provision,
maintenance,
and
replacement
of
opioid
7
antagonist
medication
administered
by
first
responders
to
8
persons
experiencing
an
opioid-related
overdose
and
to
county
9
health
departments
for
distribution
to
accredited
schools
and
10
institutions
of
higher
education
upon
request.
11
3.
If
sufficient
funds
are
not
available
through
the
12
opioid
settlement
fund
created
in
section
12.51,
there
is
13
appropriated
from
the
Iowa
coronavirus
fiscal
recovery
fund
14
created
in
section
8.57G
for
deposit
in
the
opioid
antagonist
15
medication
fund
created
in
section
135.190A
for
the
fiscal
year
16
beginning
July
1,
2023,
and
ending
June
30,
2024,
for
direct
17
appropriation
to
the
department
of
health
and
human
services
18
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
19
30,
2024,
an
amount
sufficient
to
provide
the
total
amount
20
specified
under
subsection
1
for
the
purposes
designated
under
21
this
section.
22
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
23
this
section
that
remain
unencumbered
or
unobligated
at
the
24
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
25
available
for
the
purposes
designated
until
expended.
26
Sec.
3.
SUBSTANCE
USE
DISORDER
RECOVERY
HIGH
SCHOOLS
——
27
OPIOID
SETTLEMENT.
28
1.
There
is
appropriated
from
the
opioid
settlement
fund
29
created
in
section
12.51
to
the
department
of
health
and
human
30
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
31
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
32
necessary,
for
the
purpose
designated:
33
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.
$
50,000
34
2.
The
department
of
health
and
human
services,
in
35
-2-
LSB
1319YH
(10)
90
pf/rn
2/
24
H.F.
726
collaboration
with
the
department
of
education,
shall
study
1
and
make
recommendations
regarding
the
establishment
of
one
or
2
more
public
or
private
recovery
high
schools
in
Iowa
designed
3
for
the
education
of
students
in
recovery
from
substance
4
use
disorders
or
dependency
or
co-occurring
disorders
such
5
as
anxiety,
depression,
or
attention
deficit
hyperactivity
6
disorder.
Such
schools
shall
meet
state
requirements
for
7
awarding
a
secondary
school
diploma
and
support
students
8
engaged
in
a
program
of
recovery.
The
department
of
health
9
and
human
services
shall
complete
the
study
and
submit
its
10
recommendations
to
the
governor
and
the
general
assembly
by
11
November
1,
2023.
The
recommendations
shall
include
provisions
12
for
students
to
be
eligible
for
education
savings
accounts
13
without
regard
to
family
financial
capacity.
14
3.
If
sufficient
funds
are
not
available
through
the
opioid
15
settlement
fund
created
in
section
12.51,
there
is
appropriated
16
from
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
17
section
8.57G
for
the
fiscal
year
beginning
July
1,
2023,
and
18
ending
June
30,
2024,
to
the
department
of
health
and
human
19
services
an
amount
sufficient
to
provide
the
total
amount
20
specified
under
subsection
1
for
the
purposes
designated
under
21
this
section.
22
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
23
this
section
that
remain
unencumbered
or
unobligated
at
the
24
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
25
available
for
the
purposes
designated
until
expended.
26
Sec.
4.
SUBSTANCE
USE
DISORDER
——
PERSONS
COMMITTED
27
TO
CORRECTIONAL
INSTITUTIONS
AND
COUNTY
JAILS
——
OPIOID
28
SETTLEMENT.
29
1.
a.
There
is
appropriated
from
the
opioid
settlement
30
fund
created
in
section
12.51
to
the
department
of
health
and
31
human
services,
annually,
an
amount
sufficient
to
implement
32
this
section.
33
b.
The
department
of
health
and
human
services
shall
34
transfer
the
amount
appropriated
under
this
section
to
the
35
-3-
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(10)
90
pf/rn
3/
24
H.F.
726
department
of
corrections
for
use
in
subsidizing
the
costs
of
1
providing
medication-assisted
treatment
to
persons
committed
to
2
department
of
corrections
institutions
or
county
jails
being
3
treated
for
opioid
use
disorder
to
purchase
state-of-the-art
4
urine
sample
cups
for
use
in
the
drug
monitoring
programs
and
5
to
fund
efforts
to
fight
hepatitis
C,
a
potentially
devastating
6
but
curable
disease
spread
through
intravenous
needle
use
of
7
opioids
and
other
drugs
in
prison
populations.
If
a
county
8
is
receiving
opioid
settlement
funds
to
otherwise
cover
the
9
costs
of
medication-assisted
treatment,
the
county
shall
match
10
the
funding
provided
under
this
section
on
a
dollar-for-dollar
11
basis.
12
2.
If
sufficient
funds
are
not
available
through
the
13
opioid
settlement
fund
created
in
section
12.51,
there
is
14
appropriated
from
the
Iowa
coronavirus
fiscal
recovery
fund
15
created
in
section
8.57G
to
the
department
of
health
and
human
16
services
for
transfer
to
the
department
of
corrections
for
the
17
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
18
an
amount
sufficient
for
the
purposes
designated
under
this
19
section.
20
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
21
this
section
that
remain
unencumbered
or
unobligated
at
the
22
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
23
available
for
the
purposes
designated
until
expended.
24
Sec.
5.
VETERANS
COURTS
——
OPIOID
SETTLEMENT.
25
1.
There
is
appropriated
from
the
opioid
settlement
fund
26
created
in
section
12.51
to
the
department
of
veterans
affairs
27
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
28
2024,
the
following
amount,
or
so
much
thereof
as
is
necessary,
29
for
the
purpose
designated:
30
.
.
.
.
.
.
.
.
.
.
.
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.
$
1,000,000
31
2.
a.
The
moneys
appropriated
under
this
section
shall
32
be
transferred
to
the
judicial
branch
to
establish
a
veterans
33
court
with
a
full-time
outreach
coordinator
in
each
judicial
34
district
to
provide
court
services
to
veterans
and
to
integrate
35
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4/
24
H.F.
726
court
sanctions
and
incentives
with
substance
use
disorder
1
treatment,
mental
health
treatment,
and
transitional
services
2
for
veterans
in
a
judicially
supervised
setting.
3
b.
It
is
the
intent
of
the
general
assembly
that
the
4
jurisdiction
of
the
veterans
court
may
be
exercised
by
any
5
district
judge
and
by
any
district
associate
judge
who
is
6
designated
by
the
chief
judge
of
a
judicial
district
as
a
judge
7
of
the
veterans
court.
The
chief
judge
shall
designate
one
8
or
more
district
judges
and
district
associate
judges
to
act
9
as
judges
of
the
veterans
court
for
a
judicial
district.
The
10
chief
judge
may
designate
a
veterans
court
judge
to
preside
in
11
more
than
one
county.
12
3.
If
sufficient
funds
are
not
available
through
the
opioid
13
settlement
fund
created
in
section
12.51,
there
is
appropriated
14
from
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
15
section
8.57G
for
the
fiscal
year
beginning
July
1,
2023,
and
16
ending
June
30,
2024,
to
the
department
of
veterans
affairs
for
17
transfer
to
the
judicial
branch
an
amount
sufficient
to
provide
18
the
total
amount
specified
under
subsection
1
for
the
purposes
19
designated
under
this
section.
20
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
21
this
section
that
remain
unencumbered
or
unobligated
at
the
22
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
23
available
for
the
purposes
designated
until
expended.
24
Sec.
6.
STATE
EMPLOYEE
BENEFITS
——
SUBSTANCE
USE
DISORDER
25
BENEFITS
——
USE
OF
OPIOIDS
——
OPIOID
SETTLEMENT.
26
1.
a.
There
is
appropriated
from
the
opioid
settlement
fund
27
created
in
section
12.51
to
the
department
of
administrative
28
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
29
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
30
necessary,
for
the
purposes
designated:
31
.
.
.
.
.
.
.
.
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$
100,000
32
b.
The
department
of
administrative
services,
in
cooperation
33
with
any
health
insurance
plans
or
health
plan
administrators
34
of
benefits
extended
to
state
employees,
shall
utilize
the
35
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H.F.
726
funds
appropriated
in
this
subsection
to
create
a
model
1
benefit
plan
designed
to
incentivize
or
otherwise
promote
the
2
effective,
evidence-based
prescription
and
use
of
opioids
to
3
members
receiving
benefits
through
state
plans,
document
the
4
current
use
of
benefits
for
substance
use
disorders,
identify
5
gaps
or
unnecessary
restrictions
in
coverage,
and
expand
6
access
to
evidence-based
treatments
and
therapies,
including
7
nonpharmacological
treatments.
8
3.
If
sufficient
funds
are
not
available
through
the
opioid
9
settlement
fund
created
in
section
12.51,
there
is
appropriated
10
from
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
11
section
8.57G
to
the
department
of
administrative
services
12
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
13
30,
2024,
an
amount
sufficient
to
provide
the
total
amount
14
specified
under
subsection
1
for
the
purposes
designated
under
15
this
section.
16
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
17
this
section
that
remain
unencumbered
or
unobligated
at
the
18
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
19
available
for
the
purposes
designated
until
expended.
20
Sec.
7.
MEDICAID
RECIPIENTS
——
SUBSTANCE
USE
DISORDER
21
BENEFITS
——
USE
OF
OPIOIDS
——
OPIOID
SETTLEMENT.
22
1.
a.
There
is
appropriated
from
the
opioid
settlement
fund
23
created
in
section
12.51
to
the
department
of
health
and
human
24
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
25
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
26
necessary,
for
the
purposes
designated:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
28
b.
The
department
of
health
and
human
services,
in
29
cooperation
with
Medicaid
managed
care
organizations,
shall
30
utilize
the
funds
appropriated
under
this
section
to
design
31
benefit
plans
to
incentivize
or
otherwise
promote
the
32
effective,
evidence-based
prescription
and
use
of
opioids
to
33
Medicaid
recipients,
document
the
current
use
of
benefits
34
for
substance
use
disorders,
identify
gaps
or
unnecessary
35
-6-
LSB
1319YH
(10)
90
pf/rn
6/
24
H.F.
726
restrictions
in
coverage,
and
expand
access
to
evidence-based
1
treatment
and
therapies,
including
nonpharmacological
2
treatments.
The
department
shall
seek
any
Medicaid
state
plan
3
amendment
or
waiver
necessary
to
administer
this
subsection.
4
2.
If
sufficient
funds
are
not
available
through
the
opioid
5
settlement
fund
created
in
section
12.51,
there
is
appropriated
6
from
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
7
section
8.57G
to
the
department
of
health
and
human
services
8
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
9
30,
2024,
an
amount
sufficient
to
provide
the
total
amount
10
specified
under
subsection
1
for
the
purposes
designated
under
11
this
section.
12
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
13
this
section
that
remain
unencumbered
or
unobligated
at
the
14
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
15
available
for
the
purposes
designated
until
expended.
16
Sec.
8.
SUBSTANCE
USE
DISORDER
AND
OPIOID
USE
RESEARCH
AND
17
EDUCATION
——
OPIOID
SETTLEMENT.
18
1.
There
is
appropriated
from
the
opioid
settlement
fund
19
created
in
section
12.51
to
the
following
entities
for
the
20
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
21
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
22
the
purposes
designated:
23
a.
To
the
department
of
health
and
human
services:
24
(1)
To
contract
with
the
Iowa
health
care
collaborative
to
25
do
all
of
the
following:
26
(a)
To
develop
and
pilot
protocols
for
the
treatment
27
of
emergency
room
patients
experiencing
opioid
or
heroin
28
overdoses,
including
the
provision
of
peer
counseling
and
29
advocacy:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
31
(b)
To
reduce
opioid
exposure
by
educating
doctors
and
32
hospitals,
especially
in
rural
areas,
to
adopt
the
enhanced
33
recovery
after
surgery
(ERAS)
principles:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
35
-7-
LSB
1319YH
(10)
90
pf/rn
7/
24
H.F.
726
(2)
For
the
psychiatric
residency
programs
involved
1
with
coordinated,
collaborative
care
at
newly
established,
2
community-based
behavioral
health
treatment
facilities
offering
3
residential
substance
use
disorder
treatment
for
twenty-nine
4
days
or
more:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
6
(3)
To
pilot
the
establishment
and
operation
of
three
7
community-based
syringe
service
programs
developed
to
provide
8
substance
use
prevention
and
response
including
linkages
9
to
substance
use
disorder
treatment;
vaccination,
testing,
10
and
access
to
care
for
infectious
diseases;
and
access
to,
11
education
regarding
the
safe
utilization
of,
and
proper
12
disposal
of,
fentanyl
test
strips,
sterile
syringes,
and
13
injection
equipment:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
450,000
15
The
pilot
program
supported
with
the
funding
appropriated
16
under
this
subparagraph
is
conditioned
on
the
implementation
17
of
written
agreements
with
local
law
enforcement
agencies
18
and
county
attorneys
to
refrain
from
charging
or
prosecuting
19
program
sponsors
or
participants
for
violations
of
section
20
124.414.
21
b.
To
the
state
board
of
regents:
22
(1)
To
fund
research
on
medication-assisted
treatment
for
23
substance
use
disorders
conducted
at
the
university
of
Iowa
24
college
of
public
health
to
identify
variability
in
outcomes,
25
demonstrate
efficacy
of
treatment,
and
refine
evidence-based
26
protocols:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
28
(2)
To
fund
research
and
education
conducted
at
the
29
university
of
Iowa
Carver
college
of
medicine
for
the
30
nonnarcotic
treatment
of
pain:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
32
c.
To
the
department
of
public
safety
to
establish
and
33
direct
a
task
force,
in
collaboration
with
the
department
of
34
health
and
human
services,
to
make
recommendations,
based
on
35
-8-
LSB
1319YH
(10)
90
pf/rn
8/
24
H.F.
726
public
health
principles,
to
restructure
the
response
of
the
1
state’s
health
and
justice
systems
to
illicit
drug
use
and
to
2
individuals
suffering
from
substance
use
disorders:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
4
The
department
of
public
safety
shall
submit
a
report
of
the
5
recommendations
specified
in
this
paragraph
“c”
to
the
governor
6
and
the
general
assembly
by
July
1,
2024.
7
2.
If
sufficient
funds
are
not
available
through
the
opioid
8
settlement
fund
created
in
section
12.51,
there
is
appropriated
9
from
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
10
section
8.57G
to
the
entities
specified
in
subsection
1,
11
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
12
30,
2024,
a
sufficient
amount
to
provide
the
total
amounts
13
specified
to
the
entities
specified
under
subsection
1
for
the
14
purposes
designated
under
this
section.
15
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
16
this
section
that
remain
unencumbered
or
unobligated
at
the
17
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
18
available
for
the
purposes
designated
until
the
close
of
the
19
succeeding
fiscal
year.
20
Sec.
9.
PUBLIC
HEALTH
STRUCTURE
AND
INFRASTRUCTURE
AND
21
SUBSTANCE
USE
DISORDER
PREVENTION
AND
TREATMENT
——
OPIOID
22
SETTLEMENT.
23
1.
There
is
appropriated
from
the
opioid
settlement
fund
24
created
in
section
12.51
to
the
university
of
Iowa
college
of
25
public
health
for
the
fiscal
year
beginning
July
1,
2023,
and
26
ending
June
30,
2024,
the
following
amounts,
or
so
much
thereof
27
as
is
necessary,
for
the
purposes
designated:
28
a.
To
conduct
a
comprehensive
review
and
evaluation
of
29
the
existing
public
health
structure
and
infrastructure
in
30
Iowa,
and
to
make
recommendations
for
policy
and
funding
to
31
improve
capacity
of
the
state
and
local
communities
to
address
32
substance
use
and
related
issues:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
250,000
34
b.
To
coordinate
increased,
systematic
efforts
with
local
35
-9-
LSB
1319YH
(10)
90
pf/rn
9/
24
H.F.
726
public
health
authorities
to
address
the
personal
behaviors,
1
societal
conditions,
and
lack
of
access
to
services
that
are
2
identified
as
risk
factors
for
substance
use
disorders
and
3
related
co-occurring
health
conditions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
5
The
amount
appropriated
may
be
used
to
provide
grants
to
6
county
boards
of
health
to
implement
evidence-based
community
7
programming,
policies,
and
collaborative
projects
with
health
8
care
providers
to
address
the
identified
risk
factors.
9
c.
To
provide
paid
internships
for
college
of
public
10
health
students
paired
with
local
health
departments
to
11
support
the
development
of
local
public
health
infrastructure,
12
conduct
community
health
needs
assessments,
and
assist
in
13
the
successful
implementation
of
health
improvement
plans
to
14
address
substance
use
disorders
and
co-occurring
brain
health
15
and
related
conditions:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
17
2.
If
sufficient
funds
are
not
available
through
the
18
opioid
settlement
fund
created
in
section
12.51
to
satisfy
the
19
appropriations
under
subsection
1,
there
is
appropriated
from
20
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
section
21
8.57G
to
the
university
of
Iowa
college
of
public
health
22
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
23
30,
2024,
a
sufficient
amount
to
provide
the
total
amounts
24
specified
under
subsection
1
for
the
purposes
designated
under
25
this
section.
26
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
27
this
section
that
remain
unencumbered
or
unobligated
at
the
28
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
29
available
for
the
purposes
designated
until
the
close
of
the
30
succeeding
fiscal
year.
31
Sec.
10.
SUBSTANCE
USE
DISORDER
——
RECOVERY
HOUSING
——
32
SUPPORTIVE
SERVICES
——
OPIOID
SETTLEMENT.
33
1.
a.
There
is
appropriated
from
the
opioid
settlement
fund
34
created
in
section
12.51
to
the
department
of
health
and
human
35
-10-
LSB
1319YH
(10)
90
pf/rn
10/
24
H.F.
726
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
1
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
2
necessary,
for
the
purpose
designated:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
4
b.
Moneys
appropriated
under
this
section
shall
be
used
5
by
the
department,
in
collaboration
with
the
Iowa
finance
6
authority
and
community-based
organizations,
to
engage
in
work
7
to
increase
the
availability
of
recovery
housing
throughout
the
8
state.
The
moneys
shall
be
distributed
as
grants
to
recovery
9
housing
providers
whose
application
for
assistance
is
in
10
accordance
with
a
county
community
health
needs
assessment
and
11
health
improvement
plan.
If
a
county
is
otherwise
receiving
12
opioid
settlement
funds,
the
county
shall
match
the
grant
13
funding
provided
under
this
section
on
a
dollar-for-dollar
14
basis.
15
2.
If
sufficient
funds
are
not
available
through
the
16
opioid
settlement
fund
created
in
section
12.51
to
satisfy
the
17
appropriations
under
subsection
1,
there
is
appropriated
from
18
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
section
19
8.57G
to
the
department
of
health
and
human
services
for
the
20
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
a
21
sufficient
amount
to
provide
the
total
amount
specified
under
22
subsection
1
for
the
purposes
designated
under
this
section.
23
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
24
this
section
that
remain
unencumbered
or
unobligated
at
the
25
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
26
available
for
the
purposes
designated
until
the
close
of
the
27
succeeding
fiscal
year.
28
Sec.
11.
COMPREHENSIVE
STUDY
AND
REPORT
OF
SUBSTANCE
USE
29
DISORDER
TREATMENT
COVERAGE,
UTILIZATION,
AND
EXPENDITURES
——
30
OPIOID
SETTLEMENT.
31
1.
a.
There
is
appropriated
from
the
opioid
settlement
32
fund
created
in
section
12.51
to
the
department
of
insurance
33
and
financial
services
for
the
fiscal
year
beginning
July
1,
34
2023,
and
ending
June
30,
2024,
the
following
amount,
or
so
35
-11-
LSB
1319YH
(10)
90
pf/rn
11/
24
H.F.
726
much
thereof
as
is
necessary,
for
the
purposes
designated:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
2
b.
The
department
of
insurance
and
financial
services
shall
3
utilize
the
funds
appropriated
under
this
subsection
to
perform
4
a
comprehensive
study
and
prepare
a
comprehensive
report
on
5
insurance
coverage
and
payment
policies
for
services
related
6
to
the
treatment
of
substance
use
disorders
by
commercial
7
insurance
companies
and
self-funded
plans,
as
well
as
data
8
on
current
utilization
and
expenditures
associated
with
such
9
benefit
plans.
The
report
shall
be
submitted
to
the
general
10
assembly
by
January
1,
2024.
11
2.
If
sufficient
funds
are
not
available
through
the
opioid
12
settlement
fund
created
in
section
12.51,
there
is
appropriated
13
from
the
Iowa
coronavirus
fiscal
recovery
fund
created
in
14
section
8.57G
to
the
department
of
insurance
and
financial
15
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
16
June
30,
2024,
an
amount
sufficient
to
provide
the
total
amount
17
specified
under
subsection
1
for
the
purposes
designated
under
18
this
section.
19
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
20
this
section
that
remain
unencumbered
or
unobligated
at
the
21
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
22
available
for
the
purposes
designated
until
the
close
of
the
23
succeeding
fiscal
year.
24
Sec.
12.
TASK
FORCE
ON
AN
INTEGRATED
SYSTEM
FOR
PREVENTION,
25
TREATMENT,
RECOVERY,
AND
RESOURCES
——
APPROPRIATIONS.
26
1.
a.
The
director
of
health
and
human
services
27
shall
convene
a
task
force
to
research
and
develop
policy
28
recommendations
to
implement
an
integrated
behavioral
health
29
and
substance
use
disorder
system
and
services
structure
that
30
blends
funding
in
the
areas
of
prevention,
treatment,
recovery,
31
and
resources.
32
b.
The
task
force
shall
include
the
director
of
health
33
and
human
services,
appropriate
departmental
personnel,
two
34
representatives
of
each
mental
health
and
disability
services
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region
appointed
by
the
region,
and
three
experts
each
1
representing
the
fields
of
prevention,
treatment,
and
recovery
2
selected
by
the
department
based
on
recommendations
from
the
3
mental
health
and
disability
services
region
chief
executive
4
officers.
5
c.
The
task
force
shall
submit
a
report
to
the
governor
6
and
the
general
assembly
by
June
30,
2024,
including
7
recommendations
that
address
all
of
the
following:
8
(1)
Prevention
policy,
including
measures
to
ensure
9
consistent
and
sustained
funding
for
prevention
activities,
10
enhanced
early
intervention
techniques,
and
a
plan
for
11
well-rounded
prevention
programs
that
address
alcohol,
12
methamphetamine,
opioid
use,
and
co-occurring
disorders.
13
(2)
Treatment
policy,
built
on
the
premise
that
14
co-occurring
issues
are
the
norm
rather
than
the
exception,
15
and
includes
methods
to
deliver
services
through
integrated
16
care
models
that
regulate
team-based
care
or
close
coordination
17
between
providers,
use
of
dual
treatment
planning
methods,
18
standards
for
counselors
to
attain
and
practice
with
dual
19
certification,
licensure
solutions
for
dual
programs
and
20
practitioners,
and
effective
treatment
modalities
for
21
short-term
and
long-term
outcomes.
22
(3)
Recovery
policy,
including
practices
to
integrate
23
co-occurring
approaches
in
mobile
crisis
response
and
other
24
crisis
services,
implementation
of
harm
reduction
practices,
25
integration
of
feasible
medication
strategies
to
support
26
mental
health
issues
in
alignment
with
substance
use
disorder
27
recovery,
and
incentive
programs
to
support
recovery
efforts.
28
(4)
Resource
deployment
policy
including
all
of
the
29
following:
30
(a)
The
combining
and
leveraging
of
state,
regional,
31
and
local
partnerships
to
optimize
opioid
settlement
funds
32
available
to
the
state
and
counties.
33
(b)
Allocation
of
federal
substance
abuse
and
mental
health
34
services
administration
block
grants
for
substance
abuse
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prevention
and
treatment
and
community
mental
health
services.
1
(c)
Other
related
federal
government
and
private
funding
2
opportunities.
3
(5)
Provisions
for
peer
support
workers
consistent
with
4
the
guidance
of
the
federal
substance
abuse
and
mental
health
5
services
administration’s
bringing
recovery
supports
to
scale
6
technical
assistance
center
strategy.
7
(6)
Opportunities
through
the
alignment
of
the
department
8
of
health
and
human
services
to
integrate
the
fragmented
9
behavioral
health
and
substance
use
disorder
services
systems
10
into
a
system
of
comprehensive,
whole-person
care,
that
11
utilizes
public
funding
more
efficiently
and
increases
the
12
return
on
investment
through
enhanced
community
health
for
all
13
Iowans.
14
2.
There
is
appropriated
from
the
opioid
settlement
fund
15
created
in
section
12.51
to
the
department
of
health
and
16
human
services,
for
task
force
support
for
the
fiscal
year
17
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
following
18
amount,
or
so
much
thereof
as
is
necessary,
for
the
purposes
19
designated:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
150,000
21
The
task
force
shall
approve
any
contract
for
external
22
assistance
to
the
task
force.
23
3.
a.
There
is
appropriated
from
the
opioid
settlement
24
fund
created
in
section
12.51
to
the
department
of
health
and
25
human
services,
for
the
fiscal
year
beginning
July
1,
2024,
and
26
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
27
as
is
necessary
for
the
purposes
designated:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000,000
29
b.
For
dollar-for-dollar
matching
grants
to
mental
health
30
and
disability
services
regions
to
be
used
for
long-term
31
residential
treatment
and
recovery
services
for
persons
32
diagnosed
with
one
or
more
disorders
including
a
substance
use
33
disorder
in
accordance
with
the
recommendations
of
the
task
34
force
convened
under
this
section.
35
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c.
Notwithstanding
section
8.33,
moneys
appropriated
in
1
this
subsection
that
remain
unencumbered
or
unobligated
at
the
2
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
3
available
for
the
purposes
designated
until
expended.
4
Sec.
13.
IOWA
FINANCE
AUTHORITY
——
TRANSITIONAL
HOUSING
5
FOR
ELIGIBLE
SERVICE
MEMBERS.
There
is
appropriated
from
the
6
opioid
settlement
fund
established
in
section
12.51
to
the
7
Iowa
finance
authority
for
the
fiscal
year
beginning
July
1,
8
2023,
and
ending
June
30,
2024,
the
following
amount,
or
so
9
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
10
designated:
11
To
provide
grants,
low-interest
loans,
and
loan
guarantees
12
to
veteran-led
nonprofit
organizations:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,300,000
14
1.
Amounts
appropriated
pursuant
to
this
section
shall
be
15
distributed
to
veteran-led
nonprofit
organizations
provided
16
that
the
organization
meets
all
of
the
following
conditions:
17
a.
The
funds
will
be
used
to
purchase
land,
construct
18
housing,
or
furnish
housing
for
the
purpose
of
providing
19
transitional
housing
to
homeless
veterans.
20
b.
The
veterans
receiving
transitional
housing
benefits
21
pursuant
to
paragraph
“a”
are
suffering
from
or
are
at
risk
of
22
opioid
or
other
substance
abuse
disorder,
post-traumatic
stress
23
disorder,
or
another
mental
illness
or
life
disruption
as
the
24
Iowa
finance
authority,
in
consultation
with
the
department
25
of
health
and
human
services
and
the
department
of
veterans
26
affairs,
deems
appropriate.
27
c.
The
funds
are
used
as
a
part
of
a
wraparound
health
28
and
social
services
program
provided
by
or
through
the
29
organization.
30
2.
Notwithstanding
section
8.33,
moneys
appropriated
in
31
this
section
that
remain
unencumbered
or
unobligated
at
the
32
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
33
available
for
expenditure
for
the
purposes
designated
until
the
34
close
of
the
succeeding
fiscal
year.
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EXPLANATION
1
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
2
the
explanation’s
substance
by
the
members
of
the
general
assembly.
3
This
bill
relates
to
services,
treatment,
research,
4
education,
and
other
activities
relating
to
substance
use
5
disorders,
mental
health,
and
other
conditions,
including
those
6
relating
to
opioids,
and
provides
appropriations.
7
BOARD
OF
PHARMACY.
The
bill
appropriates
funds
from
the
8
opioid
settlement
fund
created
in
Code
section
12.51
to
the
9
board
of
pharmacy
for
fiscal
year
2023-2024
for
the
board
of
10
pharmacy
to
integrate
the
state’s
prescription
monitoring
11
program
with
health
care
providers’
electronic
medical
record
12
or
pharmacy
dispensing
systems
to
allow
a
seamless
connection
13
between
the
prescription
monitoring
program
and
those
systems;
14
and
for
the
board
of
pharmacy
to
implement
the
opioid
and
15
naloxone
education
(ONE)
program
to
provide
resources
to
16
pharmacists
to
educate
patients
regarding
opioid
misuse
and
17
accidental
overdose
in
order
to
decrease
opioid
prescription
18
rates
and
the
related
addiction
and
overdose
deaths
in
the
19
state.
If
sufficient
funds
are
not
available
through
the
20
opioid
settlement
fund
to
satisfy
the
appropriations,
there
is
21
appropriated
from
the
Iowa
coronavirus
fiscal
recovery
fund
22
created
in
Code
section
8.57G
to
the
board
of
pharmacy
for
23
fiscal
year
2023-2024,
an
amount
sufficient
to
provide
the
24
total
amounts
specified
for
the
purposes
designated.
Funds
25
appropriated
shall
not
revert
but
shall
remain
available
until
26
the
close
of
the
succeeding
fiscal
year.
27
ACCESS
TO
NALOXONE.
The
bill
appropriates
funds
from
the
28
opioid
settlement
fund
for
deposit
in
the
opioid
antagonist
29
medication
fund
created
in
Code
section
135.190A
for
fiscal
30
year
2023-2024
to
be
used
by
the
department
of
health
and
human
31
services
(HHS)
for
the
purchase,
provision,
maintenance,
and
32
replacement
of
opioid
antagonist
medication
administered
by
33
first
responders
to
persons
experiencing
an
opioid-related
34
overdose
and
to
county
health
departments
for
distribution
to
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accredited
schools
and
institutions
of
higher
education
upon
1
request.
If
sufficient
funds
are
not
available
through
the
2
opioid
settlement
fund
to
satisfy
the
appropriation,
there
3
is
appropriated
from
the
Iowa
coronavirus
fiscal
recovery
4
fund
for
fiscal
year
2023-2024
for
deposit
in
the
opioid
5
antagonist
medication
fund
an
amount
sufficient
to
provide
the
6
total
amount
specified
for
the
purposes
designated.
Funds
7
appropriated
shall
not
revert
but
shall
remain
available
until
8
the
close
of
the
succeeding
fiscal
year.
9
RECOVERY
HIGH
SCHOOLS.
The
bill
appropriates
funds
from
the
10
opioid
settlement
fund
to
HHS
for
fiscal
year
2023-2024
to
be
11
used
by
HHS
in
collaboration
with
the
department
of
education
12
to
study
and
make
recommendations
regarding
the
establishment
13
of
one
or
more
public
or
private
recovery
high
schools
in
14
Iowa
designed
for
the
education
of
students
in
recovery
from
15
substance
use
disorders
or
dependency
or
co-occurring
disorders
16
such
as
anxiety,
depression,
or
attention
deficit
hyperactivity
17
disorder.
The
schools
must
meet
state
requirements
for
18
awarding
a
secondary
school
diploma
and
support
students
19
engaged
in
a
program
of
recovery.
The
department
of
health
20
and
human
services
shall
complete
the
study
and
submit
its
21
recommendations
to
the
governor
and
the
general
assembly
by
22
November
1,
2023.
The
recommendations
shall
include
provisions
23
for
students
to
be
eligible
for
education
savings
accounts
24
without
regard
to
family
financial
capacity.
If
sufficient
25
funds
are
not
available
through
the
opioid
settlement
fund
to
26
satisfy
the
appropriation,
there
is
appropriated
from
the
Iowa
27
coronavirus
fiscal
recovery
fund
for
fiscal
year
2023-2024
to
28
HHS
an
amount
sufficient
to
provide
the
total
amount
specified
29
for
the
purposes
designated.
Funds
appropriated
shall
not
30
revert
but
shall
remain
available
until
the
close
of
the
31
succeeding
fiscal
year.
32
CORRECTIONAL
INSTITUTIONS
AND
COUNTY
JAILS.
The
bill
33
appropriates
funds
from
the
opioid
settlement
fund
to
34
HHS
for
fiscal
year
2023-2024
for
HHS
to
transfer
to
the
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department
of
corrections
for
use
in
subsidizing
the
costs
of
1
providing
medication-assisted
treatment
to
persons
confined
2
to
correctional
institutions
or
county
jails
being
treated
3
for
opioid
use
disorder,
to
purchase
state-of-the-art
urine
4
sample
cups
for
use
in
the
drug
monitoring
programs,
and
to
5
fund
efforts
to
fight
hepatitis
C,
a
potentially
devastating
6
but
curable
disease
spread
through
intravenous
needle
use
7
of
opioids
and
other
drugs
in
prison
populations.
For
8
counties,
the
funding
is
subject
to
a
dollar-to-dollar
match
of
9
county
opioid
settlement
funds.
If
sufficient
funds
are
not
10
available
through
the
opioid
settlement
fund
to
satisfy
the
11
appropriation,
there
is
appropriated
from
the
Iowa
coronavirus
12
fiscal
recovery
fund
to
HHS
for
transfer
to
the
department
of
13
corrections
for
fiscal
year
2023-2024
an
amount
sufficient
to
14
provide
the
total
amount
specified
for
the
purposes
designated.
15
Funds
appropriated
shall
not
revert
but
shall
remain
available
16
until
the
close
of
the
succeeding
fiscal
year.
17
VETERANS
COURTS.
The
bill
appropriates
funds
from
the
18
opioid
settlement
fund
to
the
department
of
veterans
affairs
19
for
fiscal
year
2023-2024
to
be
transferred
to
the
judicial
20
branch
to
establish
a
veterans
court
with
a
full-time
outreach
21
coordinator
in
each
judicial
district
to
provide
court
services
22
to
veterans
and
to
integrate
court
sanctions
and
incentives
23
with
substance
use
disorder
treatment,
mental
health
treatment,
24
and
transitional
services
for
veterans
in
a
judicially
25
supervised
setting.
The
jurisdiction
of
the
veterans
court
26
may
be
exercised
by
any
district
judge
and
by
any
district
27
associate
judge
who
is
designated
by
the
chief
judge
of
a
28
judicial
district
as
a
judge
of
the
veterans
court.
The
chief
29
judge
shall
designate
one
or
more
district
judges
and
district
30
associate
judges
to
act
as
judges
of
the
veterans
courts
for
a
31
judicial
district.
The
chief
judge
may
designate
a
veterans
32
court
judge
to
preside
in
more
than
one
county.
If
sufficient
33
funds
are
not
available
through
the
opioid
settlement
fund
to
34
satisfy
the
appropriation,
there
is
appropriated
from
the
Iowa
35
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coronavirus
fiscal
recovery
fund
for
fiscal
year
2023-2024
to
1
the
department
of
veterans
affairs
for
transfer
to
the
judicial
2
branch
an
amount
sufficient
to
provide
the
total
amount
3
specified
for
the
purposes
designated.
Funds
appropriated
4
shall
not
revert
but
shall
remain
available
until
the
close
of
5
the
succeeding
fiscal
year.
6
STATE
EMPLOYEE
BENEFITS.
The
bill
appropriates
funds
from
7
the
opioid
settlement
fund
to
the
department
of
administrative
8
services
(DAS)
for
fiscal
year
2023-2024
to
be
used
by
DAS
9
in
cooperation
with
any
health
insurance
plans
or
health
10
plan
administrators
of
benefits
extended
to
state
employees
11
to
create
a
model
benefit
plan
designed
to
incentivize
or
12
otherwise
promote
the
effective,
evidence-based
prescription
13
and
use
of
opioids
to
members
receiving
benefits
through
state
14
plans,
document
the
current
use
of
benefits
for
substance
15
use
disorders,
identify
gaps
or
unnecessary
restrictions
in
16
coverage,
and
expand
access
to
evidence-based
treatments
17
and
therapies,
including
nonpharmacological
treatments.
18
If
sufficient
funds
are
not
available
through
the
opioid
19
settlement
fund
to
satisfy
the
appropriation,
there
is
20
appropriated
from
the
Iowa
coronavirus
fiscal
recovery
fund
to
21
DAS
for
fiscal
year
2023-2024
an
amount
sufficient
to
provide
22
the
total
amount
specified
for
the
purposes
designated.
Funds
23
appropriated
shall
not
revert
but
shall
remain
available
until
24
the
close
of
the
succeeding
fiscal
year.
25
MEDICAID
RECIPIENTS.
The
bill
appropriates
funds
from
26
the
opioid
settlement
fund
to
HHS
for
fiscal
year
2023-2024
27
to
be
used
by
HHS,
in
cooperation
with
Medicaid
managed
care
28
organizations,
to
design
benefit
plans
to
incentivize
or
29
otherwise
promote
the
effective,
evidence-based
prescription
30
and
use
of
opioids
to
Medicaid
recipients,
document
the
31
current
use
of
benefits
for
substance
use
disorders,
identify
32
gaps
or
unnecessary
restrictions
in
coverage,
and
expand
33
access
to
evidence-based
treatment
and
therapies,
including
34
nonpharmacological
treatments.
The
department
of
health
and
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human
services
shall
seek
any
Medicaid
state
plan
amendment
1
or
waiver
necessary
to
administer
this
provision
of
the
2
bill.
If
sufficient
funds
are
not
available
through
the
3
opioid
settlement
fund
to
satisfy
the
appropriation,
there
is
4
appropriated
from
the
Iowa
coronavirus
fiscal
recovery
fund
to
5
HHS
for
fiscal
year
2023-2024
an
amount
sufficient
to
provide
6
the
total
amount
specified
for
the
purposes
designated.
Funds
7
appropriated
shall
not
revert
but
shall
remain
available
until
8
the
close
of
the
succeeding
fiscal
year.
9
RESEARCH
AND
EDUCATION.
The
bill
appropriates
funds
10
from
the
opioid
settlement
fund
to
HHS,
the
state
board
11
of
regents,
and
the
department
of
public
safety.
The
12
appropriation
to
HHS
is
to
contract
with
the
Iowa
health
13
care
collaborative
to
develop
and
pilot
protocols
for
the
14
treatment
of
emergency
room
patients
experiencing
opioid
or
15
heroin
overdoses,
including
the
provisions
of
peer
counseling
16
and
advocacy
and
to
reduce
opioid
exposure
by
educating
17
doctors
and
hospitals,
especially
in
rural
areas,
to
adopt
18
the
enhanced
recovery
after
surgery
(ERAS)
principles;
for
19
the
psychiatric
residency
programs
involved
with
coordinated,
20
collaborative
care
at
newly
established,
community-based
21
behavioral
health
treatment
facilities
offering
residential
22
substance
use
disorder
treatment
for
29
days
or
more;
and
to
23
pilot
the
establishment
and
operation
of
three
community-based
24
syringe
service
programs,
conditioned
on
the
implementation
25
of
written
agreements
with
local
law
enforcement
agencies
26
and
county
attorneys
to
refrain
from
charging
or
prosecuting
27
program
sponsors
or
participants
for
violations
of
Code
28
section
124.414
(drug
paraphernalia).
The
appropriation
to
29
the
state
board
of
regents
is
to
be
used
to
fund
research
30
on
medication-assisted
treatment
for
substance
use
disorders
31
conducted
at
the
university
of
Iowa
college
of
public
health
32
to
identify
variability
in
outcomes,
demonstrate
efficacy
of
33
treatment,
and
refine
evidence-based
protocols;
and
to
fund
34
research
and
education
conducted
at
the
university
of
Iowa
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Carver
college
of
medicine
for
the
nonnarcotic
treatment
1
of
pain.
The
appropriation
to
the
department
of
public
2
safety
is
to
be
used
to
establish
and
direct
a
task
force,
3
in
collaboration
with
HHS,
to
make
recommendations,
based
on
4
public
health
principles,
to
restructure
the
response
of
the
5
state’s
health
and
justice
systems
to
illicit
drug
use
and
to
6
individuals
suffering
from
substance
use
disorders,
with
a
7
report
submitted
to
the
governor
and
the
general
assembly
by
8
July
1,
2024.
If
sufficient
funds
are
not
available
through
9
the
opioid
settlement
fund
to
satisfy
the
appropriations,
there
10
is
appropriated
from
the
Iowa
coronavirus
fiscal
recovery
11
fund
created
in
section
8.57G,
to
the
entities
specified
for
12
fiscal
year
2023-2024,
sufficient
amounts
to
provide
the
total
13
amounts
specified
to
the
entities
specified
for
the
purposes
14
designated.
Funds
appropriated
shall
not
revert
but
shall
15
remain
available
until
the
close
of
the
succeeding
fiscal
year.
16
PUBLIC
HEALTH
STRUCTURE
AND
INFRASTRUCTURE.
The
bill
17
appropriates
funds
from
the
opioid
settlement
fund
to
the
18
university
of
Iowa
college
of
public
health
for
fiscal
year
19
2023-2024
to
conduct
a
comprehensive
review
and
evaluation
of
20
the
existing
public
health
structure
and
infrastructure
in
21
Iowa,
and
to
make
recommendations
for
policy
and
funding
to
22
improve
capacity
of
the
state
and
local
communities
to
address
23
substance
use
and
related
issues;
to
coordinate
increased,
24
systematic
efforts
with
local
public
health
authorities
to
25
address
the
personal
behaviors,
societal
conditions,
and
lack
26
of
access
to
services
that
are
identified
as
risk
factors
27
for
substance
use
disorders
and
related
co-occurring
health
28
conditions;
and
to
provide
paid
internships
for
college
of
29
public
health
students
paired
with
local
health
departments
to
30
support
the
development
of
local
public
health
infrastructure,
31
conduct
community
health
needs
assessments,
and
assist
in
32
the
successful
implementation
of
health
improvement
plans
33
to
address
substance
use
disorders
and
co-occurring
brain
34
health
and
related
conditions.
If
sufficient
funds
are
not
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available
through
the
opioid
settlement
fund
to
satisfy
the
1
appropriations,
there
is
appropriated
from
the
Iowa
coronavirus
2
fiscal
recovery
fund
to
the
university
of
Iowa
college
of
3
public
health
for
fiscal
year
2023-2024
a
sufficient
amount
4
to
provide
the
total
amounts
specified
for
the
purposes
5
designated.
Funds
appropriated
shall
not
revert
but
shall
6
remain
available
until
the
close
of
the
succeeding
fiscal
year.
7
RECOVERY
HOUSING.
The
bill
appropriates
funds
from
the
8
opioid
settlement
fund
to
HHS
for
fiscal
year
2023-2024,
to
be
9
used
by
HHS,
in
collaboration
with
the
Iowa
finance
authority
10
and
community-based
organizations,
to
engage
in
work
to
11
increase
the
availability
of
recovery
housing
throughout
the
12
state.
The
moneys
shall
be
distributed
as
grants
to
recovery
13
housing
providers
whose
application
for
assistance
is
in
14
accordance
with
a
county
community
health
needs
assessment
and
15
health
improvement
plan.
A
county
otherwise
receiving
opioid
16
settlement
funds
shall
match
the
grant
funding
provided
on
a
17
dollar-for-dollar
basis.
If
sufficient
funds
are
not
available
18
through
the
opioid
settlement
to
satisfy
the
appropriation,
19
there
is
appropriated
from
the
Iowa
coronavirus
fiscal
recovery
20
fund
to
HHS
for
fiscal
year
2023-2024,
a
sufficient
amount
to
21
provide
the
total
amount
specified
for
the
purposes
designated.
22
Funds
appropriated
shall
not
revert
but
shall
remain
available
23
until
the
close
of
the
succeeding
fiscal
year.
24
INSURANCE
COVERAGE
STUDY
——
REPORT.
The
bill
appropriates
25
funds
from
the
opioid
settlement
fund
to
the
department
of
26
insurance
and
financial
services,
for
fiscal
year
2023-2024,
27
for
the
department
of
insurance
and
financial
services
to
28
perform
a
comprehensive
study
and
prepare
a
comprehensive
29
report
on
insurance
coverage
and
payment
policies
for
services
30
related
to
the
treatment
of
substance
use
disorders
by
31
commercial
insurance
companies
and
self-funded
plans,
as
well
32
as
data
on
current
utilization
and
expenditures
associated
33
with
such
benefit
plans.
The
report
shall
be
submitted
34
to
the
general
assembly
by
January
1,
2024.
If
sufficient
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funds
are
not
available
through
the
opioid
settlement
fund
to
1
satisfy
the
appropriation,
there
is
appropriated
from
the
Iowa
2
coronavirus
fiscal
recovery
fund
to
the
division
of
insurance
3
of
the
department
of
commerce
for
fiscal
year
2023-2024
an
4
amount
sufficient
to
provide
the
total
amount
specified
for
the
5
purposes
designated.
Funds
appropriated
shall
not
revert
but
6
shall
remain
available
until
the
close
of
the
succeeding
fiscal
7
year.
8
INTEGRATED
SYSTEM
FOR
PREVENTION,
TREATMENT,
RECOVERY,
AND
9
RESOURCES.
The
bill
requires
the
director
of
health
and
human
10
services
to
convene
a
task
force
to
develop
recommendations
11
regarding
an
integrated
system
for
prevention,
treatment,
12
recovery,
and
resources.
The
bill
specifies
the
membership
13
of
the
task
force,
and
requires
the
task
force
to
submit
a
14
report
to
the
governor
and
the
general
assembly
by
June
30,
15
2024,
specifying
recommendations
for
an
integrated
system
16
that
blends
funding
and
provides
an
efficient
system
of
17
comprehensive,
whole-person
care.
The
bill
appropriates
18
funding
from
the
opioid
settlement
fund
to
support
the
task
19
force
and
provides
that
the
task
force
shall
approve
any
20
contract
for
external
assistance
to
the
task
force.
The
21
bill
appropriates
funds
from
the
opioid
settlement
fund
to
22
the
department
of
health
and
human
services
for
FY
2024-2025
23
to
provide
for
dollar-for-dollar
matching
grants
to
mental
24
health
and
disability
services
regions
to
be
used
for
long-term
25
residential
treatment
and
recovery
services
in
accordance
with
26
the
recommendations
of
the
task
force.
Moneys
appropriated
27
shall
not
revert
but
shall
remain
available
for
the
purposes
28
designated
until
the
close
of
the
succeeding
fiscal
year.
29
TRANSITIONAL
HOUSING
FOR
HOMELESS
VETERANS.
The
bill
30
relates
to
transitional
housing
for
specified
homeless
31
veterans.
32
The
bill
appropriates
$4.3
million
from
the
opioid
33
settlement
fund
to
the
Iowa
finance
authority
(IFA)
for
FY
34
2023-2024
to
provide
grants,
low-interest
loans,
and
loan
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guarantees
to
veteran-led
nonprofit
organizations
(VNO).
1
The
bill
makes
the
distribution
of
such
moneys
appropriated
2
to
the
IFA
contingent
on
a
VNO
using
the
funds
to
purchase
3
land,
construct
housing,
or
furnish
housing
for
the
purpose
of
4
providing
transitional
housing
to
homeless
veterans;
ensuring
5
the
veterans
receiving
such
transitional
housing
benefits
are
6
suffering
from
or
are
at
risk
of
opioid
or
other
substance
7
abuse
disorder,
post-traumatic
stress
disorder,
or
another
8
mental
illness
or
life
disruption
as
the
IFA,
in
consultation
9
with
the
department
of
health
and
human
services
and
the
10
department
of
veterans
affairs,
deems
appropriate;
and
that
11
the
funds
are
used
as
a
part
of
a
wraparound
health
and
social
12
services
program
provided
by
or
through
the
VNO.
13
All
moneys
appropriated
pursuant
to
this
section
of
the
bill
14
that
remain
unencumbered
or
unobligated
at
the
close
of
the
15
fiscal
year
shall
not
revert
but
shall
remain
available
for
16
expenditure
for
the
purposes
designated
until
the
close
of
the
17
succeeding
fiscal
year.
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