Bill Text: IA SF2336 | 2011-2012 | 84th General Assembly | Enrolled
Bill Title: A bill for an act relating to appropriations for health and human services and including other related provisions and appropriations, making penalties applicable, and including effective, retroactive, and applicability date provisions. (Formerly SSB 3201.) Item veto. Various effective dates; see sections 51, 70, 71, and 89 of bill.
Spectrum: Committee Bill
Status: (Passed) 2012-05-25 - Item vetoed, signed by Governor. S.J. 951. [SF2336 Detail]
Download: Iowa-2011-SF2336-Enrolled.html
Senate
File
2336
AN
ACT
RELATING
TO
APPROPRIATIONS
FOR
HEALTH
AND
HUMAN
SERVICES
AND
INCLUDING
OTHER
RELATED
PROVISIONS
AND
APPROPRIATIONS,
MAKING
PENALTIES
APPLICABLE,
AND
INCLUDING
EFFECTIVE,
RETROACTIVE,
AND
APPLICABILITY
DATE
PROVISIONS.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
DIVISION
I
DEPARTMENT
ON
AGING
Section
1.
2011
Iowa
Acts,
chapter
129,
section
113,
is
amended
to
read
as
follows:
SEC.
113.
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,
2012,
and
ending
June
30,
2013,
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:
.
.
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.
.
.
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.
$
5,151,288
10,342,086
.
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FTEs
35.00
36.00
Senate
File
2336,
p.
2
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.
The
amount
appropriated
in
this
section
includes
additional
funding
of
$225,000
for
delivery
of
long-term
care
services
to
seniors
with
low
or
moderate
incomes.
3.
Of
the
funds
appropriated
in
this
section,
$89,973
$179,946
shall
be
transferred
to
the
department
of
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
retired
and
senior
volunteer
program.
4.
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.
5.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
to
provide
an
additional
local
long-term
care
Senate
File
2336,
p.
3
resident’s
advocate
to
administer
the
certified
volunteer
long-term
care
resident’s
advocate
program
pursuant
to
section
231.45
as
enacted
in
this
2012
Act.
6.
The
department
shall
develop
recommendations
for
an
implementation
schedule,
including
funding
projections,
for
the
substitute
decision
maker
program
created
pursuant
to
chapter
231E,
and
shall
submit
the
recommendations
to
the
individuals
identified
in
this
Act
for
submission
of
reports
by
December
15,
2012.
7.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
the
purview
of
the
department.
DIVISION
II
DEPARTMENT
OF
PUBLIC
HEALTH
Sec.
2.
2011
Iowa
Acts,
chapter
129,
section
114,
is
amended
to
read
as
follows:
SEC.
114.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
public
health
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
other
drugs,
and
treating
individuals
affected
by
addictive
behaviors,
including
gambling,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
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.
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$
11,751,595
23,863,690
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.
FTEs
13.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$1,626,915
$3,653,830
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
activities
of
the
initiative
under
this
subparagraph
(1)
and
shall
make
recommendations
to
the
director
in
the
development
of
budget
requests
relating
to
the
initiative.
Of
the
funds
allocated
Senate
File
2336,
p.
4
in
this
subparagraph
(1),
$750,000
shall
be
used
for
support
of
Quitline
Iowa.
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
$226,915
$453,830
shall
be
transferred
to
the
alcoholic
beverages
division
of
the
department
of
commerce
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
in
accordance
with
2011
Iowa
Acts,
House
File
467
,
as
enacted
chapter
63
.
(b)
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
terms
of
a
chapter
28D
agreement,
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
years
of
age,
shall
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,
$10,124,680
$20,249,360
shall
be
used
for
problem
gambling
and
substance
abuse
prevention,
treatment,
and
recovery
services,
including
a
24-hour
helpline,
public
information
resources,
professional
training,
and
program
evaluation.
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$8,566,254
$17,132,508
shall
be
used
for
substance
abuse
prevention
and
treatment.
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
$449,650
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
program
to
provide
substance
abuse
prevention
programming
for
children.
(i)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$213,769
$427,539
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
will
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
$426,839
shall
be
used
for
grant
funding
for
organizations
that
provide
programming
that
includes
youth
development
and
leadership.
The
programs
shall
also
be
Senate
File
2336,
p.
5
recognized
as
being
programs
that
are
scientifically
based
with
evidence
of
their
effectiveness
in
reducing
substance
abuse
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
$44,922
may
be
used
to
administer
substance
abuse
prevention
grants
and
for
program
evaluations.
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
$136,531
$273,062
shall
be
used
for
culturally
competent
substance
abuse
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
abuse
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
$1,558,426
$3,116,852
may
be
used
for
problem
gambling
prevention,
treatment,
and
recovery
services.
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
$1,289,500
$2,579,000
shall
be
used
for
problem
gambling
prevention
and
treatment.
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$218,926
$437,852
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
$100,000
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
abuse
and
gambling
addictions
shall
be
given
priority
in
treatment
services.
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
Senate
File
2336,
p.
6
to
standardize
the
availability,
delivery,
cost
of
delivery,
and
accountability
of
problem
gambling
and
substance
abuse
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
abuse
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
abuse
and
problem
gambling
treatment
shall
include
problem
gambling
prevention.
(2)
The
system
for
delivery
of
substance
abuse
and
problem
gambling
treatment
shall
include
substance
abuse
prevention
by
July
1,
2014.
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
may
use
up
to
$50,000
$100,000
for
administrative
costs
to
continue
developing
and
implementing
the
process
in
accordance
with
this
paragraph
“c”.
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
by
the
appropriations
and
allocations
made
in
this
Act
for
purposes
of
substance
abuse
treatment
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2012.
e.
The
department
of
public
health
shall
work
with
all
other
departments
that
fund
substance
abuse
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
abuse
services
as
required
under
the
federal
substance
abuse
prevention
and
treatment
block
grant.
f.
The
department
shall
amend
or
otherwise
revise
departmental
policies
and
contract
provisions
in
order
to
eliminate
free
t-shirt
distribution,
banner
production,
and
other
unnecessary
promotional
expenditures.
g.
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
subsection.
2.
HEALTHY
CHILDREN
AND
FAMILIES
For
promoting
the
optimum
health
status
for
children,
adolescents
from
birth
through
21
years
of
age,
and
families,
Senate
File
2336,
p.
7
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
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.
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.
.
.
.
$
1,297,135
2,603,559
.
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.
.
FTEs
10.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$369,659
$739,318
shall
be
used
for
the
healthy
opportunities
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,
2012.
0b.
(1)
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
as
follows:
(a)
By
July
1,
2013,
25
percent
of
state
funds
expended
for
home
visiting
programs
are
for
evidence-based
or
promising
program
models.
(b)
By
July
1,
2014,
50
percent
of
state
funds
expended
for
home
visiting
programs
are
for
evidence-based
or
promising
program
models.
(c)
By
July
1,
2015,
75
percent
of
state
funds
expended
for
home
visiting
programs
are
for
evidence-based
or
promising
program
models.
(d)
By
July
1,
2016,
90
percent
of
state
funds
expended
for
home
visiting
programs
are
for
evidence-based
or
promising
program
models.
The
remaining
10
percent
of
funds
may
be
used
for
innovative
program
models
that
do
not
yet
meet
the
definition
of
evidence-based
or
promising
programs.
(2)
For
the
purposes
of
this
lettered
paragraph,
unless
the
context
otherwise
requires:
(a)
“Evidence-based
program”
means
a
program
that
is
based
on
scientific
evidence
demonstrating
that
the
program
model
is
effective.
An
evidence-based
program
shall
be
reviewed
onsite
and
compared
to
program
model
standards
by
the
model
developer
or
the
developer’s
designee
at
least
every
five
years
to
ensure
that
the
program
continues
to
maintain
fidelity
with
the
program
model.
The
program
model
shall
have
had
demonstrated
significant
and
sustained
positive
outcomes
in
an
evaluation
utilizing
a
well-designed
and
rigorous
randomized
Senate
File
2336,
p.
8
controlled
research
design
or
a
quasi-experimental
research
design,
and
the
evaluation
results
shall
have
been
published
in
a
peer-reviewed
journal.
(b)
“Family
support
programs”
includes
group-based
parent
education
or
home
visiting
programs
that
are
designed
to
strengthen
protective
factors,
including
parenting
skills,
increasing
parental
knowledge
of
child
development,
and
increasing
family
functioning
and
problem
solving
skills.
A
family
support
program
may
be
used
as
an
early
intervention
strategy
to
improve
birth
outcomes,
parental
knowledge,
family
economic
success,
the
home
learning
environment,
family
and
child
involvement
with
others,
and
coordination
with
other
community
resources.
A
family
support
program
may
have
a
specific
focus
on
preventing
child
maltreatment
or
ensuring
children
are
safe,
healthy,
and
ready
to
succeed
in
school.
(c)
“Promising
program”
means
a
program
that
meets
all
of
the
following
requirements:
(i)
The
program
conforms
to
a
clear,
consistent
family
support
model
that
has
been
in
existence
for
at
least
three
years.
(ii)
The
program
is
grounded
in
relevant
empirically-based
knowledge.
(iii)
The
program
is
linked
to
program-determined
outcomes.
(iv)
The
program
is
associated
with
a
national
or
state
organization
that
either
has
comprehensive
program
standards
that
ensure
high-quality
service
delivery
and
continuous
program
quality
improvement
or
the
program
model
has
demonstrated
through
the
program’s
benchmark
outcomes
that
the
program
has
achieved
significant
positive
outcomes
equivalent
to
those
achieved
by
program
models
with
published
significant
and
sustained
results
in
a
peer-reviewed
journal.
(v)
The
program
has
been
awarded
the
Iowa
family
support
credential
and
has
been
reviewed
onsite
at
least
every
five
years
to
ensure
the
program’s
adherence
to
the
Iowa
family
support
standards
approved
by
the
early
childhood
Iowa
state
board
created
in
section
256I.3
or
a
comparable
set
of
standards.
The
onsite
review
is
completed
by
an
independent
review
team
that
is
not
associated
with
the
program
or
the
organization
administering
the
program.
(3)
(a)
The
data
reporting
requirements
applicable
to
the
HOPES-HFI
program
services
shall
include
the
requirements
adopted
by
the
early
childhood
Iowa
state
board
pursuant
to
section
256I.4
for
the
family
support
programs
targeted
Senate
File
2336,
p.
9
to
families
expecting
a
child
or
with
newborn
and
infant
children
through
age
five
and
funded
through
the
state
board.
The
department
of
public
health
may
specify
additional
data
reporting
requirements
for
the
HOPES-HFI
program
services.
The
HOPES-HFI
program
services
shall
be
required
to
participate
in
a
state
administered
internet-based
data
collection
system
by
July
1,
2013.
The
annual
reporting
concerning
the
HOPES-HFI
program
services
shall
include
program
outcomes
beginning
with
the
2015
report.
(b)
The
data
on
families
served
that
is
collected
by
the
HOPES-HFI
program
shall
include
but
is
not
limited
to
basic
demographic
information,
services
received,
funding
utilized,
and
program
outcomes
for
the
children
and
families
served.
(c)
The
HOPES-HFI
program
shall
work
with
the
early
childhood
Iowa
state
board
in
the
state
board’s
efforts
to
identify
minimum
competency
standards
for
the
employees
and
supervisors
of
family
support
programs
funded.
The
HOPES-HFI
program,
along
with
the
state
board,
shall
submit
recommendations
concerning
the
standards
to
the
governor
and
general
assembly
on
or
before
January
1,
2014.
(d)
On
or
before
January
1,
2013,
the
HOPES-HFI
program
shall
adopt
criminal
and
child
abuse
record
check
requirements
for
the
employees
and
supervisors
of
family
support
programs
funded
through
the
program.
(e)
The
HOPES-HFI
program
shall
work
with
the
early
childhood
Iowa
state
board
in
the
state
board’s
efforts
to
develop
a
plan
to
implement
a
coordinated
intake
and
referral
process
for
publicly
funded
family
support
programs
in
order
to
engage
the
families
expecting
a
child
or
with
newborn
and
infant
children
through
age
five
in
all
communities
in
the
state
by
July
1,
2015.
b.
Of
the
funds
appropriated
in
this
subsection,
$164,942
$329,885
shall
be
used
to
continue
to
address
the
healthy
mental
development
of
children
from
birth
through
five
years
of
age
through
local
evidence-based
strategies
that
engage
both
the
public
and
private
sectors
in
promoting
healthy
development,
prevention,
and
treatment
for
children.
The
department
shall
work
with
the
department
of
human
services,
Iowa
Medicaid
enterprise,
to
develop
a
plan
to
secure
matching
medical
assistance
program
funding
to
provide
services
under
this
paragraph,
which
may
include
a
per
member
per
month
payment
to
reimburse
the
care
coordination
and
community
outreach
services
component
that
links
young
children
and
their
Senate
File
2336,
p.
10
families
with
identified
service
needs.
c.
Of
the
funds
appropriated
in
this
subsection,
$15,798
$31,597
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
elderly
and
disabled
individuals.
d.
Of
the
funds
appropriated
in
this
subsection,
$56,338
$112,677
shall
be
used
for
childhood
obesity
prevention.
e.
Of
the
funds
appropriated
in
this
subsection,
$81,880
$163,760
shall
be
used
to
provide
audiological
services
and
hearing
aids
for
children.
The
department
may
enter
into
a
contract
to
administer
this
paragraph.
f.
Of
the
funds
appropriated
in
this
subsection,
$25,000
shall
be
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
health,
to
provide
dental
care
to
underserved
populations
throughout
the
state.
g.
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
subsection.
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,680,828
3,905,429
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
a.
Of
the
funds
appropriated
in
this
subsection,
$80,291
$160,582
shall
be
used
for
grants
to
individual
patients
who
have
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
special
foods.
b.
Of
the
funds
appropriated
in
this
subsection,
$241,800
$483,600
is
allocated
for
continuation
of
the
contracts
for
resource
facilitator
services
in
accordance
with
section
135.22B,
subsection
9
,
and
for
brain
injury
training
services
and
recruiting
of
service
providers
to
increase
the
capacity
within
this
state
to
address
the
needs
of
individuals
with
Senate
File
2336,
p.
11
brain
injuries
and
such
individuals’
families.
c.
Of
the
funds
appropriated
in
this
subsection,
$249,437
$550,000
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,
$15,627
$50,000
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
an
existing
national-affiliated
organization
to
provide
education,
client-centered
programs,
and
client
and
family
support
for
people
living
with
epilepsy
and
their
families.
e.
Of
the
funds
appropriated
in
this
subsection,
$394,151
$788,303
shall
be
used
for
child
health
specialty
clinics.
f.
Of
the
funds
appropriated
in
this
subsection,
$248,533
$497,065
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
lettered
paragraph,
$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.
g.
Of
the
funds
appropriated
in
this
subsection,
$63,225
$126,450
shall
be
used
for
cervical
and
colon
cancer
screening
,
and
$500,000
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
.
h.
Of
the
funds
appropriated
in
this
subsection,
$264,417
$528,834
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
i.
Of
the
funds
appropriated
in
this
subsection,
$64,968
$129,937
shall
be
used
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M
.
j.
No
later
than
December
15,
2012,
the
department
of
public
health,
in
collaboration
with
the
department
of
education
and
other
interested
parties,
shall
develop
guidelines
for
the
management
of
chronic
conditions
that
affect
children
to
be
made
available
to
public
schools
and
accredited
nonpublic
schools
throughout
the
state.
k.
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
Senate
File
2336,
p.
12
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
subsection.
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,117,583
4,869,980
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
a.
Of
the
funds
appropriated
in
this
subsection,
$50,000
$100,000
is
allocated
for
a
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
year
of
the
program’s
implementation
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,
$55,654
$111,308
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
and
$50,246
$100,493
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,
$585,745
$1,171,491
shall
be
used
for
essential
public
health
services
that
promote
healthy
aging
throughout
the
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,
$60,908
$100,000
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,
$72,271
Senate
File
2336,
p.
13
$144,542
shall
be
used
for
the
mental
health
professional
shortage
area
program
implemented
pursuant
to
section
135.80
135.180
.
f.
Of
the
funds
appropriated
in
this
subsection,
$19,131
$38,263
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
135.80
135.180
.
g.
Of
the
funds
appropriated
in
this
subsection,
the
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
safety
net
provider
network
established
pursuant
to
section
135.153
to
be
used
for
the
purposes
designated.
The
following
amounts
allocated
under
this
lettered
paragraph
shall
be
distributed
to
the
specified
provider
and
shall
not
be
reduced
for
administrative
or
other
costs
prior
to
distribution:
(1)
For
distribution
to
the
Iowa
primary
care
association
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
provider
network:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,290
146,563
(1A)
For
distribution
to
the
Iowa
primary
care
association
to
be
used
to
establish
a
grant
program
for
training
sexual
assault
response
team
(SART)
members,
including
representatives
of
law
enforcement,
victim
advocates,
prosecutors,
and
certified
medical
personnel:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
(1B)
For
distribution
to
federally
qualified
health
centers
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
(2)
For
distribution
to
the
local
boards
of
health
that
provide
direct
services
for
pilot
programs
in
three
counties
to
assist
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
77,609
(3)
For
distribution
to
maternal
and
child
health
centers
for
pilot
programs
in
three
counties
to
assist
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
95,582
Senate
File
2336,
p.
14
(4)
For
distribution
to
free
clinics
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,025
274,050
(5)
For
distribution
to
rural
health
clinics
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,215
142,192
(6)
For
continuation
of
the
safety
net
provider
patient
access
to
specialty
health
care
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
130,000
310,000
(7)
For
continuation
of
the
pharmaceutical
infrastructure
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
chapter
218,
section
108:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
135,000
320,000
The
Iowa
collaborative
safety
net
provider
network
may
continue
to
distribute
funds
allocated
pursuant
to
this
lettered
paragraph
through
existing
contracts
or
renewal
of
existing
contracts.
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
$74,500
$149,000
shall
be
used
for
continued
implementation
of
the
recommendations
of
the
direct
care
worker
task
force
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
based
upon
the
report
submitted
to
the
governor
and
the
general
assembly
in
December
2006
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
.
The
department
may
use
a
portion
of
the
funds
allocated
in
this
lettered
paragraph
subparagraph
(1)
for
an
additional
position
to
assist
in
the
continued
implementation.
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
$65,050
$150,000
shall
be
used
for
allocation
to
an
independent
statewide
direct
care
worker
association
under
a
continuation
of
the
contract
in
effect
during
the
fiscal
year
ending
June
Senate
File
2336,
p.
15
30,
2012,
with
terms
determined
by
the
director
of
public
health
relating
to
education,
outreach,
leadership
development,
mentoring,
and
other
initiatives
intended
to
enhance
the
recruitment
and
retention
of
direct
care
workers
in
health
care
and
long-term
care
settings.
(2)
Of
the
funds
appropriated
in
this
subsection,
$29,000
$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
$29,259
$58,518
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,
$25,000
$50,000
shall
be
used
for
a
matching
dental
education
loan
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
service
corporation
to
develop
the
criteria
and
implement
the
loan
repayment
program.
l.
Of
the
funds
appropriated
in
this
subsection,
$105,823
shall
be
transferred
to
the
college
student
aid
commission
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
261.115,
as
enacted
by
2012
Iowa
Acts,
House
File
2458,
to
be
used
for
the
purposes
of
the
fund.
m.
Of
the
funds
appropriated
in
this
subsection,
$50,000
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
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
year
of
the
program’s
implementation
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.
Senate
File
2336,
p.
16
o.
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
subsection.
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
a.
Of
the
funds
appropriated
in
this
subsection,
$1,004,593
$2,009,187
shall
be
used
for
local
public
health
nursing
services.
b.
Of
the
funds
appropriated
in
this
subsection,
$2,643,977
$5,287,955
shall
be
used
for
home
care
aide
services.
6.
ENVIRONMENTAL
HAZARDS
For
reducing
the
public’s
exposure
to
hazards
in
the
environment,
primarily
chemical
hazards,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
406,888
803,870
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
Of
the
funds
appropriated
in
this
subsection,
$272,188
$544,377
shall
be
used
for
childhood
lead
poisoning
provisions.
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
subsection.
7.
INFECTIOUS
DISEASES
For
reducing
the
incidence
and
prevalence
of
communicable
diseases,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
672,923
1,335,155
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
subsection.
Senate
File
2336,
p.
17
8.
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,388,116
2,779,127
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$235,845
$471,690
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,
$105,309
$210,619
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
lettered
paragraph
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,
not
more
than
$218,291
$539,477
shall
be
used
for
the
state
poison
control
center.
d.
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
subsection.
9.
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
409,777
804,054
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
a.
The
department
shall
review
the
operations
of
boards
including
professional
licensing
boards,
commissions,
committees,
councils
and
other
entities
within
the
departmental
organization
and
under
the
purview
of
the
department
and
shall
submit
recommendations
to
increase
efficiencies
and
reduce
duplication
of
their
operations
to
the
individuals
specified
in
this
Act
for
submission
of
reports
by
December
15,
2012.
b.
The
amount
appropriated
in
this
subsection
reflects
Senate
File
2336,
p.
18
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
budgeted
for
under
this
subsection.
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.
DIVISION
III
DEPARTMENT
OF
VETERANS
AFFAIRS
Sec.
3.
2011
Iowa
Acts,
chapter
129,
section
115,
is
amended
to
read
as
follows:
SEC.
115.
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,
2012,
and
ending
June
30,
2013,
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,
including
the
war
orphans
educational
assistance
fund
created
in
section
35.8
,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
499,416
1,025,819
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
The
treasurer
of
state
shall
review
the
return
on
investment
of
the
moneys
in
the
veterans
trust
fund
and
shall
submit
findings
and
recommendations
for
improving
the
return
to
the
individuals
specified
in
this
Act
for
submission
of
reports
by
December
17,
2012.
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,476,075
8,025,714
a.
The
Iowa
veterans
home
billings
involving
the
department
of
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
b.
If
there
is
a
change
in
the
employer
of
employees
providing
services
at
the
Iowa
veterans
home
under
a
collective
bargaining
agreement,
such
employees
and
the
agreement
shall
be
continued
by
the
successor
employer
as
though
there
had
not
Senate
File
2336,
p.
19
been
a
change
in
employer.
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.
d.
The
Iowa
veterans
home
expenditure
report
shall
be
submitted
monthly
to
the
legislative
services
agency.
e.
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
subsection.
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
VETERANS
For
provision
of
educational
assistance
pursuant
to
section
35.9
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,208
12,416
4.
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,600,000
Sec.
4.
2011
Iowa
Acts,
chapter
129,
section
116,
is
amended
to
read
as
follows:
SEC.
116.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
appropriation
in
the
following
designated
section
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
amounts
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
veterans
affairs
fund
under
section
35A.16
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
990,000
DIVISION
IV
DEPARTMENT
OF
HUMAN
SERVICES
Sec.
5.
2011
Iowa
Acts,
chapter
129,
section
117,
is
amended
to
read
as
follows:
SEC.
117.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
Senate
File
2336,
p.
20
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,
2012,
and
ending
June
30,
2013,
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,
and
from
moneys
received
under
the
emergency
contingency
fund
for
temporary
assistance
for
needy
families
state
program
established
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5
§
2101,
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,750,369
19,790,365
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,205,764
12,411,528
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,
2013,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
31,296,232
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
3,744,000
6.
For
state
child
care
assistance:
Senate
File
2336,
p.
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,191,343
16,382,687
The
funds
appropriated
in
this
subsection
shall
be
transferred
to
the
child
care
and
development
block
grant
appropriation
made
pursuant
to
2011
Iowa
Acts,
chapter
126,
section
32,
by
the
Eighty-fourth
General
Assembly,
2012
2011
Session,
for
the
federal
fiscal
year
beginning
October
1,
2012,
and
ending
September
30,
2013.
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.
7.
For
distribution
to
counties
for
state
case
services
for
persons
with
mental
health
and
illness,
an
intellectual
disability,
or
a
developmental
disabilities
community
services
disability
in
accordance
with
section
331.440
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
4,894,052
8.
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
32,084,430
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,
2012,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2012,
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
Senate
File
2336,
p.
22
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.
To
be
credited
to
the
state
child
care
assistance
appropriation
made
in
this
section
to
be
used
for
funding
of
community-based
early
childhood
programs
targeted
to
children
from
birth
through
five
years
of
age
developed
by
early
childhood
Iowa
areas
as
provided
in
section
256I.11
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,175,000
6,350,000
The
department
shall
transfer
TANF
block
grant
funding
appropriated
and
allocated
in
this
subsection
to
the
child
care
and
development
block
grant
appropriation
in
accordance
with
federal
law
as
necessary
to
comply
with
the
provisions
of
this
subsection.
13.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2011
or
2012
Iowa
Acts
regarding
the
receipt
and
appropriation
of
federal
block
grants,
federal
funds
from
the
emergency
contingency
fund
for
temporary
assistance
for
needy
families
state
program
established
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
of
2009
,
Pub.
L.
No.
111-5
§
2101
,
block
grant
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
not
otherwise
appropriated
in
this
section
and
remaining
available
as
of
for
the
fiscal
year
beginning
July
1,
2012,
and
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
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
the
fiscal
year
and
for
state
child
care
assistance
program
payments
for
individuals
enrolled
in
the
family
investment
program
who
are
employed.
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
under
chapter
239B
have
been
expended.
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
Senate
File
2336,
p.
23
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,
2012,
shall
be
transferred
to
the
appropriation
of
the
federal
social
services
block
grant
made
for
that
fiscal
year.
15.
For
continuation
of
the
program
allowing
the
department
to
maintain
categorical
eligibility
for
the
food
assistance
program
as
required
under
the
section
of
this
division
relating
to
the
family
investment
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
73,036
25,000
16.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
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
family
investment
program
from
the
general
fund
of
the
state.
Sec.
6.
2011
Iowa
Acts,
chapter
129,
section
118,
is
amended
to
read
as
follows:
SEC.
118.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1.
Moneys
credited
to
the
family
investment
program
(FIP)
account
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
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
this
section
to
the
appropriations
in
this
division
of
this
Act
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
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,
2012,
and
ending
June
30,
2013,
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
the
FIP
program
and
Senate
File
2336,
p.
24
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,671,417
5,542,834
(1)
Of
the
funds
allocated
for
the
family
development
and
self-sufficiency
grant
program
in
this
lettered
paragraph,
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
2012-2013.
c.
For
the
diversion
subaccount
of
the
FIP
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
1,698,400
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.
d.
For
the
food
stamp
employment
and
training
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
66,588
(1)
The
department
shall
amend
the
food
stamp
employment
and
training
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
for
the
claiming
of
allowable
federal
matching
funds
from
the
United
States
department
of
agriculture
pursuant
to
the
federal
food
stamp
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
Senate
File
2336,
p.
25
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,117,952
20,235,905
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
payment
account.
6.
The
department
may
adopt
emergency
rules
for
the
family
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
if
necessary
to
comply
with
federal
requirements.
Sec.
7.
2011
Iowa
Acts,
chapter
129,
section
119,
is
amended
to
read
as
follows:
SEC.
119.
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,
2012,
and
ending
June
30,
2013,
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,085,513
48,397,214
1.
Of
the
funds
appropriated
in
this
section,
$3,912,188
$7,824,377
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$1,231,927
Senate
File
2336,
p.
26
$2,663,854
is
allocated
for
the
family
development
and
self-sufficiency
grant
program.
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
beginning
July
1,
2012,
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,
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.
MH/MR/DD/BI
community
services
(local
purchase).
For
distribution
to
counties
for
state
case
services
for
persons
with
mental
illness,
an
intellectual
disability,
or
a
developmental
disability
in
accordance
with
section
331.440.
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,
$500,000
shall
be
used
for
distribution
to
a
nonprofit,
tax-exempt
association
that
receives
donations
under
section
170
of
the
Internal
Revenue
Code
and
whose
members
include
Iowa
food
banks
and
Senate
File
2336,
p.
27
their
affiliates
that
together
serve
all
counties
in
the
state,
to
be
used
to
purchase
food
for
distribution
to
food-insecure
Iowans.
6.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
section.
7.
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.
8.
2011
Iowa
Acts,
chapter
129,
section
120,
is
amended
to
read
as
follows:
SEC.
120.
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,
2012,
and
ending
June
30,
2013,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,559,627
13,149,541
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
1.
The
department
shall
expend
up
to
$12,164
$24,329
,
including
federal
financial
participation,
for
the
fiscal
year
beginning
July
1,
2012,
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
Senate
File
2336,
p.
28
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,
2012,
and
ending
June
30,
2013.
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
in
effect
until
June
30,
2013.
5.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
budgeted
for
under
this
section.
MEDICAL
ASSISTANCE
——
DISPROPORTIONATE
SHARE
HOSPITAL
Sec.
9.
2011
Iowa
Acts,
chapter
129,
section
122,
subsection
11,
paragraph
a,
unnumbered
paragraph
1,
is
amended
to
read
as
follows:
Of
the
funds
appropriated
in
this
section,
$7,425,684
$7,678,245
is
allocated
for
the
state
match
for
a
disproportionate
share
hospital
payment
of
$19,133,430
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
$7,500,000.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
of
$26,633,430.
MEDICAL
ASSISTANCE
——
IOWACARE
TRANSFER
Sec.
10.
2011
Iowa
Acts,
chapter
129,
section
122,
subsection
13,
is
amended
to
read
as
follows:
13.
Of
the
funds
appropriated
in
this
section,
up
to
$4,480,304
$8,684,329
may
be
transferred
to
the
IowaCare
account
created
in
section
249J.24
.
MEDICAL
ASSISTANCE
——
COST
CONTAINMENT
STRATEGIES
Sec.
11.
2011
Iowa
Acts,
chapter
129,
section
122,
subsection
20,
paragraphs
a
and
d,
are
amended
to
read
as
follows:
a.
The
department
may
continue
to
implement
cost
containment
strategies
recommended
by
the
governor
,
and
for
Senate
File
2336,
p.
29
the
fiscal
year
beginning
July
1,
2011,
and
shall
implement
new
strategies
for
the
fiscal
year
beginning
July
1,
2012,
as
specified
in
this
division
of
this
2012
Act.
It
is
the
intent
of
the
general
assembly
that
the
cost
containment
strategies
are
implemented
only
to
the
extent
necessary
to
achieve
projected
savings.
The
department
may
adopt
emergency
rules
for
such
implementation.
d.
If
the
savings
to
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2012,
exceed
the
cost,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
medical
assistance
program
cost
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
2009,
or
cost
containment
strategies
initiated
pursuant
to
this
subsection,
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.
Sec.
12.
2011
Iowa
Acts,
chapter
129,
section
122,
is
amended
by
adding
the
following
new
subsections:
NEW
SUBSECTION
.
23.
The
department
shall
provide
reimbursement
for
physician-administered
drugs
at
the
rates
in
effect
on
June
30,
2012,
less
2
percent,
in
order
to
approximate
payment
at
the
average
wholesale
price,
less
12
percent.
NEW
SUBSECTION
.
24.
The
department
shall
implement
a
hospital
inpatient
reimbursement
policy
to
provide
for
the
combining
of
an
original
claim
for
an
inpatient
stay
with
a
claim
for
a
subsequent
inpatient
stay
when
the
patient
is
admitted
within
seven
days
of
discharge
from
the
original
hospital
stay
for
the
same
condition.
NEW
SUBSECTION
.
25.
The
department
shall
transition
payment
for
and
administration
of
services
provided
by
psychiatric
medical
institutions
for
children
to
the
Iowa
plan.
NEW
SUBSECTION
.
26.
The
department
shall
adjust
medical
assistance
reimbursement
rates
for
physician
services
by
applying
a
site-of-service
differential
to
reflect
the
difference
between
the
cost
of
physician
services
when
provided
in
a
health
facility
setting
and
the
cost
of
physician
services
when
provided
in
a
physician’s
office.
The
adjustment
shall
be
applied
in
a
manner
that
does
not
exceed
$1
million
in
medical
assistance
program
cost
savings
annually.
NEW
SUBSECTION
.
27.
The
department
shall
apply
any
edits
to
Medicare
claims
submitted
for
reimbursement
under
Senate
File
2336,
p.
30
the
medical
assistance
program
as
necessary
to
ensure
claims
payment
accuracy
and
to
avoid
overpayments,
consistent
with
the
existing
medical
assistance
program
reimbursement
policy
for
such
Medicare
claims.
NEW
SUBSECTION
.
28.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
section.
MEDICAL
ASSISTANCE
FOR
EMPLOYED
PEOPLE
WITH
DISABILITIES
Sec.
13.
2011
Iowa
Acts,
chapter
129,
section
122,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
29.
The
department
of
human
services
shall
adopt
rules
for
the
Medicaid
for
employed
people
with
disabilities
program
to
provide
that
until
such
time
as
the
department
adopts
rules,
annually,
to
implement
the
most
recently
revised
poverty
guidelines
published
by
the
United
States
department
of
health
and
human
services,
the
calculation
of
gross
income
eligibility
and
premium
amounts
shall
not
include
any
increase
in
unearned
income
attributable
to
a
social
security
cost-of-living
adjustment
for
an
individual
or
member
of
the
individual’s
family
whose
unearned
income
is
included
in
such
calculation.
STATE
BALANCING
INCENTIVE
PAYMENTS
PROGRAM
Sec.
14.
2011
Iowa
Acts,
chapter
129,
section
122,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
30.
a.
The
funds
received
through
participation
in
the
medical
assistance
state
balancing
incentive
payments
program
created
pursuant
to
section
10202
of
the
federal
Patient
Protection
and
Affordable
Care
Act
of
2010,
Pub.
L.
No.
111-148
(2010),
as
amended
by
the
federal
Health
Care
and
Education
Reconciliation
Act
of
2010,
Pub.
L.
No.
111-152,
shall
be
used
by
the
department
of
human
services
to
comply
with
the
requirements
of
the
program
including
developing
a
no
wrong
door
single
entry
point
system;
providing
a
conflict-free
case
management
system;
providing
core
standardized
assessment
instruments;
complying
with
data
collection
requirements
relating
to
services,
quality,
and
outcomes;
meeting
the
applicable
target
spending
percentage
required
under
the
program
to
rebalance
long-term
care
spending
under
the
medical
assistance
program
between
home
and
community-based
services
and
institution-based
services;
and
for
new
or
expanded
medical
assistance
program
Senate
File
2336,
p.
31
non-institutionally
based
long-term
care
services
and
supports.
b.
The
department
shall
convene
stakeholders
to
provide
an
ongoing
advisory
process
to
ensure
that
implementation
is
accomplished
in
a
coordinated
and
integrated
manner
and
without
duplication.
The
department
shall
submit
periodic
progress
reports
regarding
implementation
to
the
individuals
identified
in
this
Act
for
submission
of
reports.
IOWACARE
LODGING
Sec.
15.
2011
Iowa
Acts,
chapter
129,
section
122,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
31.
Of
the
funds
appropriated
in
this
section,
$250,000
shall
be
used
for
lodging
expenses
associated
with
patient
care
provided
at
the
university
of
Iowa
hospitals
and
clinics
under
chapter
249J.
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
under
this
subsection
shall
not
be
used
as
nonfederal
share
matching
funds.
OUTPATIENT
CLINICAL
SERVICE
FOR
CHILDREN
Sec.
16.
2011
Iowa
Acts,
chapter
129,
section
122,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
32.
a.
Of
the
funds
appropriated
in
this
section,
not
more
than
$37,000
shall
be
used
to
provide
cost-based
reimbursement
for
100
percent
of
the
reasonable
costs
for
provision
of
outpatient
clinical
services
for
children
who
are
recipients
of
medical
assistance.
In
order
to
be
eligible
for
reimbursement
under
this
subsection,
a
provider
shall
be
an
accredited,
nonprofit
agency
that
meets
all
of
the
following
criteria
on
or
before
January
1,
2012:
(1)
Provides
clinical
outpatient
services
to
children
of
whom
at
least
60
percent
are
recipients
of
medical
assistance.
(2)
Provides
inpatient
services
licensed
under
chapter
135H,
outpatient
services,
psychiatric
and
psychological
services,
and
behavioral
health
intervention
services
for
children.
(3)
Directly
employs
a
full-time
psychiatrist,
psychologist,
and
licensed
therapist.
b.
The
department
of
human
services
shall
seek
federal
approval
to
amend
the
medical
assistance
program
state
plan
and
shall
amend
the
contract
with
the
department’s
managed
care
contractor
for
behavioral
health
services
under
the
medical
Senate
File
2336,
p.
32
assistance
program
to
provide
reimbursement
as
specified
in
this
subsection.
Implementation
of
this
subsection
is
contingent
upon
receipt
of
such
federal
approval
and
total
reimbursements
are
limited
to
the
funding
allocated
under
this
subsection.
c.
For
the
purposes
of
this
subsection,
“outpatient
services”
means
psychiatric
care,
psychological
care,
and
treatment
services,
but
does
not
include
behavioral
health
intervention
services
or
child
welfare
services
as
defined
for
existing
providers
under
the
department’s
managed
care
contract
for
behavioral
health
services.
Sec.
17.
2011
Iowa
Acts,
chapter
129,
section
123,
is
amended
to
read
as
follows:
SEC.
123.
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,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,453,728
5,791,994
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
$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.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
Senate
File
2336,
p.
33
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
budgeted
for
under
this
section.
Sec.
18.
2011
Iowa
Acts,
chapter
129,
section
124,
is
amended
to
read
as
follows:
SEC.
124.
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,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,425,373
15,450,747
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,
2012,
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.
19.
2011
Iowa
Acts,
chapter
129,
section
125,
is
amended
to
read
as
follows:
SEC.
125.
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,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
Senate
File
2336,
p.
34
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,403,051
36,806,102
2.
Of
the
funds
appropriated
in
this
section,
$64,475
$141,450
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
20.
2011
Iowa
Acts,
chapter
129,
section
126,
is
amended
to
read
as
follows:
SEC.
126.
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,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
26,618,831
62,264,342
1.
Of
the
funds
appropriated
in
this
section,
$25,948,041
$60,894,915
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
$432,453
is
allocated
for
the
statewide
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
$936,974
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.
The
department
may
use
any
of
the
funds
appropriated
Senate
File
2336,
p.
35
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.
6.
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
.
7.
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.
8.
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
section
or
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
Senate
File
2336,
p.
36
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.
9.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
that
shall
be
applied
equitably
to
the
programs
under
this
section.
Sec.
21.
2011
Iowa
Acts,
chapter
129,
section
127,
is
amended
to
read
as
follows:
SEC.
127.
JUVENILE
INSTITUTIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,129,125
8,297,765
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
budgeted
for
under
this
subsection.
2.
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,319,338
10,680,143
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
a.
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.
b.
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
budgeted
for
under
this
subsection.
Senate
File
2336,
p.
37
3.
A
portion
of
the
moneys
appropriated
in
this
section
shall
be
used
by
the
state
training
school
and
by
the
Iowa
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
activities
at
the
institutions
in
the
fiscal
year
beginning
July
1,
2012.
Sec.
22.
2011
Iowa
Acts,
chapter
129,
section
128,
is
amended
to
read
as
follows:
SEC.
128.
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,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,415,081
81,231,561
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
amount
allocated
under
the
appropriation
made
for
the
purposes
of
this
section
in
prior
years
for
purposes
of
juvenile
delinquent
graduated
sanction
services,
up
to
$2,600,000
$5,200,000
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.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
adoption
subsidy
to
support
the
adjustment
in
reimbursement
rates
for
specified
child
welfare
providers
as
provided
in
this
2012
Act.
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$15,084,564
$30,837,098
is
allocated
as
the
statewide
expenditure
target
under
section
232.143
for
group
foster
care
Senate
File
2336,
p.
38
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
allocated
in
this
lettered
paragraph,
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,
2012,
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
2012-2013.
Of
the
funds
appropriated
in
this
section,
$858,876
$1,717,753
is
allocated
specifically
for
expenditure
for
fiscal
year
2012-2013
through
the
decategorization
service
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
$3,585,058
$6,870,116
.
The
department
may
continue
or
execute
contracts
that
result
from
the
department’s
request
for
proposal,
bid
number
ACFS-11-114,
to
provide
the
range
of
child
welfare
emergency
services
described
in
the
request
for
proposals,
and
any
subsequent
amendments
to
the
request
for
proposals.
Senate
File
2336,
p.
39
8.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2012,
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.
Of
the
funds
appropriated
in
this
section,
at
least
$1,848,142
shall
be
used
for
protective
child
care
assistance.
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$1,031,244
$2,062,488
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
lettered
paragraph,
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’s
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,
2012.
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
Senate
File
2336,
p.
40
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
.
11.
Of
the
funds
appropriated
in
this
section,
$2,961,301
$6,022,602
is
allocated
for
juvenile
delinquent
graduated
sanctions
services.
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
services
to
earn
federal
Tit.
IV-Ematch
for
juvenile
court
services
administration
may
be
used
for
the
juvenile
delinquent
graduated
sanctions
services.
12.
Of
the
funds
appropriated
in
this
section,
$494,142
$1,288,285
shall
be
transferred
to
the
department
of
public
health
to
be
used
for
the
child
protection
center
grant
program
in
accordance
with
section
135.118
.
Of
the
amount
allocated
in
this
subsection,
$100,000
shall
be
used
for
a
center
for
the
Black
Hawk
county
area.
13.
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,
children
who
Senate
File
2336,
p.
41
participate
in
the
waiver
shall
be
considered
to
be
placed
in
foster
care.
14.
Of
the
funds
appropriated
in
this
section,
$1,534,916
$3,092,375
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46
.
15.
Of
the
funds
appropriated
in
this
section,
$260,075
$520,150
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
in
this
subsection
shall
be
distributed
as
follows:
To
the
judicial
branch
for
salaries
to
assist
with
the
operation
of
juvenile
drug
court
programs
operated
in
the
following
jurisdictions:
a.
Marshall
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
62,708
b.
Woodbury
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
125,682
c.
Polk
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
195,892
d.
The
third
judicial
district:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
67,934
e.
The
eighth
judicial
district:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
67,934
16.
Of
the
funds
appropriated
in
this
section,
$113,668
$227,337
shall
be
used
for
the
public
purpose
of
providing
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.
17.
Of
the
funds
appropriated
in
this
section,
$62,795
$200,590
is
allocated
for
the
elevate
foster
care
youth
council
approach
of
providing
a
support
network
to
children
placed
in
foster
care.
18.
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.
Senate
File
2336,
p.
42
19.
Of
the
funds
appropriated
in
this
section,
$315,120
$630,240
is
allocated
for
the
community
partnership
for
child
protection
sites.
20.
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.
21.
Of
the
funds
appropriated
in
this
section,
$600,247
$1,436,595
is
allocated
for
funding
of
the
state
match
for
community
circle
of
care
collaboration
for
children
and
youth
in
northeast
Iowa,
formerly
referred
to
as
the
federal
substance
abuse
and
mental
health
services
administration
(SAMHSA)
system
of
care
grant.
22.
Of
the
funds
appropriated
in
this
section,
at
least
$73,579
$147,158
shall
be
used
for
the
child
welfare
training
academy.
23.
Of
the
funds
appropriated
in
this
section,
$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.
23A.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
be
used
for
the
public
purpose
of
providing
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
the
lifespan.
The
grant
recipient
shall
utilize
the
funds
to
implement
a
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,
2012.
24.
Of
the
funds
appropriated
in
this
section
$125,000
$327,947
shall
be
used
for
continuation
of
the
central
Iowa
system
of
care
program
grant
through
June
30,
2013.
Senate
File
2336,
p.
43
25.
Of
the
funds
appropriated
in
this
section,
$80,000
$160,000
shall
be
used
for
the
public
purpose
of
the
continuation
of
a
system
of
care
grant
implemented
in
Cerro
Gordo
and
Linn
counties
in
accordance
with
this
Act
in
FY
2011-2012.
26.
Of
the
funds
appropriated
in
this
section,
at
least
$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.
27.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing,
and
shall
be
applied
equitably
to
the
programs
under
this
section.
Sec.
23.
2011
Iowa
Acts,
chapter
129,
section
129,
is
amended
to
read
as
follows:
SEC.
129.
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,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,633,295
36,788,576
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.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
child
and
family
services
to
support
the
adjustment
in
reimbursement
rates
for
specified
child
welfare
providers
as
provided
in
this
2012
Act.
3.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2012,
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
Senate
File
2336,
p.
44
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.
24.
2011
Iowa
Acts,
chapter
129,
section
131,
is
amended
to
read
as
follows:
SEC.
131.
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,
2012,
and
ending
June
30,
2013,
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
583,999
1,096,784
2.
The
department
shall
use
at
least
$192,750
$385,500
of
the
moneys
appropriated
in
this
section
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
section
225C.47
.
Not
more
than
$12,500
$25,000
of
the
amount
allocated
in
this
subsection
shall
be
used
for
administrative
costs.
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.
25.
2011
Iowa
Acts,
chapter
129,
section
132,
is
amended
to
read
as
follows:
SEC.
132.
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,
2012,
and
ending
June
30,
2013,
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):
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
33,622
Senate
File
2336,
p.
45
Sec.
26.
2011
Iowa
Acts,
chapter
129,
section
133,
is
amended
to
read
as
follows:
SEC.
133.
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,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
the
state
mental
health
institute
at
Cherokee
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,938,654
5,535,738
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
under
the
purview
of
the
mental
health
institute.
2.
For
the
state
mental
health
institute
at
Clarinda
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,205,867
6,442,688
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
under
the
purview
of
the
mental
health
institute.
3.
For
the
state
mental
health
institute
at
Independence
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,137,842
9,738,520
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
under
the
purview
of
the
mental
health
institute.
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
472,161
885,459
Senate
File
2336,
p.
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.72
The
amount
appropriated
in
this
subsection
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
under
the
purview
of
the
mental
health
institute.
Sec.
27.
2011
Iowa
Acts,
chapter
129,
section
134,
is
amended
to
read
as
follows:
SEC.
134.
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,
2012,
and
ending
June
30,
2013,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,253,900
18,866,116
The
amount
appropriated
in
this
paragraph
“a”
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
under
the
purview
of
the
state
resource
center.
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,392,829
13,033,115
The
amount
appropriated
in
this
paragraph
“b”
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
under
the
purview
of
the
state
resource
center.
2.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
ICFMR
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,
Senate
File
2336,
p.
47
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
2012-2013.
Sec.
28.
2011
Iowa
Acts,
chapter
129,
section
137,
is
amended
to
read
as
follows:
SEC.
137.
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,
2012,
and
ending
June
30,
2013,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,775,363
8,899,686
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
115.50
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
Senate
File
2336,
p.
48
such
a
contract
shall
be
considered
to
be
repayment
receipts
and
used
for
the
purposes
of
the
appropriation
made
in
this
section.
3.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
budgeted
for
under
this
section.
Sec.
29.
2011
Iowa
Acts,
chapter
129,
section
138,
is
amended
to
read
as
follows:
SEC.
138.
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,
2012,
and
ending
June
30,
2013,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,394,960
61,636,313
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
1.
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.
2.
The
amount
appropriated
in
this
section
reflects
a
reduction
in
expenditures
for
office
supplies,
purchases
of
equipment,
office
equipment,
printing
and
binding,
and
marketing
under
the
purview
of
the
department.
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
Sec.
30.
2011
Iowa
Acts,
chapter
129,
section
139,
is
amended
to
read
as
follows:
SEC.
139.
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,
2012,
and
ending
June
30,
2013,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,298,372
Senate
File
2336,
p.
49
16,100,684
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
285.00
295.00
1.
Of
the
funds
appropriated
in
this
section,
$19,271
$38,543
allocated
for
the
prevention
of
disabilities
policy
council
established
in
section
225B.3
.
2.
The
department
shall
report
at
least
monthly
to
the
legislative
services
agency
concerning
the
department’s
operational
and
program
expenditures.
3.
Of
the
funds
appropriated
in
this
section,
$66,150
$132,300
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.
4.
Of
the
funds
appropriated
in
this
section,
$88,200
$176,400
shall
be
used
to
continue
the
contract
to
expand
the
provision
of
nationally
accredited
and
recognized
internet-based
training
to
include
mental
health
and
disability
services
providers.
5.
Of
the
funds
appropriated
in
this
section,
$250,000
shall
be
used
for
continuation
of
child
protection
system
improvements
addressed
in
2011
Iowa
Acts,
House
File
562
,
as
enacted.
6.
Of
the
funds
appropriated
in
this
section,
not
more
than
$463,000
shall
be
used
by
the
department
of
human
services
to
pay
the
costs
for
appropriate
placement
of
any
individual
who
is
placed
in
a
transitional
release
program
under
chapter
229A
or
is
discharged
from
commitment
as
a
sexually
violent
predator
under
chapter
229A
because
the
individual
is
in
need
of
medical
treatment.
The
department
of
human
services
shall
implement
this
subsection
in
cooperation
with
the
department
of
corrections
and
any
judicial
district
department
of
correctional
services
involved
with
such
an
individual.
The
requirements
of
this
subsection
apply
in
lieu
of
the
requirements
of
the
judicial
district
departments
of
correctional
services
under
2011
Iowa
Acts,
chapter
134,
section
34,
subsection
1A,
if
enacted
by
2012
Iowa
Acts,
House
File
2335.
7.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
be
transferred
to
the
Iowa
finance
authority
to
be
used
for
administrative
support
of
the
council
on
homelessness
established
in
section
16.100A
and
for
the
council
to
fulfill
Senate
File
2336,
p.
50
its
duties
in
addressing
and
reducing
homelessness
in
the
state.
8.
Of
the
funds
appropriated
in
this
section,
$653,940
shall
be
distributed
equitably
among
the
state
mental
health
institutes,
state
juvenile
institutions,
the
unit
located
at
the
state
mental
health
institute
at
Cherokee
for
the
commitment
and
treatment
of
sexually
violent
predators,
and
the
state
resource
centers
for
salary
adjustment.
9.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
Sec.
31.
2011
Iowa
Acts,
chapter
129,
section
140,
is
amended
to
read
as
follows:
SEC.
140.
VOLUNTEERS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
84,660
PROVIDER
REIMBURSEMENT
——
NURSING
FACILITIES
Sec.
32.
2011
Iowa
Acts,
chapter
129,
section
141,
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
to
read
as
follows:
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
total
state
funding
amount
for
the
nursing
facility
budget
shall
not
exceed
$225,457,724
$237,226,901
.
PROVIDER
REIMBURSEMENT
——
PHARMACY,
HOME
HEALTH
AGENCIES,
PMICS,
HCBS
WAIVER
Sec.
33.
2011
Iowa
Acts,
chapter
129,
section
141,
subsection
1,
paragraphs
b,
f,
i,
and
q,
are
amended
to
read
as
follows:
b.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
department
shall
reimburse
pharmacy
dispensing
fees
using
a
single
rate
of
range
between
$4.34
and
$11.10
per
prescription
or
the
pharmacy’s
usual
and
customary
fee,
whichever
is
lower.
The
actual
dispensing
fee
set
within
the
range
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.
However,
Senate
File
2336,
p.
51
the
department
shall
adjust
the
dispensing
fee
specified
in
this
paragraph
to
distribute
an
additional
$2,981,980
in
reimbursements
for
pharmacy
dispensing
fees
under
this
paragraph
for
the
fiscal
year.
(2)
The
department
shall
implement
an
average
acquisition
cost
reimbursement
methodology
for
all
drugs
covered
under
the
medical
assistance
program.
The
methodology
shall
utilize
a
survey
of
pharmacy
invoices
in
determining
the
average
acquisition
cost
component
of
pharmacy
reimbursement.
Pharmacies
and
providers
that
are
enrolled
in
the
medical
assistance
program
shall
make
available
drug
acquisition
cost
invoice
information,
product
availability
information
if
known,
and
other
information
deemed
necessary
by
the
department
to
assist
the
department
in
monitoring
and
revising
the
reimbursement
rates
and
for
efficient
operation
of
the
pharmacy
benefit.
The
department
shall
provide
a
process
for
pharmacies
to
address
average
acquisition
cost
prices
that
are
not
reflective
of
the
actual
cost
of
a
drug.
With
regard
to
speciality
pharmacy
products
as
defined
by
the
department,
the
department
shall
consider
the
population
served,
the
current
delivery
system,
and
the
standard
of
care
relative
to
these
products,
and
may
adjust
the
product
reimbursement
rate
or
dispensing
fee
to
prevent
problems
with
access
to
these
products
and
their
associated
speciality
services.
(a)
A
pharmacy
or
provider
shall
produce
and
submit
the
requested
information
in
the
manner
and
format
requested
by
the
department
or
its
designee
at
no
cost
to
the
department
or
its
designee.
(b)
A
pharmacy
or
provider
shall
submit
information
to
the
department
or
its
designee
within
the
time
frame
indicated
following
receipt
of
a
request
for
information
unless
the
department
or
its
designee
grants
an
extension
upon
written
request
of
the
pharmacy
or
provider.
(3)
Any
dispensing
fee
expenses
or
acquisition
cost
information
required
to
be
submitted
to
the
department
under
this
paragraph
“b”
that
specifically
identifies
a
pharmacy’s
or
provider’s
individual
costs
shall
remain
strictly
confidential.
(4)
No
later
than
December
15,
2012,
the
department
shall
report
to
the
individuals
specified
in
this
Act
for
submission
of
reports,
providing
recommendations
for
adjusting
pharmacy
dispensing
fees
between
completion
of
surveys
to
ensure
fair
and
adequate
reimbursement
for
pharmacies.
f.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
Senate
File
2336,
p.
52
rates
for
home
health
agencies
shall
remain
at
be
increased
by
2
percent
over
the
rates
in
effect
on
June
30,
2012,
not
to
exceed
a
home
health
agency’s
actual
allowable
cost.
i.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
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
department
as
required
for
federal
compliance.
(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.
q.
For
the
fiscal
year
beginning
July
1,
2012,
the
department
shall
adjust
the
rates
in
effect
on
June
30,
2012,
reimbursement
rates
for
providers
of
home
and
community-based
services
waiver
services
to
distribute
an
additional
$1,500,000
in
reimbursements
to
such
providers
for
the
fiscal
year
shall
be
increased
beginning
January
1,
2013,
by
2
percent
over
the
rates
in
effect
on
June
30,
2012
.
PROVIDER
REIMBURSEMENT
——
SPECIFIED
CHILD
WELFARE
PROVIDERS
Sec.
34.
2011
Iowa
Acts,
chapter
129,
section
141,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
6A.
For
the
fiscal
year
beginning
July
1,
2012,
the
department
shall
adjust
the
foster
family
basic
daily
maintenance
rate,
the
maximum
adoption
subsidy
rates
for
children,
the
family-centered
service
providers
rate,
the
family
foster
care
service
providers
rate,
the
group
foster
care
service
providers
rate,
and
the
resource
family
recruitment
and
retention
contractor
rate,
as
such
rates
are
identified
in
this
section
and
were
in
effect
on
June
30,
2012,
in
order
to
distribute
an
additional
$1,535,256
in
state
reimbursements
equitably
to
such
providers
for
the
fiscal
year.
PROVIDER
REIMBURSEMENT
——
CHILD
CARE
Sec.
35.
2011
Iowa
Acts,
chapter
129,
section
141,
subsection
10,
is
amended
to
read
as
follows:
10.
For
the
fiscal
year
beginning
July
1,
2012,
for
child
care
providers
reimbursed
under
the
state
child
care
assistance
Senate
File
2336,
p.
53
program,
the
department
shall
set
provider
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004.
Effective
July
1,
2012,
the
child
care
provider
reimbursement
rates
shall
remain
at
be
increased
beginning
January
1,
2013,
by
2
percent
over
the
rates
in
effect
on
June
30,
2012.
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.
REBASING
STUDY
——
MEDICAID
HOME
HEALTH
AND
HCBS
WAIVER
SERVICE
PROVIDERS
Sec.
36.
2011
Iowa
Acts,
chapter
129,
section
141,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
10A.
The
department
of
human
services,
Iowa
Medicaid
enterprise,
shall
review
reimbursement
of
home
health
agency
and
home
and
community-based
services
waiver
services
providers
and
shall
submit
a
recommendation
for
a
rebasing
methodology
applicable
to
such
providers
to
the
individuals
identified
in
this
Act
for
receipt
of
reports
by
December
31,
2012.
ELDERLY
WAIVER
Sec.
37.
2011
Iowa
Acts,
chapter
129,
section
141,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
10B.
The
department
shall
increase
the
monthly
reimbursement
cap
for
the
medical
assistance
home
and
community-based
services
waiver
services
for
the
elderly
to
$1,300
per
month.
REPORTS
Sec.
38.
2011
Iowa
Acts,
chapter
129,
section
143,
is
amended
to
read
as
follows:
SEC.
143.
REPORTS.
Any
reports
or
other
information
required
to
be
compiled
and
submitted
under
this
Act
shall
be
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
the
legislative
services
agency,
and
the
legislative
caucus
staffs
on
or
before
the
dates
specified
for
submission
of
the
reports
or
information.
DIVISION
V
HEALTH
CARE
ACCOUNTS
AND
FUNDS
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
Sec.
39.
2011
Iowa
Acts,
chapter
129,
section
145,
is
amended
to
read
as
follows:
SEC.
145.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
Senate
File
2336,
p.
54
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
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,
2012,
and
ending
June
30,
2013
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,716,807
4,805,804
IOWACARE
ACCOUNT
APPROPRIATIONS
——
UNIVERSITY
OF
IOWA
HOSPITALS
AND
CLINICS
Sec.
40.
2011
Iowa
Acts,
chapter
129,
section
146,
subsection
1,
paragraph
c,
is
amended
to
read
as
follows:
c.
The
university
of
Iowa
hospitals
and
clinics
shall
certify
public
expenditures
in
an
amount
equal
to
provide
the
nonfederal
share
on
total
expenditures
not
to
exceed
$20,000,000
$32,000,000
.
Sec.
41.
2011
Iowa
Acts,
chapter
129,
section
146,
subsection
2,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
salaries,
support,
maintenance,
equipment,
and
miscellaneous
purposes,
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J
,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
45,654,133
IOWACARE
ACCOUNT
——
PUBLICLY
OWNED
ACUTE
CARE
TEACHING
HOSPITAL
Sec.
42.
2011
Iowa
Acts,
chapter
129,
section
146,
subsection
4,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
distribution
to
a
publicly
owned
acute
care
teaching
hospital
located
in
a
county
with
a
population
over
350,000
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J
,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
71,000,000
IOWACARE
ACCOUNT
——
PUBLICLY
OWNED
ACUTE
CARE
HOSPITAL
ALLOCATIONS
Sec.
43.
2011
Iowa
Acts,
chapter
129,
section
146,
Senate
File
2336,
p.
55
subsection
4,
paragraphs
a
and
b,
are
amended
to
read
as
follows:
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise
plus
a
monthly
disproportionate
share
hospital
payment.
Any
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
$65,000,000
shall
be
distributed
only
if
the
sum
of
the
expansion
population
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
share
hospital
payments
exceeds
$60,000,000
$65,000,000
.
The
amount
paid
in
excess
of
$60,000,000
$65,000,000
shall
not
adjust
the
original
monthly
payment
amount
but
shall
be
distributed
monthly
based
on
actual
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
share
hospital
amount.
Any
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
$65,000,000
shall
be
allocated
only
if
federal
funds
are
available
to
match
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
appropriated
in
this
subsection,
not
more
than
$4,000,000
shall
be
distributed
for
prescription
drugs
,
and
podiatry
services
,
optometric
services,
and
durable
medical
equipment
.
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
hospital
identified
in
this
subsection,
shall
be
reimbursed
for
outpatient
prescription
drugs
,
and
podiatry
services
,
optometric
services,
and
durable
medical
equipment
provided
to
members
of
the
expansion
population
pursuant
to
all
applicable
medical
assistance
program
rules,
in
an
amount
not
to
exceed
$4,000,000.
IOWACARE
ACCOUNT
——
REGIONAL
PROVIDER
NETWORK
Sec.
44.
2011
Iowa
Acts,
chapter
129,
section
146,
subsection
5,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
payment
to
the
regional
provider
network
specified
by
the
department
pursuant
to
section
249J.7
for
provision
of
covered
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
4,986,366
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
Sec.
45.
2011
Iowa
Acts,
chapter
129,
section
148,
is
amended
to
read
as
follows:
Senate
File
2336,
p.
56
SEC.
148.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary,
there
is
appropriated
from
the
account
for
health
care
transformation
created
in
section
249J.23
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
expansion
population
as
provided
in
section
249J.6
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
100,000
2.
For
other
health
promotion
partnership
activities
pursuant
to
section
249J.14
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
300,000
600,000
3.
For
the
costs
related
to
audits,
performance
evaluations,
and
studies
required
pursuant
to
chapter
249J
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
125,000
4.
For
administrative
costs
associated
with
chapter
249J
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
566,206
1,132,412
5.
For
planning
and
development,
in
cooperation
with
the
department
of
public
health,
of
a
phased-in
program
to
provide
a
dental
home
for
children
in
accordance
with
section
249J.14
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
1,000,000
6.
For
continuation
of
the
establishment
of
the
tuition
assistance
for
individuals
serving
individuals
with
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
chapter
1187,
section
130:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
50,000
7.
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
2,400,000
8.
For
payment
to
the
publicly
owned
acute
care
teaching
hospital
located
in
a
county
with
a
population
of
over
350,000
that
is
a
participating
provider
pursuant
to
chapter
249J
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
145,000
540,000
Disbursements
under
this
subsection
shall
be
made
monthly.
Senate
File
2336,
p.
57
The
hospital
shall
submit
a
report
following
the
close
of
the
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
subsection
to
the
persons
specified
in
this
Act
to
receive
reports.
9.
For
transfer
to
the
department
of
public
health
to
be
used
for
the
costs
of
medical
home
system
advisory
council
established
pursuant
to
section
135.159
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,679
233,357
10.
For
continued
implementation
of
a
uniform
cost
report:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
150,000
11.
For
continued
implementation
of
an
electronic
medical
records
system:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
100,000
Notwithstanding
section
8.33
,
funds
allocated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
in
succeeding
fiscal
years
to
be
used
for
the
purposes
designated.
12.
For
transfer
to
the
department
of
public
health
to
support
the
department’s
activities
relating
to
health
and
long-term
care
access
as
specified
pursuant
to
chapter
135,
division
XXIV
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,107
134,214
13.
For
continuation
of
an
accountable
care
organization
pilot
project:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
100,000
15.
For
transfer
to
the
department
of
public
health
to
be
used
as
state
matching
funds
for
the
health
information
technology
system
network
developed
by
the
department
of
public
health:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
181,993
363,987
16.
To
supplement
the
appropriation
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,956,245
Any
funds
remaining
in
the
health
care
transformation
account
at
the
close
of
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
program
Senate
File
2336,
p.
58
appropriation
made
in
this
Act.
Notwithstanding
section
8.39,
subsection
1
,
without
the
prior
written
consent
and
approval
of
the
governor
and
the
director
of
the
department
of
management,
the
director
of
human
services
may
transfer
funds
among
the
appropriations
made
in
this
section
as
necessary
to
carry
out
the
purposes
of
the
account
for
health
care
transformation.
The
department
shall
report
any
transfers
made
pursuant
to
this
section
to
the
legislative
services
agency.
QUALITY
ASSURANCE
TRUST
FUND
Sec.
46.
2011
Iowa
Acts,
chapter
129,
section
151,
is
amended
to
read
as
follows:
SEC.
151.
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,
2012,
and
ending
June
30,
2013,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
26,500,000
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
Sec.
47.
2011
Iowa
Acts,
chapter
129,
section
152,
is
amended
to
read
as
follows:
SEC.
152.
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,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
33,898,400
2.
For
deposit
in
the
nonparticipating
provider
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
Senate
File
2336,
p.
59
the
purposes
of
the
fund:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
801,600
MISCELLANEOUS
PROVISIONS
Sec.
48.
REPEAL.
2011
Iowa
Acts,
chapter
129,
sections
149
and
150,
are
repealed.
DIVISION
VI
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
CONTINGENCY
FUND
Sec.
49.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
OF
FUNDS
——
FY
2011-2012.
1.
Moneys
received
from
the
federal
government
through
the
child
enrollment
contingency
fund
established
pursuant
to
section
103
of
the
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
of
2009,
Pub.
L.
No.
111-3,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
to
be
used
in
addition
to
any
other
amounts
appropriated
for
the
same
purposes
for
the
fiscal
year
as
follows:
a.
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,177,355
b.
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,212,432
c.
For
transfer
to
the
department
of
public
health
to
be
used
for
tobacco
use
prevention,
cessation,
and
treatment
through
support
of
Quitline
Iowa:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
275,000
2.
Notwithstanding
section
8.39,
and
to
the
extent
that
funds
appropriated
in
this
section
are
unexpended
or
unobligated
for
the
purposes
specified
in
subsection
1,
the
department
of
human
services
may
transfer
funds
within
or
between
any
of
the
appropriations
made
in
this
section
for
the
following
purposes:
a.
For
adoption
subsidy
payments
and
services.
b.
For
child
care
assistance.
Sec.
50.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
OF
FUNDS
——
FY
2012-2013.
Moneys
received
from
the
federal
government
through
the
child
enrollment
contingency
fund
established
pursuant
to
section
103
of
the
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
of
2009,
Pub.
L.
No.
111-3,
are
appropriated
to
the
department
of
human
services
for
Senate
File
2336,
p.
60
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
used
in
addition
to
any
other
amounts
appropriated
for
the
same
purposes
for
the
fiscal
year
as
follows:
1.
For
mental
health
and
disability
services
redesign
technical
assistance
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
2.
For
the
field
operations
integrity
claims
unit:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
961,100
3.
For
the
child
welfare
resources
fund
created
pursuant
to
this
subsection:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
A
child
welfare
resources
fund
is
created
under
the
control
of
the
department
of
human
services.
Notwithstanding
section
8.33,
moneys
credited
to
the
fund
shall
not
revert
to
any
other
fund
and
are
appropriated
to
the
department
to
be
used
as
provided
in
this
subsection.
The
department
shall
distribute
the
moneys
credited
to
the
fund
as
grants
to
child
welfare
service
providers
to
support
infrastructure
projects,
supplies,
equipment,
renovations,
and
other
one-time
expenses
in
connection
with
publicly
funded
child
welfare
services.
Sec.
51.
EFFECTIVE
DATE
PROVISIONS.
The
section
of
this
division
of
this
Act
appropriating
moneys
received
through
the
federal
Child
Enrollment
Contingency
Fund
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
52.
RETROACTIVE
APPLICABILITY.
The
section
of
this
division
of
this
Act
appropriating
moneys
received
through
the
federal
Child
Enrollment
Contingency
Fund
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
applies
retroactively
to
July
1,
2011.
DIVISION
VII
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
FUNDING
FOR
FY
2012-2013
Sec.
53.
RISK
POOL
APPROPRIATION
FOR
MEDICAL
ASSISTANCE
PROGRAM.
All
moneys
remaining
in
the
risk
pool
of
the
property
tax
relief
fund
on
June
30,
2012,
following
the
distributions
made
pursuant
to
2012
Iowa
Acts,
Senate
File
2071,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
used
for
the
purpose
designated:
To
be
credited
to
the
appropriation
made
for
the
medical
assistance
program
in
2011
Iowa
Acts,
chapter
129,
section
122.
Sec.
54.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
Senate
File
2336,
p.
61
REDESIGN.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
To
be
credited
to
the
mental
health
and
disability
services
redesign
fund
created
in
this
division
of
this
Act:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,000,000
Sec.
55.
REPLACEMENT
GENERATION
TAX
REVENUES
——
LEVY
RATES
FOR
FY
2012-2013.
1.
a.
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
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
the
mental
health
and
disability
services
redesign
fund
created
in
this
division
of
this
Act.
b.
If
this
section
of
this
division
of
this
Act
is
enacted
after
the
department
of
management
has
reduced
county
certified
budgets
and
revised
rates
of
taxation
pursuant
to
section
426B.2,
subsection
3,
paragraph
“b”,
to
reflect
anticipated
replacement
generation
tax
revenues,
and
the
enactment
date
is
during
the
period
beginning
May
1,
2012,
and
ending
June
30,
2012,
the
reductions
and
revisions
shall
be
rescinded
and
the
department
of
management
shall
expeditiously
report
that
fact
to
the
county
auditors.
2.
Except
as
otherwise
provided
in
subsection
1
for
department
of
management
reductions
of
certified
budgets
and
revisions
of
tax
rates
and
rescinding
of
those
reductions
and
revisions,
the
budgets
and
tax
rates
certified
for
a
county
services
fund
under
section
331.424A,
for
the
fiscal
year
beginning
July
1,
2012,
shall
remain
in
effect,
notwithstanding
section
426B.3,
subsection
1,
the
property
tax
relief
fund
payment
and
other
services
fund
financing
changes
made
in
this
division
of
this
Act,
or
other
statutory
amendments
affecting
county
services
funds
for
the
fiscal
year
to
the
contrary.
Sec.
56.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
FUND
——
FY
2012-2013.
1.
A
mental
health
and
disability
services
redesign
fund
is
created
in
the
state
treasury
on
the
effective
date
of
this
section
to
be
used
as
provided
in
this
section
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013.
The
redesign
fund
is
under
the
control
of
the
department
of
human
Senate
File
2336,
p.
62
services.
Moneys
remaining
in
the
redesign
fund
at
the
close
of
the
fiscal
year
beginning
July
1,
2012,
shall
be
transferred
to
the
mental
health
and
disability
regional
services
fund
created
in
section
225C.7A,
if
enacted
by
2012
Iowa
Acts,
Senate
File
2315.
2.
Moneys
available
in
the
mental
health
and
disability
services
redesign
fund
created
in
this
section
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
used
as
provided
in
this
section.
3.
Moneys
appropriated
in
this
section
shall
be
used
to
pay
the
nonfederal
share
of
medical
assistance
program
services
costs
that
would
be
billed
to
counties,
if
the
amendments
to
sections
249A.12
and
249A.26
were
not
enacted
by
this
division
of
this
Act,
for
the
following
services
provided
in
the
fiscal
year
beginning
July
1,
2012:
a.
Habilitation.
b.
Targeted
case
management.
c.
Home-based
and
community-based
services
waiver
services
for
persons
with
intellectual
disabilities
and
brain
injury.
d.
Community-based
intermediate
care
facilities
for
persons
with
mental
retardation
(ICF/MR).
e.
The
state
resource
centers.
4.
The
nonfederal
share
of
the
medical
assistance
services
costs
for
the
services
specified
in
subsection
3
provided
for
the
fiscal
year
beginning
July
1,
2012,
shall
be
paid
from
the
mental
health
and
disability
services
redesign
fund
and
shall
not
be
billed
to
counties.
5.
Of
the
funds
appropriated
in
this
section,
for
the
fiscal
year
beginning
July
1,
2012,
$500,000
shall
be
used
to
implement
the
children’s
mental
health
home
project
proposed
by
the
department
of
human
services
and
reported
to
the
general
assembly’s
mental
health
and
disability
services
study
committee
in
December
2011.
Of
this
amount
up
to
$50,000
may
be
transferred
by
the
department
to
the
appropriation
made
to
the
department
for
the
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
fiscal
year,
to
be
assigned
to
implementing
the
project.
6.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
may
be
transferred
by
the
department
to
the
appropriation
made
to
the
department
for
the
fiscal
year
for
general
Senate
File
2336,
p.
63
administration
to
support
redesign
and
balancing
incentive
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.
7.
Of
the
funds
appropriated
in
this
section,
up
to
$3,000,000
may
be
transferred
by
the
department
to
the
appropriations
made
to
the
department
for
the
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.
8.
Moneys
credited
to
the
redesign
fund
are
not
subject
to
section
8.33.
Sec.
57.
SERVICES
FUND
CASH
FLOW
TRANSFER.
Notwithstanding
section
331.424A,
subsection
5,
and
section
331.432,
subsection
3,
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
a
county
may
temporarily
transfer
moneys
from
other
funds
of
the
county
to
the
county’s
services
fund
created
in
section
331.424A,
for
cash
flow
purposes.
Moneys
transferred
pursuant
to
this
section
shall
be
returned
to
the
fund
from
which
the
transfer
was
made
by
the
close
of
the
fiscal
year.
Sec.
58.
Section
249A.12,
Code
2011,
is
amended
to
read
as
follows:
249A.12
Assistance
to
persons
with
mental
retardation
——
state
cases
.
1.
Assistance
may
be
furnished
under
this
chapter
to
an
otherwise
eligible
recipient
who
is
a
resident
of
a
health
care
facility
licensed
under
chapter
135C
and
certified
as
an
intermediate
care
facility
for
persons
with
mental
retardation.
2.
A
county
shall
reimburse
the
department
on
a
monthly
basis
for
that
portion
of
the
cost
of
assistance
provided
under
this
section
to
a
recipient
with
legal
settlement
in
the
county,
which
is
not
paid
from
federal
funds,
if
the
recipient’s
placement
has
been
approved
by
the
appropriate
review
organization
as
medically
necessary
and
appropriate.
The
department’s
goal
for
the
maximum
time
period
for
submission
of
a
claim
to
a
county
is
not
more
than
sixty
days
following
the
submission
of
the
claim
by
the
provider
of
the
service
to
the
department.
The
department’s
goal
for
completion
and
crediting
of
a
county
for
cost
settlement
for
Senate
File
2336,
p.
64
the
actual
costs
of
a
service
under
a
home
and
community-based
services
waiver
is
within
two
hundred
seventy
days
of
the
close
of
a
fiscal
year
for
which
cost
reports
are
due
from
providers.
The
department
shall
place
all
reimbursements
from
counties
in
the
appropriation
for
medical
assistance,
and
may
use
the
reimbursed
funds
in
the
same
manner
and
for
any
purpose
for
which
the
appropriation
for
medical
assistance
may
be
used.
3.
2.
If
a
county
reimburses
reimbursed
the
department
for
medical
assistance
provided
under
this
section
,
Code
2011,
and
the
amount
of
medical
assistance
is
subsequently
repaid
through
a
medical
assistance
income
trust
or
a
medical
assistance
special
needs
trust
as
defined
in
section
633C.1
,
the
department
shall
reimburse
the
county
on
a
proportionate
basis.
The
department
shall
adopt
rules
to
implement
this
subsection
.
4.
3.
a.
Effective
July
1,
1995,
the
state
shall
be
responsible
for
all
of
the
nonfederal
share
of
the
costs
of
intermediate
care
facility
for
persons
with
mental
retardation
services
provided
under
medical
assistance
to
minors.
Notwithstanding
subsection
2
and
contrary
provisions
of
section
222.73
,
Code
2011,
effective
July
1,
1995,
a
county
is
not
required
to
reimburse
the
department
and
shall
not
be
billed
for
the
nonfederal
share
of
the
costs
of
such
services
provided
to
minors.
b.
The
state
shall
be
responsible
for
all
of
the
nonfederal
share
of
medical
assistance
home
and
community-based
services
waivers
for
persons
with
intellectual
disabilities
services
provided
to
minors,
and
a
county
is
not
required
to
reimburse
the
department
and
shall
not
be
billed
for
the
nonfederal
share
of
the
costs
of
the
services.
c.
Effective
February
1,
2002,
the
state
shall
be
responsible
for
all
of
the
nonfederal
share
of
the
costs
of
intermediate
care
facility
for
persons
with
mental
retardation
services
provided
under
medical
assistance
attributable
to
the
assessment
fee
for
intermediate
care
facilities
for
individuals
with
mental
retardation
imposed
pursuant
to
section
249A.21
.
Notwithstanding
subsection
2
,
effective
Effective
February
1,
2003,
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.
5.
4.
a.
The
mental
health
and
disability
services
commission
shall
recommend
to
the
department
the
actions
necessary
to
assist
in
the
transition
of
individuals
being
served
in
an
intermediate
care
facility
for
persons
with
Senate
File
2336,
p.
65
mental
retardation,
who
are
appropriate
for
the
transition,
to
services
funded
under
a
medical
assistance
home
and
community-based
services
waiver
for
persons
with
intellectual
disabilities
in
a
manner
which
maximizes
the
use
of
existing
public
and
private
facilities.
The
actions
may
include
but
are
not
limited
to
submitting
any
of
the
following
or
a
combination
of
any
of
the
following
as
a
request
for
a
revision
of
the
medical
assistance
home
and
community-based
services
waiver
for
persons
with
intellectual
disabilities:
(1)
Allow
for
the
transition
of
intermediate
care
facilities
for
persons
with
mental
retardation
licensed
under
chapter
135C
,
to
services
funded
under
the
medical
assistance
home
and
community-based
services
waiver
for
persons
with
intellectual
disabilities.
The
request
shall
be
for
inclusion
of
additional
persons
under
the
waiver
associated
with
the
transition.
(2)
Allow
for
reimbursement
under
the
waiver
for
day
program
or
other
service
costs.
(3)
Allow
for
exception
provisions
in
which
an
intermediate
care
facility
for
persons
with
mental
retardation
which
does
not
meet
size
and
other
facility-related
requirements
under
the
waiver
in
effect
on
June
30,
1996,
may
convert
to
a
waiver
service
for
a
set
period
of
time
such
as
five
years.
Following
the
set
period
of
time,
the
facility
would
be
subject
to
the
waiver
requirements
applicable
to
services
which
were
not
operating
under
the
exception
provisions.
b.
In
implementing
the
provisions
of
this
subsection
,
the
mental
health
and
disability
services
commission
shall
consult
with
other
states.
The
waiver
revision
request
or
other
action
necessary
to
assist
in
the
transition
of
service
provision
from
intermediate
care
facilities
for
persons
with
mental
retardation
to
alternative
programs
shall
be
implemented
by
the
department
in
a
manner
that
can
appropriately
meet
the
needs
of
individuals
at
an
overall
lower
cost
to
counties,
the
federal
government,
and
the
state.
In
addition,
the
department
shall
take
into
consideration
significant
federal
changes
to
the
medical
assistance
program
in
formulating
the
department’s
actions
under
this
subsection
.
The
department
shall
consult
with
the
mental
health
and
disability
services
commission
in
adopting
rules
for
oversight
of
facilities
converted
pursuant
to
this
subsection
.
A
transition
approach
described
in
paragraph
“a”
may
be
modified
as
necessary
to
obtain
federal
waiver
approval.
Senate
File
2336,
p.
66
6.
5.
a.
The
provisions
of
the
home
and
community-based
services
waiver
for
persons
with
intellectual
disabilities
shall
include
adult
day
care,
prevocational,
and
transportation
services.
Transportation
shall
be
included
as
a
separately
payable
service.
b.
The
department
of
human
services
shall
seek
federal
approval
to
amend
the
home
and
community-based
services
waiver
for
persons
with
intellectual
disabilities
to
include
day
habilitation
services.
Inclusion
of
day
habilitation
services
in
the
waiver
shall
take
effect
upon
receipt
of
federal
approval.
c.
The
person’s
county
of
legal
settlement
shall
pay
for
the
nonfederal
share
of
the
cost
of
services
provided
under
the
waiver,
and
the
state
shall
pay
for
the
nonfederal
share
of
such
costs
if
the
person
has
no
legal
settlement
or
the
legal
settlement
is
unknown
so
that
the
person
is
deemed
to
be
a
state
case.
d.
The
county
of
legal
settlement
shall
pay
for
one
hundred
percent
of
the
nonfederal
share
of
the
costs
of
care
provided
for
adults
which
is
reimbursed
under
a
home
and
community-based
services
waiver
that
would
otherwise
be
approved
for
provision
in
an
intermediate
care
facility
for
persons
with
mental
retardation
provided
under
the
medical
assistance
program.
7.
6.
When
paying
the
necessary
and
legal
expenses
for
intermediate
care
facility
for
persons
with
mental
retardation
services,
the
cost
requirements
of
section
222.60
shall
be
considered
fulfilled
when
payment
is
made
in
accordance
with
the
medical
assistance
payment
rates
established
by
the
department
for
intermediate
care
facilities
for
persons
with
mental
retardation,
and
the
state
or
a
county
of
legal
settlement
shall
not
be
obligated
for
any
amount
in
excess
of
the
rates.
8.
7.
If
a
person
with
mental
retardation
has
no
legal
settlement
or
the
legal
settlement
is
unknown
so
that
the
person
is
deemed
to
be
a
state
case
and
services
associated
with
the
mental
retardation
can
be
covered
under
a
medical
assistance
home
and
community-based
services
waiver
or
other
medical
assistance
program
provision,
the
nonfederal
share
of
the
medical
assistance
program
costs
for
such
coverage
shall
be
paid
from
the
appropriation
made
for
the
medical
assistance
program.
Sec.
59.
Section
249A.26,
subsection
2,
Code
2011,
is
amended
to
read
as
follows:
Senate
File
2336,
p.
67
2.
a.
Except
as
provided
for
disallowed
costs
in
section
249A.27
,
the
county
of
legal
settlement
shall
pay
for
fifty
percent
of
the
nonfederal
share
of
the
cost
and
the
state
shall
have
responsibility
for
the
remaining
fifty
pay
one
hundred
percent
of
the
nonfederal
share
of
the
cost
of
case
management
provided
to
adults,
day
treatment,
and
partial
hospitalization
provided
under
the
medical
assistance
program
for
persons
with
mental
retardation,
a
developmental
disability,
or
chronic
mental
illness.
For
purposes
of
this
section
,
persons
with
mental
disorders
resulting
from
Alzheimer’s
disease
or
substance
abuse
a
substance-related
disorder
shall
not
be
considered
chronically
mentally
ill
to
be
persons
with
chronic
mental
illness
.
To
the
maximum
extent
allowed
under
federal
law
and
regulations,
the
department
shall
consult
with
and
inform
a
county
of
legal
settlement’s
central
point
of
coordination
process,
as
defined
in
section
331.440
,
regarding
the
necessity
for
and
the
provision
of
any
service
for
which
the
county
is
required
to
provide
reimbursement
under
this
subsection
.
b.
The
state
shall
pay
for
one
hundred
percent
of
the
nonfederal
share
of
the
costs
of
case
management
provided
for
adults,
day
treatment,
partial
hospitalization,
and
the
home
and
community-based
services
waiver
services
for
persons
who
have
no
legal
settlement
residence
in
this
state
or
the
legal
settlement
whose
residence
is
unknown
so
that
the
persons
are
deemed
to
be
state
cases.
c.
The
case
management
services
specified
in
this
subsection
shall
be
paid
for
by
a
county
only
if
the
services
are
provided
outside
of
a
managed
care
contract.
Sec.
60.
Section
249A.26,
subsections
3,
4,
7,
and
8,
Code
2011,
are
amended
to
read
as
follows:
3.
To
the
maximum
extent
allowed
under
federal
law
and
regulations,
a
person
with
mental
illness
or
mental
retardation
shall
not
be
eligible
for
any
service
which
is
funded
in
whole
or
in
part
by
a
county
share
of
the
nonfederal
portion
of
medical
assistance
funds
unless
the
person
is
referred
through
the
central
point
of
coordination
process,
as
defined
in
section
331.440
.
However,
to
the
extent
federal
law
allows
referral
of
a
medical
assistance
recipient
to
a
service
without
approval
of
the
central
point
of
coordination
process,
the
county
of
legal
settlement
shall
be
billed
for
the
nonfederal
share
of
costs
for
any
adult
person
for
whom
the
county
would
otherwise
be
responsible.
Senate
File
2336,
p.
68
4.
The
county
of
legal
settlement
state
shall
pay
for
one
hundred
percent
of
the
nonfederal
share
of
the
cost
of
services
provided
to
adult
persons
with
chronic
mental
illness
who
qualify
for
habilitation
services
in
accordance
with
the
rules
adopted
for
the
services.
The
state
shall
pay
for
one
hundred
percent
of
the
nonfederal
share
of
the
cost
of
such
services
provided
to
such
persons
who
have
no
legal
settlement
or
the
legal
settlement
is
unknown
so
that
the
persons
are
deemed
to
be
state
cases.
7.
Unless
a
county
has
paid
or
is
paying
for
the
nonfederal
share
of
the
costs
of
a
person’s
home
and
community-based
waiver
services
or
placement
in
an
intermediate
care
facility
for
persons
with
mental
retardation
under
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund,
or
unless
a
county
of
legal
settlement
would
become
liable
for
the
costs
of
services
for
a
person
at
the
level
of
care
provided
in
an
intermediate
care
facility
for
persons
with
mental
retardation
due
to
the
person
reaching
the
age
of
majority,
the
The
state
shall
pay
for
the
nonfederal
share
of
the
costs
of
an
eligible
person’s
services
under
the
home
and
community-based
services
waiver
for
persons
with
brain
injury.
8.
If
a
dispute
arises
between
different
counties
or
between
the
department
and
a
county
as
to
the
legal
settlement
of
a
person
who
receives
received
medical
assistance
for
which
the
nonfederal
share
is
was
payable
in
whole
or
in
part
by
a
county
of
legal
settlement
in
accordance
with
Code
2011
,
and
cannot
be
resolved
by
the
parties,
the
dispute
shall
be
resolved
as
provided
in
section
225C.8
,
Code
2011
.
Sec.
61.
Section
445.5,
subsection
1,
paragraph
h,
Code
Supplement
2011,
is
amended
by
striking
the
paragraph.
Sec.
62.
2011
Iowa
Acts,
chapter
129,
section
43,
subsection
2,
paragraphs
d
and
e,
are
amended
to
read
as
follows:
d.
If
moneys
from
a
distribution
made
under
this
subsection
are
not
expended
by
a
county
by
November
1,
2012
June
30,
2013
,
for
services
provided
prior
to
July
1,
2012
by
that
date
,
the
county
shall
reimburse
the
unexpended
moneys
to
the
department
by
November
30,
2012
August
30,
2013
,
and
the
moneys
reimbursed
shall
be
credited
to
the
risk
pool
in
the
property
tax
relief
fund.
e.
The
risk
pool
board
shall
submit
a
report
reports
to
the
governor
and
general
assembly
on
or
before
December
31,
2012
and
2013
,
regarding
the
expenditure
of
funds
distributed
under
Senate
File
2336,
p.
69
this
subsection.
Sec.
63.
2011
Iowa
Acts,
chapter
129,
section
135,
is
amended
to
read
as
follows:
SEC.
135.
MI/MR/DD
STATE
CASES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
distribution
to
counties
for
state
case
services
for
persons
with
mental
illness,
mental
retardation,
and
developmental
disabilities
in
accordance
with
section
331.440
To
be
credited
to
the
mental
health
and
disability
services
redesign
fund
created
by
this
division
of
this
2012
Act
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,084,741
11,150,820
2.
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
$100,000
$200,000
is
allocated
for
state
case
services
from
the
amounts
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
from
the
funds
received
from
the
federal
government
under
42
U.S.C.
ch.
6A,
subch.
XVII,
relating
to
the
community
mental
health
center
block
grant,
for
the
federal
fiscal
years
beginning
October
1,
2010,
and
ending
September
30,
2011,
beginning
October
1,
2011,
and
ending
September
30,
2012,
and
beginning
October
1,
2012,
and
ending
September
30,
2013.
The
allocation
made
in
this
subsection
shall
be
made
prior
to
any
other
distribution
allocation
of
the
appropriated
federal
funds.
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
Sec.
64.
2011
Iowa
Acts,
chapter
129,
section
136,
is
amended
to
read
as
follows:
SEC.
136.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
mental
health
and
developmental
disabilities
community
services
fund
created
in
section
225C.7
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
Senate
File
2336,
p.
70
For
mental
health
and
developmental
disabilities
community
services
in
accordance
with
this
division
of
this
Act
To
be
credited
to
the
mental
health
and
disability
services
redesign
fund
created
by
this
division
of
this
2012
Act
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
shall
be
allocated
to
counties
for
funding
of
community-based
mental
health
and
developmental
disabilities
services.
The
moneys
shall
be
allocated
to
a
county
as
follows:
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
population
of
persons
with
an
annual
income
which
is
equal
to
or
less
than
the
poverty
guideline
established
by
the
federal
office
of
management
and
budget.
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
general
population.
2.
a.
A
county
shall
utilize
the
funding
the
county
receives
pursuant
to
subsection
1
for
services
provided
to
persons
with
a
disability,
as
defined
in
section
225C.2.
However,
no
more
than
50
percent
of
the
funding
shall
be
used
for
services
provided
to
any
one
of
the
service
populations.
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
county
receives
under
subsection
1
for
contemporary
services
provided
to
persons
with
a
disability,
as
described
in
rules
adopted
by
the
department.
3.
Of
the
funds
appropriated
in
this
section,
$23,544
shall
be
used
to
support
the
Iowa
compass
program
providing
computerized
information
and
referral
services
for
Iowans
with
disabilities
and
their
families.
4.
a.
Funding
appropriated
for
purposes
of
the
federal
social
services
block
grant
is
allocated
for
distribution
to
counties
for
local
purchase
of
services
for
persons
with
mental
illness
or
mental
retardation
or
other
developmental
disability.
b.
The
funds
allocated
in
this
subsection
shall
be
expended
by
counties
in
accordance
with
the
county’s
county
management
plan
approved
by
the
board
of
supervisors.
A
county
without
an
approved
county
management
plan
shall
not
receive
allocated
funds
until
the
county’s
management
plan
is
approved.
c.
The
funds
provided
by
this
subsection
shall
be
allocated
to
each
county
as
follows:
(1)
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
population
of
persons
with
an
annual
income
which
is
equal
to
or
less
than
the
poverty
guideline
established
by
the
Senate
File
2336,
p.
71
federal
office
of
management
and
budget.
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
county
for
local
purchase
of
services
in
the
preceding
fiscal
year.
5.
A
county
is
eligible
for
funds
under
this
section
if
the
county
qualifies
for
a
state
payment
as
described
in
section
331.439.
6.
The
most
recent
population
estimates
issued
by
the
United
States
bureau
of
the
census
shall
be
applied
for
the
population
factors
utilized
in
this
section.
Sec.
65.
2011
Iowa
Acts,
chapter
129,
section
154,
is
amended
to
read
as
follows:
SEC.
154.
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
DEVELOPMENTAL
DISABILITIES
SERVICES
PROPERTY
TAX
RELIEF.
Notwithstanding
In
lieu
of
the
standing
appropriation
in
section
426B.1,
subsection
2,
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
amount
there
is
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
provision
shall
not
exceed
to
the
department
of
human
services
the
following
amount
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purposes
designated
:
To
be
credited
to
the
mental
health
and
disability
services
redesign
fund
created
by
this
division
of
this
2012
Act:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
81,199,911
Sec.
66.
2011
Iowa
Acts,
chapter
129,
section
155,
is
amended
to
read
as
follows:
SEC.
155.
ADULT
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
——
FY
2012-2013.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
distribution
to
counties
of
the
county
mental
health,
mental
retardation,
and
developmental
disabilities
allowed
growth
factor
adjustment
for
fiscal
year
2012-2013
as
provided
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
of
section
331.438,
subsection
2,
and
section
331.439,
subsection
3,
and
chapter
426B
To
be
credited
to
the
mental
health
and
disability
services
redesign
fund
created
by
this
division
of
this
2012
Act
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
74,697,893
2.
Of
the
amount
appropriated
in
this
section,
$38,000,000
Senate
File
2336,
p.
72
shall
be
distributed
as
provided
in
this
subsection.
a.
To
be
eligible
to
receive
a
distribution
under
this
subsection,
a
county
must
meet
the
following
requirements:
(1)
The
county
is
levying
for
the
maximum
amount
allowed
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
under
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
2012,
or
the
county
is
levying
for
at
least
90
percent
of
the
maximum
amount
allowed
for
the
county’s
services
fund
and
that
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
all
taxable
property
in
the
county.
(2)
In
the
fiscal
year
beginning
July
1,
2010,
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
ending
balance
under
generally
accepted
accounting
principles
was
equal
to
or
less
than
15
percent
of
the
county’s
actual
gross
expenditures
for
that
fiscal
year.
b.
The
amount
of
a
county’s
distribution
from
the
allocation
made
in
this
subsection
shall
be
determined
based
upon
the
county’s
proportion
of
the
general
population
of
the
counties
eligible
to
receive
a
distribution
under
this
subsection.
The
most
recent
population
estimates
issued
by
the
United
States
bureau
of
the
census
shall
be
applied
in
determining
population
for
the
purposes
of
this
paragraph.
c.
The
distributions
made
pursuant
to
this
subsection
are
subject
to
the
distribution
provisions
and
withholding
requirements
established
in
this
section
for
the
county
mental
health,
mental
retardation,
and
developmental
disabilities
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
July
1,
2012.
3.
The
following
amount
of
the
funding
appropriated
in
this
section
is
the
allowed
growth
factor
adjustment
for
fiscal
year
2012-2013,
and
shall
be
credited
to
the
allowed
growth
funding
pool
created
in
the
property
tax
relief
fund
and
for
distribution
in
accordance
with
section
426B.5,
subsection
1:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,697,893
4.
The
following
formula
amounts
shall
be
utilized
only
to
calculate
preliminary
distribution
amounts
for
the
allowed
growth
factor
adjustment
for
fiscal
year
2012-2013
under
this
section
by
applying
the
indicated
formula
provisions
to
the
formula
amounts
and
producing
a
preliminary
distribution
total
for
each
county:
a.
For
calculation
of
a
distribution
amount
for
eligible
Senate
File
2336,
p.
73
counties
from
the
allowed
growth
funding
pool
created
in
the
property
tax
relief
fund
in
accordance
with
the
requirements
in
section
426B.5,
subsection
1:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,773,346
b.
For
calculation
of
a
distribution
amount
for
counties
from
the
mental
health
and
developmental
disabilities
(MH/DD)
community
services
fund
in
accordance
with
the
formula
provided
in
the
appropriation
made
for
the
MH/DD
community
services
fund
for
the
fiscal
year
beginning
July
1,
2012:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
5.
a.
After
applying
the
applicable
statutory
distribution
formulas
to
the
amounts
indicated
in
subsection
4
for
purposes
of
producing
preliminary
distribution
totals,
the
department
of
human
services
shall
apply
a
withholding
factor
to
adjust
an
eligible
individual
county’s
preliminary
distribution
total.
In
order
to
be
eligible
for
a
distribution
under
this
section,
a
county
must
be
levying
90
percent
or
more
of
the
maximum
amount
allowed
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
under
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
for
which
the
distribution
is
payable.
b.
An
ending
balance
percentage
for
each
county
shall
be
determined
by
expressing
the
county’s
ending
balance
on
a
modified
accrual
basis
under
generally
accepted
accounting
principles
for
the
fiscal
year
beginning
July
1,
2010,
in
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
created
under
section
331.424A,
as
a
percentage
of
the
county’s
gross
expenditures
from
that
fund
for
that
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
of
providing
services
from
the
county’s
services
fund
on
or
before
July
1,
2010,
and
the
county’s
services
fund
ending
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
amount
designated
in
the
county
budget
to
service
the
loan
for
the
borrowed
moneys,
those
amounts
shall
not
be
considered
to
be
part
of
the
county’s
ending
balance
for
purposes
of
calculating
an
ending
balance
percentage
under
this
subsection.
c.
For
purposes
of
calculating
withholding
factors
and
for
ending
balance
amounts
used
for
other
purposes
under
law,
the
county
ending
balances
shall
be
adjusted,
using
forms
developed
for
this
purpose
by
the
county
finance
committee,
to
disregard
the
temporary
funding
increase
provided
to
the
counties
for
the
fiscal
year
through
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
In
addition,
a
Senate
File
2336,
p.
74
county
may
adjust
the
ending
balance
amount
by
rebating
to
the
department
all
or
a
portion
of
the
allowed
growth
and
MH/DD
services
fund
moneys
the
county
received
for
the
fiscal
year
beginning
July
1,
2011,
in
accordance
with
this
Act,
or
from
any
other
services
fund
moneys
available
to
the
county.
The
rebate
must
be
remitted
to
the
department
on
or
before
June
1,
2012,
in
order
to
be
counted.
The
amount
rebated
by
a
county
shall
be
subtracted
dollar-for-dollar
from
the
county’s
ending
balance
amount
for
the
fiscal
year
beginning
July
1,
2010,
for
purposes
of
calculating
the
withholding
factor
and
for
other
ending
balance
purposes
for
the
fiscal
year
beginning
July
1,
2012.
The
rebates
received
by
the
department
shall
be
credited
to
the
property
tax
relief
fund
and
distributed
as
additional
funding
for
the
fiscal
year
beginning
July
1,
2012,
in
accordance
with
the
formula
provisions
in
this
section.
d.
The
withholding
factor
for
a
county
shall
be
the
following
applicable
percent:
(1)
For
an
ending
balance
percentage
of
less
than
5
percent,
a
withholding
factor
of
0
percent.
In
addition,
a
county
that
is
subject
to
this
lettered
paragraph
shall
receive
an
inflation
adjustment
equal
to
3
percent
of
the
gross
expenditures
reported
for
the
county’s
services
fund
for
the
fiscal
year.
(2)
For
an
ending
balance
percentage
of
5
percent
or
more
but
less
than
10
percent,
a
withholding
factor
of
0
percent.
In
addition,
a
county
that
is
subject
to
this
lettered
paragraph
shall
receive
an
inflation
adjustment
equal
to
2
percent
of
the
gross
expenditures
reported
for
the
county’s
services
fund
for
the
fiscal
year.
(3)
For
an
ending
balance
percentage
of
10
percent
or
more
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
However,
for
counties
with
an
ending
balance
of
10
percent
or
more
but
less
than
15
percent,
the
amount
withheld
shall
be
limited
to
the
amount
by
which
the
county’s
ending
balance
was
in
excess
of
the
ending
balance
percentage
of
10
percent.
(4)
For
an
ending
balance
percentage
of
25
percent
or
more,
a
withholding
percentage
of
100
percent.
6.
The
total
withholding
amounts
applied
pursuant
to
subsection
5
shall
be
equal
to
a
withholding
target
amount
of
$13,075,453.
If
the
department
of
human
services
determines
that
the
amount
appropriated
is
insufficient
or
the
amount
to
be
withheld
in
accordance
with
subsection
5
is
not
equal
to
the
target
withholding
amount,
the
department
shall
adjust
the
Senate
File
2336,
p.
75
withholding
factors
listed
in
subsection
5
as
necessary
to
achieve
the
target
withholding
amount.
However,
in
making
such
adjustments
to
the
withholding
factors,
the
department
shall
strive
to
minimize
changes
to
the
withholding
factors
for
those
ending
balance
percentage
ranges
that
are
lower
than
others
and
shall
only
adjust
the
zero
withholding
factor
or
the
inflation
adjustment
percentages
specified
in
subsection
5,
paragraph
“d”,
when
the
amount
appropriated
is
insufficient.
Sec.
67.
2012
Iowa
Acts,
Senate
File
2071,
section
6,
subsections
5
and
6,
are
amended
to
read
as
follows:
5.
If
moneys
from
a
distribution
made
under
this
section
are
not
expended
by
a
county
by
November
1,
2012
June
30,
2013
,
for
services
provided
prior
to
July
1,
2012
by
that
date
,
the
county
shall
reimburse
the
unexpended
moneys
to
the
department
by
November
30,
2012
August
30,
2013
,
and
the
moneys
reimbursed
shall
be
credited
to
the
risk
pool
in
the
property
tax
relief
fund.
6.
The
risk
pool
board
shall
submit
a
report
reports
to
the
governor
and
general
assembly
on
or
before
December
31,
2012
and
2013
,
regarding
the
expenditure
of
funds
distributed
under
this
section.
Sec.
68.
2012
Iowa
Acts,
Senate
File
2071,
section
7,
is
amended
to
read
as
follows:
SEC.
7.
PROPERTY
TAX
RELIEF
——
FY
2012-2013.
There
is
appropriated
from
the
Iowa
economic
emergency
fund
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
notwithstanding
section
8.55,
subsection
1
,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
To
be
credited
to
the
property
tax
relief
mental
health
and
disability
services
redesign
fund
to
be
used
to
restore
the
amount
of
the
standing
appropriation
made
from
the
general
fund
of
the
state
in
section
426B.1,
subsection
1
,
for
the
fiscal
year
beginning
July
1,
2012,
in
the
amount
of
the
reduction
applied
pursuant
to
2011
Iowa
Acts,
chapter
129,
section
154
created
by
this
division
of
this
2012
Act
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,200,089
Sec.
69.
REPEAL.
The
sections
of
2012
Iowa
Acts,
Senate
File
2315,
if
enacted,
amending
sections
249A.12
and
249A.26
are
repealed.
Sec.
70.
EFFECTIVE
DATE.
The
following
provision
or
provisions
of
this
division
of
this
Act
take
effect
July
1,
2013,
if
the
amendments
to
chapter
426B
in
2012
Iowa
Acts,
Senate
File
2336,
p.
76
Senate
File
2315,
are
enacted:
1.
The
section
of
this
Act
amending
section
445.5.
Sec.
71.
EFFECTIVE
UPON
ENACTMENT.
The
following
provisions
of
this
division
of
this
Act,
being
deemed
of
immediate
importance,
take
effect
upon
enactment:
1.
The
section
of
this
Act
relating
to
replacement
generation
tax
revenues
and
county
levy
rates
for
the
fiscal
year
beginning
July
1,
2012.
2.
The
section
of
this
Act
creating
the
mental
health
and
disability
services
redesign
fund.
3.
The
section
of
this
Act
amending
2012
Iowa
Acts,
Senate
File
2071,
section
7.
DIVISION
VIII
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
INJURED
VETERANS
GRANT
PROGRAM
Sec.
72.
2008
Iowa
Acts,
chapter
1187,
section
69,
unnumbered
paragraph
1,
as
amended
by
2009
Iowa
Acts,
chapter
182,
section
83,
2010
Iowa
Acts,
chapter
1192,
section
56,
and
2011
Iowa
Acts,
chapter
129,
section
53,
is
amended
to
read
as
follows:
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
fiscal
year
beginning
July
1,
2011
2012
.
CHILD
WELFARE
DECATEGORIZATION
FY
2009-2010
NONREVERSION
Sec.
73.
2009
Iowa
Acts,
chapter
182,
section
14,
subsection
5,
unnumbered
paragraph
2,
as
enacted
by
2011
Iowa
Acts,
chapter
129,
section
55,
is
amended
to
read
as
follows:
Notwithstanding
section
232.188,
subsection
5
,
moneys
from
the
allocations
made
in
this
subsection
or
made
from
any
other
source
for
the
decategorization
of
child
welfare
and
juvenile
justice
funding
initiative
under
section
232.188
for
the
fiscal
year
beginning
July
1,
2009,
that
are
designated
as
carryover
funding
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2010,
shall
not
revert
but
shall
be
transferred
in
the
amount
of
$1,000,000
to
the
supportive
and
residential
services
competitive
grant
program
fund
created
in
section
16.185A,
as
enacted
in
this
2012
Act,
and
the
remainder
shall
be
transferred
to
the
community
housing
and
services
for
persons
with
disabilities
revolving
loan
program
fund
created
in
section
16.185
,
as
enacted
by
this
Senate
File
2336,
p.
77
division
of
this
Act.
IOWA
VETERANS
HOME
Sec.
74.
2011
Iowa
Acts,
chapter
129,
section
3,
subsection
2,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
d.
The
funds
appropriated
in
this
subsection
to
the
Iowa
veterans
home
that
remain
available
for
expenditure
for
the
succeeding
fiscal
year
pursuant
to
section
35D.18,
subsection
5,
shall
be
distributed
to
be
used
in
the
succeeding
fiscal
year
in
accordance
with
this
lettered
paragraph.
The
first
$500,000
shall
remain
available
to
be
used
for
the
purposes
of
the
Iowa
veterans
home.
Any
remaining
balance
shall
be
credited
to
the
appropriation
in
this
Act
for
the
fiscal
year
beginning
July
1,
2012,
for
medical
assistance.
FAMILY
INVESTMENT
PROGRAM
——
GENERAL
FUND
Sec.
75.
2011
Iowa
Acts,
chapter
129,
section
7,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
5.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
MEDICAL
ASSISTANCE
Sec.
76.
2011
Iowa
Acts,
chapter
129,
section
10,
subsection
20,
paragraph
d,
is
amended
to
read
as
follows:
d.
If
the
savings
to
the
medical
assistance
program
exceed
the
cost,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
medical
assistance
program
cost
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
2009,
or
cost
containment
strategies
initiated
pursuant
to
this
subsection,
to
the
appropriation
appropriations
made
in
this
division
of
this
Act
for
medical
contracts
or
general
administration
to
defray
the
increased
contract
costs
associated
with
implementing
such
efforts.
BEHAVIORAL
HEALTH
SERVICES
ACCOUNT
——
MEDICAL
ASSISTANCE
Sec.
77.
2011
Iowa
Acts,
chapter
129,
section
10,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
26.
Notwithstanding
2009
Iowa
Acts,
chapter
182,
section
9,
subsection
16,
paragraph
“b”,
as
amended
by
2010
Iowa
Acts,
chapter
1192,
section
63,
as
amended
by
2011
Iowa
Acts,
chapter
129,
section
54,
funds
in
the
account
that
remain
unencumbered
or
unobligated
at
the
end
of
the
fiscal
year
beginning
July
1,
2011,
are
appropriated
to
Senate
File
2336,
p.
78
the
department
of
human
services
to
be
used
for
the
medical
assistance
program
for
the
succeeding
fiscal
year.
STATE
SUPPLEMENTARY
ASSISTANCE
Sec.
78.
2011
Iowa
Acts,
chapter
129,
section
11,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
JUVENILE
INSTITUTIONS
Sec.
79.
2011
Iowa
Acts,
chapter
129,
section
14,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
MENTAL
HEALTH
INSTITUTES
Sec.
80.
2011
Iowa
Acts,
chapter
129,
section
20,
is
amended
by
adding
the
following
new
unnumbered
paragraph
2:
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
STATE
RESOURCE
CENTERS
Sec.
81.
2011
Iowa
Acts,
chapter
129,
section
21,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
6.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
SEXUALLY
VIOLENT
PREDATORS
Sec.
82.
2011
Iowa
Acts,
chapter
129,
section
24,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
FIELD
OPERATIONS
Senate
File
2336,
p.
79
Sec.
83.
2011
Iowa
Acts,
chapter
129,
section
25,
is
amended
by
adding
the
following
new
unnumbered
paragraph:
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
CHILD
PROTECTION
SYSTEM
IMPROVEMENTS
Sec.
84.
2011
Iowa
Acts,
chapter
129,
section
26,
subsection
5,
is
amended
to
read
as
follows:
5.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
be
used
for
implementation
of
child
protection
system
improvements
addressed
in
2011
Iowa
Acts,
House
File
562
,
as
enacted
chapter
28
.
Notwithstanding
section
8.33,
moneys
allocated
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.
GENERAL
ADMINISTRATION
Sec.
85.
2011
Iowa
Acts,
chapter
129,
section
26,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
6.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
IOWACARE
DISTRIBUTIONS
Sec.
86.
2011
Iowa
Acts,
chapter
129,
section
35,
subsection
2,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
salaries,
support,
maintenance,
equipment,
and
miscellaneous
purposes,
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J
,
and
for
medical
education:
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
56,226,279
Sec.
87.
2011
Iowa
Acts,
chapter
129,
section
35,
subsection
4,
paragraph
a,
is
amended
to
read
as
follows:
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise
plus
a
monthly
disproportionate
share
hospital
payment.
Any
amount
appropriated
in
this
subsection
Senate
File
2336,
p.
80
in
excess
of
$60,000,000
$57,000,000
shall
be
distributed
only
if
the
sum
of
the
expansion
population
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
share
hospital
payments
exceeds
$60,000,000
$57,000,000
.
The
amount
paid
in
excess
of
$60,000,000
$57,000,000
shall
not
adjust
the
original
monthly
payment
amount
but
shall
be
distributed
monthly
based
on
actual
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
share
hospital
amount.
Any
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
$57,000,000
shall
be
allocated
only
if
federal
funds
are
available
to
match
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
appropriated
in
this
subsection,
not
more
than
$4,000,000
shall
be
distributed
for
prescription
drugs
and
podiatry
services.
Sec.
88.
2011
Iowa
Acts,
chapter
129,
section
35,
subsection
4,
paragraph
d,
subparagraph
(2),
is
amended
to
read
as
follows:
(2)
Notwithstanding
the
amount
collected
and
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
section
249J.24,
subsection
4
,
paragraph
“a”,
subparagraph
(2),
the
first
$19,000,000
in
collections
pursuant
to
section
347.7
between
January
1,
2012,
and
June
30,
2012,
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
and
collections
during
this
time
period
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
teaching
hospital
identified
in
this
subsection.
Of
the
collections
in
excess
of
the
$19,000,000
received
by
the
acute
care
teaching
hospital
under
this
subparagraph
(2),
$2,000,000
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
month
of
July
2012,
following
the
January
1
through
June
30,
2012,
period.
Sec.
89.
IMMEDIATE
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
90.
RETROACTIVE
APPLICABILITY.
The
following
sections
of
this
division
of
this
Act
apply
retroactively
to
July
1,
2011:
1.
The
section
relating
to
the
transfer
of
funds
from
costs
savings
under
the
medical
assistance
program
to
appropriations
for
medical
contracts
or
general
administration
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012.
Senate
File
2336,
p.
81
2.
The
section
relating
to
the
nonreversion
of
decategorization
of
child
welfare
and
juvenile
justice
funds.
3.
The
section
relating
to
the
distribution
of
IowaCare
program
funds.
DIVISION
IX
MISCELLANEOUS
Sec.
91.
Section
8A.512A,
subsection
3,
Code
Supplement
2011,
is
amended
to
read
as
follows:
3.
a.
For
purposes
of
this
section
,
“executive
branch
employee”
means
an
employee
of
the
executive
branch
as
defined
in
section
7E.2
,
other
than
a
member
or
employee
of
the
state
board
of
regents
and
institutions
under
the
control
of
the
state
board
of
regents.
b.
For
purposes
of
this
section,
“out-of-state
travel”
does
not
include
out-of-state
travel
incidental
to
travel
between
a
travel
departure
point
in
this
state
and
a
travel
destination
point
in
the
city
of
Carter
Lake.
Sec.
92.
NEW
SECTION
.
16.185A
Supportive
and
residential
services
for
individuals
who
meet
the
psychiatric
medical
institution
for
children
level
of
care
——
competitive
grant
program
fund.
1.
A
supportive
and
residential
services
competitive
grant
program
fund
is
created
within
the
authority
to
further
the
availability
of
supportive
and
residential
services
for
individuals
who
meet
the
psychiatric
medical
institution
for
children
level
of
care
under
the
medical
assistance
program.
The
moneys
in
the
fund
are
appropriated
to
the
authority
to
be
used
for
the
development
and
operation
of
a
competitive
grant
program
to
provide
financing
to
construct
supportive
housing
or
develop
the
infrastructure
in
which
to
provide
supportive
services,
including
through
new
construction,
acquisition
and
rehabilitation
of
existing
housing
or
infrastructure,
or
conversion
or
adaptive
reuse.
2.
Moneys
transferred
by
the
authority
for
deposit
in
the
competitive
grant
program
fund,
moneys
appropriated
to
the
competitive
grant
program,
and
any
other
moneys
available
to
and
obtained
or
accepted
by
the
authority
for
placement
in
the
fund
shall
be
credited
to
the
fund.
Additionally,
payment
of
interest,
recaptures
of
awards,
and
other
repayments
to
the
fund
shall
be
credited
to
the
fund.
Notwithstanding
section
12C.7,
subsection
2,
interest
or
earnings
on
moneys
in
the
fund
shall
be
credited
to
the
fund.
Notwithstanding
section
8.33,
moneys
credited
to
the
fund
from
any
other
fund
that
remain
Senate
File
2336,
p.
82
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
the
other
fund.
3.
The
authority
shall
allocate
moneys
in
the
fund
to
the
extent
available
for
the
development
of
supportive
housing
or
the
infrastructure
in
which
to
provide
supportive
services
for
individuals
who
meet
the
psychiatric
medical
institution
for
children
level
of
care
under
the
medical
assistance
program.
Moneys
allocated
to
such
projects
shall
be
in
the
form
of
competitive
grants.
An
application
submitted
shall
contain
a
commitment
of
at
least
a
dollar-for-dollar
match
of
the
grant
assistance.
4.
a.
A
project
shall
demonstrate
written
approval
of
the
project
by
the
department
of
human
services
to
the
authority
prior
to
application
for
funding
under
this
section.
b.
In
order
to
be
approved
by
the
department
of
human
services
for
application
for
funding
under
this
section,
a
project
shall
include
all
of
the
following
components:
(1)
Provision
of
services
to
individuals
who
meet
the
psychiatric
medical
institution
for
children
level
of
care
under
the
medical
assistance
program.
(2)
Policies
and
procedures
that
prohibit
discharge
of
the
individual
from
the
services
provided
by
the
project
provider
unless
an
alternative
placement
that
is
acceptable
to
the
client
or
the
client’s
guardian
is
identified.
5.
Housing
provided
through
a
project
under
this
section
is
exempt
from
the
requirements
of
chapter
135O.
6.
The
authority,
in
collaboration
with
the
department
of
human
services,
shall
adopt
rules
pursuant
to
chapter
17A
to
administer
this
section.
Sec.
93.
Section
97B.39,
Code
2011,
is
amended
to
read
as
follows:
97B.39
Rights
not
transferable
or
subject
to
legal
process
——
exceptions.
The
right
of
any
person
to
any
future
payment
under
this
chapter
is
not
transferable
or
assignable,
at
law
or
in
equity,
and
the
moneys
paid
or
payable
or
rights
existing
under
this
chapter
are
not
subject
to
execution,
levy,
attachment,
garnishment,
or
other
legal
process,
or
to
the
operation
of
any
bankruptcy
or
insolvency
law
except
for
the
purposes
of
enforcing
child,
spousal,
or
medical
support
obligations
or
marital
property
orders
,
or
for
recovery
of
medical
assistance
payments
pursuant
to
section
249A.5
.
For
the
purposes
of
enforcing
child,
spousal,
or
medical
support
Senate
File
2336,
p.
83
obligations,
the
garnishment
or
attachment
of
or
the
execution
against
compensation
due
a
person
under
this
chapter
shall
not
exceed
the
amount
specified
in
15
U.S.C.
§
1673(b).
The
system
shall
comply
with
the
provisions
of
a
marital
property
order
requiring
the
selection
of
a
particular
benefit
option,
designated
beneficiary,
or
contingent
annuitant
if
the
selection
is
otherwise
authorized
by
this
chapter
and
the
member
has
not
received
payment
of
the
member’s
first
retirement
allowance.
However,
a
marital
property
order
shall
not
require
the
payment
of
benefits
to
an
alternative
payee
prior
to
the
member’s
retirement,
prior
to
the
date
the
member
elects
to
receive
a
lump
sum
distribution
of
accumulated
contributions
pursuant
to
section
97B.53
,
or
in
an
amount
that
exceeds
the
benefits
the
member
would
otherwise
be
eligible
to
receive
pursuant
to
this
chapter
.
Sec.
94.
Section
135H.10,
subsection
3,
Code
2011,
is
amended
by
striking
the
subsection.
Sec.
95.
Section
144D.4,
as
enacted
by
2012
Iowa
Acts,
House
File
2165,
section
5,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
10.
A
POST
form
executed
between
July
1,
2008,
and
June
30,
2012,
as
part
of
the
patient
autonomy
in
health
care
decisions
pilot
project
created
pursuant
to
2008
Iowa
Acts,
chapter
1188,
section
36,
as
amended
by
2010
Iowa
Acts,
chapter
1192,
section
58,
shall
remain
effective
until
revoked
or
until
a
new
POST
form
is
executed
pursuant
to
this
chapter.
Sec.
96.
Section
225B.8,
Code
Supplement
2011,
is
amended
to
read
as
follows:
225B.8
Repeal.
This
chapter
is
repealed
July
1,
2012
2015
.
Sec.
97.
NEW
SECTION
.
231.45
Certified
volunteer
long-term
care
resident’s
advocate
program.
1.
The
department
shall
establish
a
certified
volunteer
long-term
care
resident’s
advocate
program
in
accordance
with
the
federal
Act
to
provide
assistance
to
the
state
and
local
long-term
care
resident’s
advocates.
2.
The
department
shall
develop
and
implement
a
certification
process
for
volunteer
long-term
care
resident’s
advocates
including
but
not
limited
to
an
application
process,
provision
for
background
checks,
classroom
or
on-site
training,
orientation,
and
continuing
education.
3.
The
provisions
of
section
231.42
relating
to
local
Senate
File
2336,
p.
84
long-term
care
resident’s
advocates
shall
apply
to
certified
volunteer
long-term
care
resident’s
advocates.
4.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
to
administer
this
section.
Sec.
98.
NEW
SECTION
.
239B.2C
Absence
from
home
——
incarceration.
An
individual
family
member
who
is
absent
from
the
home
for
more
than
three
months
because
the
individual
is
incarcerated
in
jail
or
a
correctional
facility
shall
not
be
included
in
the
family
unit
for
purposes
of
assistance.
Sec.
99.
Section
384.22,
subsection
2,
paragraph
b,
unnumbered
paragraph
1,
if
enacted
in
2012
Iowa
Acts,
House
File
2460,
is
amended
to
read
as
follows:
The
report
required
under
this
subsection
shall
include
all
of
the
following
as
of
June
30
of
the
most
recently
ended
fiscal
year
or
the
information
for
such
fiscal
year,
as
applicable
:
Sec.
100.
SPECIAL
EDUCATION
INSTRUCTIONAL
PROGRAMS
——
PRIVATE
AGENCY
RESIDENTIAL
TREATMENT
SERVICES.
For
the
school
year
beginning
July
1,
2012,
the
department
of
education
shall
administer
the
costs
of
special
education
instructional
programs
funded
under
section
256B.9,
subsection
7,
when
contracted
with
a
private
agency
that
provides
residential
treatment
services
to
include
the
costs
of
general
administration,
health
services,
attendance
officers,
plant
operation,
and
plant
maintenance,
regular
and
special
instructional
costs,
overhead
costs,
and
the
costs
of
purchase
of
equipment,
transportation,
and
insurance
to
meet
the
special
needs
of
children
requiring
special
education.
Sec.
101.
SPECIAL
EDUCATION
COSTS
——
LEGISLATIVE
STUDY.
The
legislative
council
is
requested
to
establish
an
interim
study
committee
during
the
2012
interim
to
examine
the
payment
of
special
education
costs
associated
with
student
services
provided
in
residential
treatment
facilities
and
whether
the
planning
for
and
costs
of
such
services
would
be
more
appropriately
administered
by
the
department
of
education
or
the
department
of
human
services.
Sec.
102.
CIVIL
MONETARY
PENALTIES
——
NURSING
FACILITY
TRAINING.
Of
the
funds
received
by
the
department
of
human
services
through
civil
monetary
penalties
from
nursing
facilities,
during
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
$250,000
shall
be
used
for
initial
training
of
nursing
facility
staff
for
the
care
of
individuals
Senate
File
2336,
p.
85
who
were
placed
in
a
nursing
facility
from
a
commitment
as
a
sexually
violent
predator
under
chapter
229A,
residents
of
nursing
facilities
who
have
difficult
to
manage
behaviors,
and
individuals
who
are
difficult
for
a
nursing
facility
to
accept
for
placement.
______________________________
JOHN
P.
KIBBIE
President
of
the
Senate
______________________________
KRAIG
PAULSEN
Speaker
of
the
House
I
hereby
certify
that
this
bill
originated
in
the
Senate
and
is
known
as
Senate
File
2336,
Eighty-fourth
General
Assembly.
______________________________
MICHAEL
E.
MARSHALL
Secretary
of
the
Senate
Approved
_______________,
2012
______________________________
TERRY
E.
BRANSTAD
Governor