Bill Text: IA SF505 | 2015-2016 | 86th General Assembly | Introduced
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Bill Title: A bill for an act relating to appropriations for health and human services and veterans and including other related provisions and appropriations, and including effective date and retroactive and other applicability date provisions. (Formerly SSB 1288.) Item vetoed. Various effective dates; see sections 33, 61, 110, and 162 of bill.
Spectrum: Committee Bill
Status: (Passed) 2015-07-02 - Signed by Governor. S.J. 1134. [SF505 Detail]
Download: Iowa-2015-SF505-Introduced.html
Bill Title: A bill for an act relating to appropriations for health and human services and veterans and including other related provisions and appropriations, and including effective date and retroactive and other applicability date provisions. (Formerly SSB 1288.) Item vetoed. Various effective dates; see sections 33, 61, 110, and 162 of bill.
Spectrum: Committee Bill
Status: (Passed) 2015-07-02 - Signed by Governor. S.J. 1134. [SF505 Detail]
Download: Iowa-2015-SF505-Introduced.html
Senate File 505 - Introduced SENATE FILE BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO SSB 1288) A BILL FOR 1 An Act relating to appropriations for health and human services 2 and veterans and including other related provisions and 3 appropriations, and including effective date and retroactive 4 and other applicability date provisions. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 2653SV (2) 86 pf/rj PAG LIN 1 1 DIVISION I 1 2 DEPARTMENT ON AGING ==== FY 2015=2016 1 3 Section 1. DEPARTMENT ON AGING. There is appropriated from 1 4 the general fund of the state to the department on aging for 1 5 the fiscal year beginning July 1, 2015, and ending June 30, 1 6 2016, the following amount, or so much thereof as is necessary, 1 7 to be used for the purposes designated: 1 8 For aging programs for the department on aging and area 1 9 agencies on aging to provide citizens of Iowa who are 60 years 1 10 of age and older with case management for frail elders, Iowa's 1 11 aging and disabilities resource center, and other services 1 12 which may include but are not limited to adult day services, 1 13 respite care, chore services, information and assistance, 1 14 and material aid, for information and options counseling for 1 15 persons with disabilities who are 18 years of age or older, 1 16 and for salaries, support, administration, maintenance, and 1 17 miscellaneous purposes, and for not more than the following 1 18 full=time equivalent positions: 1 19 .................................................. $ 11,436,066 1 20 ............................................... FTEs 31.00 1 21 1. Funds appropriated in this section may be used to 1 22 supplement federal funds under federal regulations. To 1 23 receive funds appropriated in this section, a local area 1 24 agency on aging shall match the funds with moneys from other 1 25 sources according to rules adopted by the department. Funds 1 26 appropriated in this section may be used for elderly services 1 27 not specifically enumerated in this section only if approved 1 28 by an area agency on aging for provision of the service within 1 29 the area. 1 30 2. Of the funds appropriated in this section, $279,946 is 1 31 transferred to the economic development authority for the Iowa 1 32 commission on volunteer services to be used for the retired and 1 33 senior volunteer program. 1 34 3. a. The department on aging shall establish and enforce 1 35 procedures relating to expenditure of state and federal funds 2 1 by area agencies on aging that require compliance with both 2 2 state and federal laws, rules, and regulations, including but 2 3 not limited to all of the following: 2 4 (1) Requiring that expenditures are incurred only for goods 2 5 or services received or performed prior to the end of the 2 6 fiscal period designated for use of the funds. 2 7 (2) Prohibiting prepayment for goods or services not 2 8 received or performed prior to the end of the fiscal period 2 9 designated for use of the funds. 2 10 (3) Prohibiting the prepayment for goods or services 2 11 not defined specifically by good or service, time period, or 2 12 recipient. 2 13 (4) Prohibiting the establishment of accounts from which 2 14 future goods or services which are not defined specifically by 2 15 good or service, time period, or recipient, may be purchased. 2 16 b. The procedures shall provide that if any funds are 2 17 expended in a manner that is not in compliance with the 2 18 procedures and applicable federal and state laws, rules, and 2 19 regulations, and are subsequently subject to repayment, the 2 20 area agency on aging expending such funds in contravention of 2 21 such procedures, laws, rules and regulations, not the state, 2 22 shall be liable for such repayment. 2 23 4. Of the funds appropriated in this section, at least 2 24 $250,000 shall be used to fund the unmet needs identified 2 25 through Iowa's aging and disability resource center network. 2 26 5. Of the funds appropriated in this section, at least 2 27 $600,000 shall be used to fund home and community=based 2 28 services through the area agencies on aging that enable older 2 29 individuals to avoid more costly utilization of residential or 2 30 institutional services and remain in their own homes. 2 31 6. Of the funds appropriated in this section, $850,000 2 32 shall be used for the purposes of chapter 231E and section 2 33 231.56A, of which $325,000 shall be used for the office of 2 34 substitute decision maker pursuant to chapter 231E, and the 2 35 remainder shall be distributed equally to the area agencies on 3 1 aging to administer the prevention of elder abuse, neglect, and 3 2 exploitation program pursuant to section 231.56A, in accordance 3 3 with the requirements of the federal Older Americans Act of 3 4 1965, 42 U.S.C. {3001 et seq., as amended. 3 5 DIVISION II 3 6 OFFICE OF LONG=TERM CARE OMBUDSMAN ==== FY 2015=2016 3 7 Sec. 2. OFFICE OF LONG=TERM CARE OMBUDSMAN. 3 8 1. There is appropriated from the general fund of the state 3 9 to the office of long=term care ombudsman for the fiscal year 3 10 beginning July 1, 2015, and ending June 30, 2016, the following 3 11 amount, or so much thereof as is necessary, to be used for the 3 12 purposes designated: 3 13 For salaries, support, administration, maintenance, and 3 14 miscellaneous purposes, and for not more than the following 3 15 full=time equivalent positions: 3 16 .................................................. $ 1,506,783 3 17 ............................................... FTEs 21.00 3 18 2. Of the funds appropriated in this section, $450,000 shall 3 19 be used to provide additional local long=term care ombudsmen. 3 20 3. The office of long=term care ombudsman and the department 3 21 of human services shall collaborate to develop a Medicaid 3 22 state plan amendment to provide for the claiming of federal 3 23 financial participation for office of long=term care ombudsman 3 24 activities that are performed to assist with administration of 3 25 the Medicaid program. The Medicaid state plan amendment shall 3 26 be submitted to the centers for Medicare and Medicaid services 3 27 of the United States department of health and human services in 3 28 a timely manner to allow for such claiming of federal financial 3 29 participation beginning January 1, 2016. 3 30 DIVISION III 3 31 DEPARTMENT OF PUBLIC HEALTH ==== FY 2015=2016 3 32 Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriated 3 33 from the general fund of the state to the department of public 3 34 health for the fiscal year beginning July 1, 2015, and ending 3 35 June 30, 2016, the following amounts, or so much thereof as is 4 1 necessary, to be used for the purposes designated: 4 2 1. ADDICTIVE DISORDERS 4 3 For reducing the prevalence of the use of tobacco, alcohol, 4 4 and other drugs, and treating individuals affected by addictive 4 5 behaviors, including gambling, and for not more than the 4 6 following full=time equivalent positions: 4 7 .................................................. $ 27,263,690 4 8 ............................................... FTEs 10.00 4 9 a. (1) Of the funds appropriated in this subsection, 4 10 $5,248,361 shall be used for the tobacco use prevention 4 11 and control initiative, including efforts at the state and 4 12 local levels, as provided in chapter 142A. The commission 4 13 on tobacco use prevention and control established pursuant 4 14 to section 142A.3 shall advise the director of public health 4 15 in prioritizing funding needs and the allocation of moneys 4 16 appropriated for the programs and initiatives. Activities 4 17 of the programs and initiatives shall be in alignment with 4 18 the United States centers for disease control and prevention 4 19 best practices for comprehensive tobacco control programs that 4 20 include the goals of preventing youth initiation of tobacco 4 21 usage, reducing exposure to secondhand smoke, and promotion of 4 22 tobacco cessation. 4 23 (2) (a) Of the funds allocated in this paragraph "a", 4 24 $453,067 is transferred to the alcoholic beverages division of 4 25 the department of commerce for enforcement of tobacco laws, 4 26 regulations, and ordinances and to engage in tobacco control 4 27 activities approved by the division of tobacco use prevention 4 28 and control of the department of public health as specified 4 29 in the memorandum of understanding entered into between the 4 30 divisions. 4 31 (b) For the fiscal year beginning July 1, 2015, and ending 4 32 June 30, 2016, the terms of the memorandum of understanding, 4 33 entered into between the division of tobacco use prevention 4 34 and control of the department of public health and the 4 35 alcoholic beverages division of the department of commerce, 5 1 governing compliance checks conducted to ensure licensed retail 5 2 tobacco outlet conformity with tobacco laws, regulations, and 5 3 ordinances relating to persons under eighteen years of age, 5 4 shall continue to restrict the number of such checks to one 5 5 check per retail outlet, and one additional check for any 5 6 retail outlet found to be in violation during the first check. 5 7 b. Of the funds appropriated in this subsection, 5 8 $22,015,329 shall be used for problem gambling and 5 9 substance=related disorder prevention, treatment, and recovery 5 10 services, including a 24=hour helpline, public information 5 11 resources, professional training, and program evaluation. 5 12 (1) Of the funds allocated in this paragraph "b", 5 13 $18,903,715 shall be used for substance=related disorder 5 14 prevention and treatment. 5 15 (a) Of the funds allocated in this subparagraph (1), 5 16 $899,300 shall be used for the public purpose of a grant 5 17 program to provide substance=related disorder prevention 5 18 programming for children. 5 19 (i) Of the funds allocated in this subparagraph division 5 20 (a), $427,539 shall be used for grant funding for organizations 5 21 that provide programming for children by utilizing mentors. 5 22 Programs approved for such grants shall be certified or must 5 23 be certified within six months of receiving the grant award 5 24 by the Iowa commission on volunteer services as utilizing the 5 25 standards for effective practice for mentoring programs. 5 26 (ii) Of the funds allocated in this subparagraph division 5 27 (a), $426,839 shall be used for grant funding for organizations 5 28 providing programming that includes youth development and 5 29 leadership services. The programs shall also be recognized as 5 30 being programs that are scientifically based with evidence of 5 31 their effectiveness in reducing substance=related disorders in 5 32 children. 5 33 (iii) The department of public health shall utilize a 5 34 request for proposals process to implement the grant program. 5 35 (iv) All grant recipients shall participate in a program 6 1 evaluation as a requirement for receiving grant funds. 6 2 (v) Of the funds allocated in this subparagraph division 6 3 (a), up to $44,922 may be used to administer substance=related 6 4 disorder prevention grants and for program evaluations. 6 5 (b) Of the funds allocated in this subparagraph 6 6 (1), $272,603 shall be used for culturally competent 6 7 substance=related disorder treatment pilot projects. 6 8 (i) The department shall utilize the amount allocated 6 9 in this subparagraph division (b) for at least three pilot 6 10 projects to provide culturally competent substance=related 6 11 disorder treatment in various areas of the state. Each pilot 6 12 project shall target a particular ethnic minority population. 6 13 The populations targeted shall include but are not limited to 6 14 African American, Asian, and Latino. 6 15 (ii) The pilot project requirements shall provide for 6 16 documentation or other means to ensure access to the cultural 6 17 competence approach used by a pilot project so that such 6 18 approach can be replicated and improved upon in successor 6 19 programs. 6 20 (2) Of the funds allocated in this paragraph "b", up 6 21 to $3,111,614 may be used for problem gambling prevention, 6 22 treatment, and recovery services. 6 23 (a) Of the funds allocated in this subparagraph (2), 6 24 $2,573,762 shall be used for problem gambling prevention and 6 25 treatment. 6 26 (b) Of the funds allocated in this subparagraph (2), up to 6 27 $437,852 may be used for a 24=hour helpline, public information 6 28 resources, professional training, and program evaluation. 6 29 (c) Of the funds allocated in this subparagraph (2), up 6 30 to $100,000 may be used for the licensing of problem gambling 6 31 treatment programs. 6 32 (3) It is the intent of the general assembly that from the 6 33 moneys allocated in this paragraph "b", persons with a dual 6 34 diagnosis of substance=related disorder and gambling addiction 6 35 shall be given priority in treatment services. 7 1 c. Notwithstanding any provision of law to the contrary, 7 2 to standardize the availability, delivery, cost of delivery, 7 3 and accountability of problem gambling and substance=related 7 4 disorder treatment services statewide, the department shall 7 5 continue implementation of a process to create a system 7 6 for delivery of treatment services in accordance with the 7 7 requirements specified in 2008 Iowa Acts, chapter 1187, section 7 8 3, subsection 4. To ensure the system provides a continuum 7 9 of treatment services that best meets the needs of Iowans, 7 10 the problem gambling and substance=related disorder treatment 7 11 services in any area may be provided either by a single agency 7 12 or by separate agencies submitting a joint proposal. 7 13 (1) The system for delivery of substance=related disorder 7 14 and problem gambling treatment shall include problem gambling 7 15 prevention. 7 16 (2) The system for delivery of substance=related disorder 7 17 and problem gambling treatment shall include substance=related 7 18 disorder prevention by July 1, 2016. 7 19 (3) Of the funds allocated in paragraph "b", the department 7 20 may use up to $100,000 for administrative costs to continue 7 21 developing and implementing the process in accordance with this 7 22 paragraph "c". 7 23 d. The requirement of section 123.53, subsection 5, is met 7 24 by the appropriations and allocations made in this division of 7 25 this Act for purposes of substance=related disorder treatment 7 26 and addictive disorders for the fiscal year beginning July 1, 7 27 2015. 7 28 e. The department of public health shall work with all 7 29 other departments that fund substance=related disorder 7 30 prevention and treatment services and all such departments 7 31 shall, to the extent necessary, collectively meet the state 7 32 maintenance of effort requirements for expenditures for 7 33 substance=related disorder services as required under the 7 34 federal substance=related disorder prevention and treatment 7 35 block grant. 8 1 2. HEALTHY CHILDREN AND FAMILIES 8 2 For promoting the optimum health status for children, 8 3 adolescents from birth through 21 years of age, and families, 8 4 and for not more than the following full=time equivalent 8 5 positions: 8 6 .................................................. $ 7,331,602 8 7 ............................................... FTEs 13.00 8 8 a. Of the funds appropriated in this subsection, not more 8 9 than $734,841 shall be used for the healthy opportunities for 8 10 parents to experience success (HOPES)=healthy families Iowa 8 11 (HFI) program established pursuant to section 135.106. The 8 12 funding shall be distributed to renew the grants that were 8 13 provided to the grantees that operated the program during the 8 14 fiscal year ending June 30, 2015. 8 15 b. In order to implement the legislative intent stated in 8 16 sections 135.106 and 256I.9, that priority for home visitation 8 17 program funding be given to programs using evidence=based or 8 18 promising models for home visitation, it is the intent of the 8 19 general assembly to phase in the funding priority in accordance 8 20 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2, 8 21 paragraph 0b. 8 22 c. Of the funds appropriated in this subsection, $4,912,887 8 23 shall be used to expand statewide the department's initiative 8 24 to provide for adequate developmental surveillance and 8 25 screening during a child's first five years. The funds shall 8 26 be used first to fully fund the current sites to ensure that 8 27 the sites are fully operational, with the remaining funds 8 28 to be used for expansion to additional sites. The full 8 29 implementation and expansion shall include enhancing the scope 8 30 of the program through collaboration with the child health 8 31 specialty clinics to promote healthy child development through 8 32 early identification and response to both biomedical and social 8 33 determinants of healthy development; by monitoring child 8 34 health metrics to inform practice, document long=term health 8 35 impacts and savings, and provide for continuous improvement 9 1 through training, education, and evaluation; and by providing 9 2 for practitioner consultation particularly for children with 9 3 behavioral conditions and needs. The department of public 9 4 health shall also collaborate with the Iowa Medicaid enterprise 9 5 and the child health specialty clinics to integrate the 9 6 activities of the first five initiative into the establishment 9 7 of patient=centered medical homes, community utilities, 9 8 accountable care organizations, and other integrated care 9 9 models developed to improve health quality and population 9 10 health while reducing health care costs. To the maximum extent 9 11 possible, funding allocated in this paragraph shall be utilized 9 12 as matching funds for medical assistance program reimbursement. 9 13 d. Of the funds appropriated in this subsection, $74,640 9 14 shall be distributed to a statewide dental carrier to provide 9 15 funds to continue the donated dental services program patterned 9 16 after the projects developed by the lifeline network to provide 9 17 dental services to indigent individuals who are elderly or with 9 18 disabilities. 9 19 e. Of the funds appropriated in this subsection, $111,995 9 20 shall be used for childhood obesity prevention. 9 21 f. Of the funds appropriated in this subsection, $162,768 9 22 shall be used to provide audiological services and hearing 9 23 aids for children. The department may enter into a contract 9 24 to administer this paragraph. 9 25 g. Of the funds appropriated in this subsection, $25,000 is 9 26 transferred to the university of Iowa college of dentistry for 9 27 provision of primary dental services to children. State funds 9 28 shall be matched on a dollar=for=dollar basis. The university 9 29 of Iowa college of dentistry shall coordinate efforts with the 9 30 department of public health, bureau of oral and health delivery 9 31 systems, to provide dental care to underserved populations 9 32 throughout the state. 9 33 h. Of the funds appropriated in this subsection, $50,000 9 34 shall be used to address youth suicide prevention. 9 35 i. Of the funds appropriated in this subsection, $50,000 10 1 shall be used to support the Iowa effort to address the survey 10 2 of children who experience adverse childhood experiences known 10 3 as ACEs. 10 4 3. CHRONIC CONDITIONS 10 5 For serving individuals identified as having chronic 10 6 conditions or special health care needs, and for not more than 10 7 the following full=time equivalent positions: 10 8 .................................................. $ 5,105,861 10 9 ............................................... FTEs 5.00 10 10 a. Of the funds appropriated in this subsection, $159,932 10 11 shall be used for grants to individual patients who have an 10 12 inherited metabolic disorder to assist with the costs of 10 13 medically necessary foods and formula. 10 14 b. Of the funds appropriated in this subsection, $891,644 10 15 shall be used for the brain injury services program pursuant to 10 16 section 135.22B, including for continuation of the contracts 10 17 for resource facilitator services in accordance with section 10 18 135.22B, subsection 9, and to enhance brain injury training and 10 19 recruitment of service providers on a statewide basis. Of the 10 20 amount allocated in this paragraph, $95,000 shall be used to 10 21 fund one full=time equivalent position to serve as the state 10 22 brain injury services program manager. 10 23 c. Of the funds appropriated in this subsection, $547,982 10 24 shall be used as additional funding to leverage federal funding 10 25 through the federal Ryan White Care Act, Tit. II, AIDS drug 10 26 assistance program supplemental drug treatment grants. 10 27 d. Of the funds appropriated in this subsection, $149,823 10 28 shall be used for the public purpose of continuing to contract 10 29 with an existing national=affiliated organization to provide 10 30 education, client=centered programs, and client and family 10 31 support for people living with epilepsy and their families. 10 32 The amount allocated in this paragraph in excess of $100,000 10 33 shall be matched dollar=for=dollar by the organization 10 34 specified. 10 35 e. Of the funds appropriated in this subsection, $785,114 11 1 shall be used for child health specialty clinics. 11 2 f. Of the funds appropriated in this subsection, $400,000 11 3 shall be used by the regional autism assistance program 11 4 established pursuant to section 256.35, and administered by 11 5 the child health specialty clinic located at the university of 11 6 Iowa hospitals and clinics. The funds shall be used to enhance 11 7 interagency collaboration and coordination of educational, 11 8 medical, and other human services for persons with autism, 11 9 their families, and providers of services, including delivering 11 10 regionalized services of care coordination, family navigation, 11 11 and integration of services through the statewide system of 11 12 regional child health specialty clinics and fulfilling other 11 13 requirements as specified in chapter 225D. The university of 11 14 Iowa shall not receive funds allocated under this paragraph for 11 15 indirect costs associated with the regional autism assistance 11 16 program. 11 17 g. Of the funds appropriated in this subsection, $570,993 11 18 shall be used for the comprehensive cancer control program to 11 19 reduce the burden of cancer in Iowa through prevention, early 11 20 detection, effective treatment, and ensuring quality of life. 11 21 Of the funds allocated in this paragraph "g", $150,000 shall 11 22 be used to support a melanoma research symposium, a melanoma 11 23 biorepository and registry, basic and translational melanoma 11 24 research, and clinical trials. 11 25 h. Of the funds appropriated in this subsection, $126,450 11 26 shall be used for cervical and colon cancer screening, and 11 27 $300,000 shall be used to enhance the capacity of the cervical 11 28 cancer screening program to include provision of recommended 11 29 prevention and early detection measures to a broader range of 11 30 low=income women. 11 31 i. Of the funds appropriated in this subsection, $676,864 11 32 shall be used for the center for congenital and inherited 11 33 disorders including to provide for surveillance of stillbirths 11 34 as defined in section 136A.2. 11 35 j. Of the funds appropriated in this subsection, $129,411 12 1 shall be used for the prescription drug donation repository 12 2 program created in chapter 135M. 12 3 k. Of the funds appropriated in this subsection, 12 4 $215,263 shall be used by the department of public health 12 5 for reform=related activities, including but not limited to 12 6 facilitation of communication to stakeholders at the state and 12 7 local level, administering the patient=centered health advisory 12 8 council pursuant to section 135.159, and involvement in health 12 9 care system innovation activities occurring across the state. 12 10 l. Of the funds appropriated in this subsection, $25,000 12 11 shall be used for administration of chapter 124D, the medical 12 12 cannabidiol Act, or other Code provisions authorizing the 12 13 compassionate medical use of cannabis, if enacted by the 2015 12 14 regular session of the Eighty=sixth General Assembly. 12 15 4. COMMUNITY CAPACITY 12 16 For strengthening the health care delivery system at the 12 17 local level, and for not more than the following full=time 12 18 equivalent positions: 12 19 .................................................. $ 8,719,716 12 20 ............................................... FTEs 11.00 12 21 a. Of the funds appropriated in this subsection, $99,414 12 22 is allocated for continuation of the child vision screening 12 23 program implemented through the university of Iowa hospitals 12 24 and clinics in collaboration with early childhood Iowa areas. 12 25 The program shall submit a report to the individuals identified 12 26 in this Act for submission of reports regarding the use of 12 27 funds allocated under this paragraph "a". The report shall 12 28 include the objectives and results for the program year 12 29 including the target population and how the funds allocated 12 30 assisted the program in meeting the objectives; the number, 12 31 age, and location within the state of individuals served; 12 32 the type of services provided to the individuals served; the 12 33 distribution of funds based on service provided; and the 12 34 continuing needs of the program. 12 35 b. Of the funds appropriated in this subsection, $110,656 is 13 1 allocated for continuation of an initiative implemented at the 13 2 university of Iowa and $99,904 is allocated for continuation of 13 3 an initiative at the state mental health institute at Cherokee 13 4 to expand and improve the workforce engaged in mental health 13 5 treatment and services. The initiatives shall receive input 13 6 from the university of Iowa, the department of human services, 13 7 the department of public health, and the mental health and 13 8 disability services commission to address the focus of the 13 9 initiatives. 13 10 c. Of the funds appropriated in this subsection, $1,164,628 13 11 shall be used for essential public health services that promote 13 12 healthy aging throughout one's lifespan, contracted through a 13 13 formula for local boards of health, to enhance health promotion 13 14 and disease prevention services. 13 15 d. Of the funds appropriated in this section, $99,286 shall 13 16 be deposited in the governmental public health system fund 13 17 created in section 135A.8 to be used for the purposes of the 13 18 fund. 13 19 e. Of the funds appropriated in this subsection, $105,448 13 20 shall be used to continue to address the shortage of mental 13 21 health professionals in the state. 13 22 f. Of the funds appropriated in this subsection, 13 23 $50,000 shall be used for a grant to a statewide association 13 24 of psychologists that is affiliated with the American 13 25 psychological association to be used for continuation of a 13 26 program to rotate intern psychologists in placements in urban 13 27 and rural mental health professional shortage areas, as defined 13 28 in section 135.180. 13 29 g. (1) Of the funds appropriated in this subsection, 13 30 $2,882,969 shall be allocated as a grant to the Iowa primary 13 31 care association to be used pursuant to section 135.153 for 13 32 the statewide coordination of the Iowa collaborative safety 13 33 net provider network. Coordination of the network shall 13 34 focus on increasing access by underserved populations to 13 35 health care services, increasing integration of the health 14 1 system and collaboration across the continuum of care with 14 2 a focus on safety net services, and enhancing the Iowa 14 3 collaborative safety net provider network's communication and 14 4 education efforts. The amount allocated as a grant under this 14 5 subparagraph (1) shall be used as follows to support the Iowa 14 6 collaborative safety net provider network goals of increased 14 7 access, health system integration, and engagement: 14 8 (a) For distribution to safety net partners in the state 14 9 that work to increase access of the underserved population to 14 10 health services: 14 11 .................................................. $ 1,025,485 14 12 (i) Of the amount allocated in this subparagraph 14 13 division (a), up to $413,415 shall be distributed to the 14 14 Iowa prescription drug corporation for continuation of the 14 15 pharmaceutical infrastructure for safety net providers as 14 16 described in 2007 Iowa Acts, chapter 218, section 108. 14 17 (ii) Of the amount allocated in this subparagraph division 14 18 (a), up to $348,322 shall be distributed to free clinics and 14 19 free clinics of Iowa for necessary infrastructure, statewide 14 20 coordination, provider recruitment, service delivery, and 14 21 provision of assistance to patients in securing a medical home 14 22 inclusive of oral health care. 14 23 (iii) Of the amount allocated in this subparagraph 14 24 division (a), up to $50,000 shall be distributed to the 14 25 Iowa coalition against sexual assault to continue a training 14 26 program for sexual assault response team (SART) members, 14 27 including representatives of law enforcement, victim advocates, 14 28 prosecutors, and certified medical personnel. 14 29 (iv) Of the amount allocated in this subparagraph division 14 30 (a), up to $213,748 shall be distributed to the Polk county 14 31 medical society for continuation of the safety net provider 14 32 patient access to a specialty health care initiative as 14 33 described in 2007 Iowa Acts, chapter 218, section 109. 14 34 (b) For distribution to safety net partners in the 14 35 state that work to increase health system integration, care 15 1 coordination, and collaboration across the continuum of care 15 2 with a focus on safety net services. Such efforts shall 15 3 include but not be limited to community care coordination team 15 4 development and integration of medical and behavioral health 15 5 services. Efforts shall also include working, in conjunction 15 6 with the department of human services and the department 15 7 of public health, to support Medicaid managed care efforts 15 8 inclusive of the state innovation model through the continued 15 9 development and implementation of community care coordination 15 10 teams. Implementation of the community care coordination 15 11 teams shall be accomplished through a statewide regionally 15 12 based network that provides an integrated approach to health 15 13 care delivery through care coordination that supports primary 15 14 care providers and links patients with community resources 15 15 necessary to empower patients in addressing biomedical and 15 16 social determinants of health to improve health outcomes: 15 17 .................................................. $ 1,672,199 15 18 (c) For distribution to safety net partners in the state 15 19 that work to serve as a resource for credible, accurate 15 20 information on health care=related needs and services 15 21 for vulnerable populations in the state including the 15 22 Iowa association of rural health clinics for necessary 15 23 infrastructure and service delivery transformation and the Iowa 15 24 primary care association to support partner engagement, program 15 25 management, and statewide coordination of the network: 15 26 .................................................. $ 185,285 15 27 (2) The amount allocated under this paragraph "g" shall 15 28 not be reduced for administrative or other costs prior to 15 29 distribution. The Iowa collaborative safety net provider 15 30 network may continue to distribute funds allocated pursuant to 15 31 this paragraph "g" through existing contracts or renewal of 15 32 existing contracts. 15 33 (3) For each goal of the Iowa collaborative safety net 15 34 provider network, the Iowa primary care association shall 15 35 submit a progress report to the individuals designated in this 16 1 Act for submission of reports by December 15, 2015, including 16 2 progress in developing and implementing the network, how the 16 3 funds were distributed and used in developing and implementing 16 4 the network, and the remaining needs identified to fully 16 5 develop and implement the network. 16 6 h. Of the funds appropriated in this subsection, $213,400 16 7 shall be used for continuation of the work of the direct care 16 8 worker advisory council established pursuant to 2008 Iowa Acts, 16 9 chapter 1188, section 69, in implementing the recommendations 16 10 in the final report submitted by the advisory council to the 16 11 governor and the general assembly in March 2012, including 16 12 by continuing to develop, promote, and make available on a 16 13 statewide basis the prepare=to=care core curriculum and its 16 14 associated modules and specialties through various formats 16 15 including online access, community colleges, and other venues; 16 16 exploring new and maintaining existing specialties including 16 17 but not limited to oral health and dementia care; supporting 16 18 instructor training; and assessing and making recommendations 16 19 concerning the Iowa care book and information technology 16 20 systems and infrastructure uses and needs. 16 21 i. (1) Of the funds appropriated in this subsection, 16 22 $216,375 shall be used for allocation to an independent 16 23 statewide direct care worker organization under continuation 16 24 of the contract in effect during the fiscal year ending June 16 25 30, 2015. 16 26 (2) Of the funds appropriated in this subsection, 16 27 $105,000 shall be used to provide scholarships or other 16 28 forms of subsidization for direct care worker educational 16 29 conferences, training, or outreach activities, and for the 16 30 mouth=care=matters oral health care project. 16 31 j. Of the funds appropriated in this subsection, the 16 32 department may use up to $58,175 for up to one full=time 16 33 equivalent position to administer the volunteer health care 16 34 provider program pursuant to section 135.24. 16 35 k. Of the funds appropriated in this subsection, $100,000 17 1 shall be used for a matching dental education loan repayment 17 2 program to be allocated to a dental nonprofit health service 17 3 corporation to continue to develop the criteria and implement 17 4 the loan repayment program. 17 5 l. Of the funds appropriated in this subsection, $105,823 is 17 6 transferred to the college student aid commission for deposit 17 7 in the rural Iowa primary care trust fund created in section 17 8 261.113 to be used for the purposes of the fund. 17 9 m. Of the funds appropriated in this subsection, $250,000 17 10 shall be used for the purposes of the Iowa donor registry as 17 11 specified in section 142C.18. 17 12 n. Of the funds appropriated in this subsection, $100,000 17 13 shall be used for continuation of a grant to a nationally 17 14 affiliated volunteer eye organization that has an established 17 15 program for children and adults and that is solely dedicated to 17 16 preserving sight and preventing blindness through education, 17 17 nationally certified vision screening and training, and 17 18 community and patient service programs. The organization 17 19 shall submit a report to the individuals identified in this 17 20 Act for submission of reports regarding the use of funds 17 21 allocated under this paragraph "n". The report shall include 17 22 the objectives and results for the program year including 17 23 the target population and how the funds allocated assisted 17 24 the program in meeting the objectives; the number, age, and 17 25 location within the state of individuals served; the type of 17 26 services provided to the individuals served; the distribution 17 27 of funds based on services provided; and the continuing needs 17 28 of the program. 17 29 o. Of the funds appropriated in this subsection, $25,000 17 30 shall be used for the continuation of a wellness council under 17 31 the direction of the director of public health to increase 17 32 support for wellness activities in the state. 17 33 p. Of the funds appropriated in this subsection, $2,000,000 17 34 shall be deposited in the medical residency training account 17 35 created in section 135.175, subsection 5, paragraph "a", and 18 1 is appropriated from the account to the department of public 18 2 health to be used for the purposes of the medical residency 18 3 training state matching grants program as specified in section 18 4 135.176. However, notwithstanding any provision to the 18 5 contrary in section 135.176, priority in the awarding of grants 18 6 shall be given to sponsors that propose preference in the use 18 7 of the grant funds for psychiatric residency positions and 18 8 family practice residency positions. 18 9 5. HEALTHY AGING 18 10 To provide public health services that reduce risks and 18 11 invest in promoting and protecting good health over the 18 12 course of a lifetime with a priority given to older Iowans and 18 13 vulnerable populations: 18 14 .................................................. $ 7,297,142 18 15 6. INFECTIOUS DISEASES 18 16 For reducing the incidence and prevalence of communicable 18 17 diseases, and for not more than the following full=time 18 18 equivalent positions: 18 19 .................................................. $ 1,335,155 18 20 ............................................... FTEs 4.00 18 21 7. PUBLIC PROTECTION 18 22 For protecting the health and safety of the public through 18 23 establishing standards and enforcing regulations, and for not 18 24 more than the following full=time equivalent positions: 18 25 .................................................. $ 4,339,191 18 26 ............................................... FTEs 135.50 18 27 a. Of the funds appropriated in this subsection, not more 18 28 than $454,700 shall be credited to the emergency medical 18 29 services fund created in section 135.25. Moneys in the 18 30 emergency medical services fund are appropriated to the 18 31 department to be used for the purposes of the fund. 18 32 b. Of the funds appropriated in this subsection, $203,032 18 33 shall be used for sexual violence prevention programming 18 34 through a statewide organization representing programs 18 35 serving victims of sexual violence through the department's 19 1 sexual violence prevention program. The amount allocated 19 2 in this paragraph "b" shall not be used to supplant funding 19 3 administered for other sexual violence prevention or victims 19 4 assistance programs. 19 5 c. Of the funds appropriated in this subsection, $598,751 19 6 shall be used for the state poison control center. Pursuant 19 7 to the directive under 2014 Iowa Acts, chapter 1140, section 19 8 102, the federal matching funds available to the state poison 19 9 control center from the department of human services under the 19 10 federal Children's Health Insurance Program Reauthorization Act 19 11 allotment shall be subject to the federal administrative cap 19 12 rule of 10 percent applicable to funding provided under Tit. 19 13 XXI of the federal Social Security Act and included within the 19 14 department's calculations of the cap. 19 15 d. Of the funds appropriated in this subsection, $537,750 19 16 shall be used for childhood lead poisoning provisions. 19 17 8. RESOURCE MANAGEMENT 19 18 For establishing and sustaining the overall ability of the 19 19 department to deliver services to the public, and for not more 19 20 than the following full=time equivalent positions: 19 21 .................................................. $ 855,072 19 22 ............................................... FTEs 4.00 19 23 The university of Iowa hospitals and clinics under the 19 24 control of the state board of regents shall not receive 19 25 indirect costs from the funds appropriated in this section. 19 26 The university of Iowa hospitals and clinics billings to the 19 27 department shall be on at least a quarterly basis. 19 28 DIVISION IV 19 29 DEPARTMENT OF VETERANS AFFAIRS ==== FY 2015=2016 19 30 Sec. 4. DEPARTMENT OF VETERANS AFFAIRS. There is 19 31 appropriated from the general fund of the state to the 19 32 department of veterans affairs for the fiscal year beginning 19 33 July 1, 2015, and ending June 30, 2016, the following amounts, 19 34 or so much thereof as is necessary, to be used for the purposes 19 35 designated: 20 1 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 20 2 For salaries, support, maintenance, and miscellaneous 20 3 purposes, and for not more than the following full=time 20 4 equivalent positions: 20 5 .................................................. $ 1,200,546 20 6 ............................................... FTEs 15.00 20 7 2. IOWA VETERANS HOME 20 8 For salaries, support, maintenance, and miscellaneous 20 9 purposes: 20 10 .................................................. $ 7,594,996 20 11 a. The Iowa veterans home billings involving the department 20 12 of human services shall be submitted to the department on at 20 13 least a monthly basis. 20 14 b. If there is a change in the employer of employees 20 15 providing services at the Iowa veterans home under a collective 20 16 bargaining agreement, such employees and the agreement shall 20 17 be continued by the successor employer as though there had not 20 18 been a change in employer. 20 19 c. Within available resources and in conformance with 20 20 associated state and federal program eligibility requirements, 20 21 the Iowa veterans home may implement measures to provide 20 22 financial assistance to or on behalf of veterans or their 20 23 spouses who are participating in the community reentry program. 20 24 d. The Iowa veterans home expenditure report shall be 20 25 submitted monthly to the legislative services agency. 20 26 3. HOME OWNERSHIP ASSISTANCE PROGRAM 20 27 For transfer to the Iowa finance authority for the 20 28 continuation of the home ownership assistance program for 20 29 persons who are or were eligible members of the armed forces of 20 30 the United States, pursuant to section 16.54: 20 31 .................................................. $ 2,500,000 20 32 Sec. 5. LIMITATION OF COUNTY COMMISSIONS OF VETERAN AFFAIRS 20 33 FUND STANDING APPROPRIATIONS. Notwithstanding the standing 20 34 appropriation in section 35A.16 for the fiscal year beginning 20 35 July 1, 2015, and ending June 30, 2016, the amount appropriated 21 1 from the general fund of the state pursuant to that section 21 2 for the following designated purposes shall not exceed the 21 3 following amount: 21 4 For the county commissions of veteran affairs fund under 21 5 section 35A.16: 21 6 .................................................. $ 990,000 21 7 DIVISION V 21 8 DEPARTMENT OF HUMAN SERVICES ==== FY 2015=2016 21 9 Sec. 6. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 21 10 GRANT. There is appropriated from the fund created in section 21 11 8.41 to the department of human services for the fiscal year 21 12 beginning July 1, 2015, and ending June 30, 2016, from moneys 21 13 received under the federal temporary assistance for needy 21 14 families (TANF) block grant pursuant to the federal Personal 21 15 Responsibility and Work Opportunity Reconciliation Act of 1996, 21 16 Pub. L. No. 104=193, and successor legislation, the following 21 17 amounts, or so much thereof as is necessary, to be used for the 21 18 purposes designated: 21 19 1. To be credited to the family investment program account 21 20 and used for assistance under the family investment program 21 21 under chapter 239B: 21 22 .................................................. $ 5,136,995 21 23 2. To be credited to the family investment program account 21 24 and used for the job opportunities and basic skills (JOBS) 21 25 program and implementing family investment agreements in 21 26 accordance with chapter 239B: 21 27 .................................................. $ 10,138,178 21 28 3. To be used for the family development and 21 29 self=sufficiency grant program in accordance with section 21 30 216A.107: 21 31 .................................................. $ 2,898,980 21 32 Notwithstanding section 8.33, moneys appropriated in this 21 33 subsection that remain unencumbered or unobligated at the close 21 34 of the fiscal year shall not revert but shall remain available 21 35 for expenditure for the purposes designated until the close of 22 1 the succeeding fiscal year. However, unless such moneys are 22 2 encumbered or obligated on or before September 30, 2016, the 22 3 moneys shall revert. 22 4 4. For field operations: 22 5 .................................................. $ 31,296,232 22 6 5. For general administration: 22 7 .................................................. $ 3,744,000 22 8 6. For state child care assistance: 22 9 .................................................. $ 35,047,110 22 10 a. Of the funds appropriated in this subsection, 22 11 $26,328,097 is transferred to the child care and development 22 12 block grant appropriation made by the Eighty=sixth General 22 13 Assembly, 2015 Session, for the federal fiscal year beginning 22 14 October 1, 2015, and ending September 30, 2016. Of this 22 15 amount, $200,000 shall be used for provision of educational 22 16 opportunities to registered child care home providers in order 22 17 to improve services and programs offered by this category 22 18 of providers and to increase the number of providers. The 22 19 department may contract with institutions of higher education 22 20 or child care resource and referral centers to provide 22 21 the educational opportunities. Allowable administrative 22 22 costs under the contracts shall not exceed 5 percent. The 22 23 application for a grant shall not exceed two pages in length. 22 24 b. Any funds appropriated in this subsection remaining 22 25 unallocated shall be used for state child care assistance 22 26 payments for families who are employed including but not 22 27 limited to individuals enrolled in the family investment 22 28 program. 22 29 7. For distribution to counties and regions through the 22 30 property tax relief fund for mental health and disability 22 31 services as provided in an appropriation made for this purpose: 22 32 .................................................. $ 4,894,052 22 33 8. For child and family services: 22 34 .................................................. $ 32,084,430 22 35 9. For child abuse prevention grants: 23 1 .................................................. $ 125,000 23 2 10. For pregnancy prevention grants on the condition that 23 3 family planning services are funded: 23 4 .................................................. $ 1,930,067 23 5 Pregnancy prevention grants shall be awarded to programs 23 6 in existence on or before July 1, 2015, if the programs have 23 7 demonstrated positive outcomes. Grants shall be awarded to 23 8 pregnancy prevention programs which are developed after July 23 9 1, 2015, if the programs are based on existing models that 23 10 have demonstrated positive outcomes. Grants shall comply with 23 11 the requirements provided in 1997 Iowa Acts, chapter 208, 23 12 section 14, subsections 1 and 2, including the requirement that 23 13 grant programs must emphasize sexual abstinence. Priority in 23 14 the awarding of grants shall be given to programs that serve 23 15 areas of the state which demonstrate the highest percentage of 23 16 unplanned pregnancies of females of childbearing age within the 23 17 geographic area to be served by the grant. 23 18 11. For technology needs and other resources necessary 23 19 to meet federal welfare reform reporting, tracking, and case 23 20 management requirements: 23 21 .................................................. $ 1,037,186 23 22 12. For the family investment program share of the costs to 23 23 continue to develop and maintain a new, integrated eligibility 23 24 determination system: 23 25 .................................................. $ 6,654,880 23 26 13. a. Notwithstanding any provision to the contrary, 23 27 including but not limited to requirements in section 8.41 or 23 28 provisions in 2014 or 2015 Iowa Acts regarding the receipt and 23 29 appropriation of federal block grants, federal funds from the 23 30 temporary assistance for needy families block grant received by 23 31 the state and not otherwise appropriated in this section and 23 32 remaining available for the fiscal year beginning July 1, 2015, 23 33 are appropriated to the department of human services to the 23 34 extent as may be necessary to be used in the following priority 23 35 order: the family investment program, for state child care 24 1 assistance program payments for families who are employed, and 24 2 for the family investment program share of costs to develop and 24 3 maintain a new, integrated eligibility determination system. 24 4 The federal funds appropriated in this paragraph "a" shall be 24 5 expended only after all other funds appropriated in subsection 24 6 1 for the assistance under the family investment program, 24 7 in subsection 6 for child care assistance, or in subsection 24 8 12 for the family investment program share of the costs to 24 9 continue to develop and maintain a new, integrated eligibility 24 10 determination system, as applicable, have been expended. For 24 11 the purposes of this subsection, the funds appropriated in 24 12 subsection 6, paragraph "a", for transfer to the child care 24 13 and development block grant appropriation are considered fully 24 14 expended when the full amount has been transferred. 24 15 b. The department shall, on a quarterly basis, advise the 24 16 legislative services agency and department of management of 24 17 the amount of funds appropriated in this subsection that was 24 18 expended in the prior quarter. 24 19 14. Of the amounts appropriated in this section, 24 20 $12,962,008 for the fiscal year beginning July 1, 2015, is 24 21 transferred to the appropriation of the federal social services 24 22 block grant made to the department of human services for that 24 23 fiscal year. 24 24 15. For continuation of the program providing categorical 24 25 eligibility for the food assistance program as specified for 24 26 the program in the section of this division of this 2015 Act 24 27 relating to the family investment program account: 24 28 .................................................. $ 25,000 24 29 16. The department may transfer funds allocated in this 24 30 section to the appropriations made in this division of this Act 24 31 for the same fiscal year for general administration and field 24 32 operations for resources necessary to implement and operate the 24 33 services referred to in this section and those funded in the 24 34 appropriation made in this division of this Act for the same 24 35 fiscal year for the family investment program from the general 25 1 fund of the state. 25 2 Sec. 7. FAMILY INVESTMENT PROGRAM ACCOUNT. 25 3 1. Moneys credited to the family investment program (FIP) 25 4 account for the fiscal year beginning July 1, 2015, and 25 5 ending June 30, 2016, shall be used to provide assistance in 25 6 accordance with chapter 239B. 25 7 2. The department may use a portion of the moneys credited 25 8 to the FIP account under this section as necessary for 25 9 salaries, support, maintenance, and miscellaneous purposes. 25 10 3. The department may transfer funds allocated in 25 11 subsection 4 to the appropriations made in this division of 25 12 this Act for the same fiscal year for general administration 25 13 and field operations for resources necessary to implement and 25 14 operate the family investment program services referred to in 25 15 this section and those funded in the appropriation made in this 25 16 division of this Act for the same fiscal year for the family 25 17 investment program from the general fund of the state. 25 18 4. Moneys appropriated in this division of this Act and 25 19 credited to the FIP account for the fiscal year beginning July 25 20 1, 2015, and ending June 30, 2016, are allocated as follows: 25 21 a. To be retained by the department of human services to 25 22 be used for coordinating with the department of human rights 25 23 to more effectively serve participants in FIP and other shared 25 24 clients and to meet federal reporting requirements under the 25 25 federal temporary assistance for needy families block grant: 25 26 .................................................. $ 20,000 25 27 b. To the department of human rights for staffing, 25 28 administration, and implementation of the family development 25 29 and self=sufficiency grant program in accordance with section 25 30 216A.107: 25 31 .................................................. $ 6,392,834 25 32 (1) Of the funds allocated for the family development 25 33 and self=sufficiency grant program in this paragraph "b", 25 34 not more than 5 percent of the funds shall be used for the 25 35 administration of the grant program. 26 1 (2) The department of human rights may continue to implement 26 2 the family development and self=sufficiency grant program 26 3 statewide during fiscal year 2015=2016. 26 4 (3) The department of human rights may engage in activities 26 5 to strengthen and improve family outcomes measures and 26 6 data collection systems under the family development and 26 7 self=sufficiency grant program. 26 8 c. For the diversion subaccount of the FIP account: 26 9 .................................................. $ 815,000 26 10 A portion of the moneys allocated for the subaccount may 26 11 be used for field operations, salaries, data management 26 12 system development, and implementation costs and support 26 13 deemed necessary by the director of human services in order 26 14 to administer the FIP diversion program. To the extent 26 15 moneys allocated in this paragraph "c" are not deemed by the 26 16 department to be necessary to support diversion activities, 26 17 such moneys may be used for other efforts intended to increase 26 18 engagement by family investment program participants in work, 26 19 education, or training activities. 26 20 d. For the food assistance employment and training program: 26 21 .................................................. $ 66,588 26 22 (1) The department shall apply the federal supplemental 26 23 nutrition assistance program (SNAP) employment and training 26 24 state plan in order to maximize to the fullest extent permitted 26 25 by federal law the use of the 50 percent federal reimbursement 26 26 provisions for the claiming of allowable federal reimbursement 26 27 funds from the United States department of agriculture 26 28 pursuant to the federal SNAP employment and training program 26 29 for providing education, employment, and training services 26 30 for eligible food assistance program participants, including 26 31 but not limited to related dependent care and transportation 26 32 expenses. 26 33 (2) The department shall continue the categorical federal 26 34 food assistance program eligibility at 160 percent of the 26 35 federal poverty level and continue to eliminate the asset test 27 1 from eligibility requirements, consistent with federal food 27 2 assistance program requirements. The department shall include 27 3 as many food assistance households as is allowed by federal 27 4 law. The eligibility provisions shall conform to all federal 27 5 requirements including requirements addressing individuals who 27 6 are incarcerated or otherwise ineligible. 27 7 e. For the JOBS program: 27 8 .................................................. $ 17,540,398 27 9 5. Of the child support collections assigned under FIP, 27 10 an amount equal to the federal share of support collections 27 11 shall be credited to the child support recovery appropriation 27 12 made in this division of this Act. Of the remainder of the 27 13 assigned child support collections received by the child 27 14 support recovery unit, a portion shall be credited to the FIP 27 15 account, a portion may be used to increase recoveries, and a 27 16 portion may be used to sustain cash flow in the child support 27 17 payments account. If as a consequence of the appropriations 27 18 and allocations made in this section the resulting amounts 27 19 are insufficient to sustain cash assistance payments and meet 27 20 federal maintenance of effort requirements, the department 27 21 shall seek supplemental funding. If child support collections 27 22 assigned under FIP are greater than estimated or are otherwise 27 23 determined not to be required for maintenance of effort, the 27 24 state share of either amount may be transferred to or retained 27 25 in the child support payments account. 27 26 6. The department may adopt emergency rules for the family 27 27 investment, JOBS, food assistance, and medical assistance 27 28 programs if necessary to comply with federal requirements. 27 29 Sec. 8. FAMILY INVESTMENT PROGRAM GENERAL FUND. There 27 30 is appropriated from the general fund of the state to the 27 31 department of human services for the fiscal year beginning July 27 32 1, 2015, and ending June 30, 2016, the following amount, or 27 33 so much thereof as is necessary, to be used for the purpose 27 34 designated: 27 35 To be credited to the family investment program (FIP) 28 1 account and used for family investment program assistance under 28 2 chapter 239B: 28 3 .................................................. $ 49,093,875 28 4 1. Of the funds appropriated in this section, $7,402,220 is 28 5 allocated for the JOBS program. 28 6 2. Of the funds appropriated in this section, $3,513,854 is 28 7 allocated for the family development and self=sufficiency grant 28 8 program. 28 9 3. Notwithstanding section 8.39, for the fiscal year 28 10 beginning July 1, 2015, if necessary to meet federal 28 11 maintenance of effort requirements or to transfer federal 28 12 temporary assistance for needy families block grant funding 28 13 to be used for purposes of the federal social services block 28 14 grant or to meet cash flow needs resulting from delays in 28 15 receiving federal funding or to implement, in accordance with 28 16 this division of this Act, activities currently funded with 28 17 juvenile court services, county, or community moneys and state 28 18 moneys used in combination with such moneys, the department 28 19 of human services may transfer funds within or between any 28 20 of the appropriations made in this division of this Act and 28 21 appropriations in law for the federal social services block 28 22 grant to the department for the following purposes, provided 28 23 that the combined amount of state and federal temporary 28 24 assistance for needy families block grant funding for each 28 25 appropriation remains the same before and after the transfer: 28 26 a. For the family investment program. 28 27 b. For child care assistance. 28 28 c. For child and family services. 28 29 d. For field operations. 28 30 e. For general administration. 28 31 f. For distribution to counties or regions through the 28 32 property tax relief fund for mental health and disability 28 33 services as provided in an appropriation for this purpose. 28 34 This subsection shall not be construed to prohibit the use 28 35 of existing state transfer authority for other purposes. The 29 1 department shall report any transfers made pursuant to this 29 2 subsection to the legislative services agency. 29 3 4. Of the funds appropriated in this section, $195,678 shall 29 4 be used for continuation of a grant to an Iowa=based nonprofit 29 5 organization with a history of providing tax preparation 29 6 assistance to low=income Iowans in order to expand the usage of 29 7 the earned income tax credit. The purpose of the grant is to 29 8 supply this assistance to underserved areas of the state. 29 9 5. Of the funds appropriated in this section, $80,000 shall 29 10 be used for the continuation of an unfunded pilot project, as 29 11 defined in 441 IAC 100.1, relating to parental obligations, 29 12 in which the child support recovery unit participates, to 29 13 support the efforts of a nonprofit organization committed to 29 14 strengthening the community through youth development, healthy 29 15 living, and social responsibility headquartered in a county 29 16 with a population over 350,000. The funds allocated in this 29 17 subsection shall be used by the recipient organization to 29 18 develop a larger community effort, through public and private 29 19 partnerships, to support a broad=based multi=county fatherhood 29 20 initiative that promotes payment of child support obligations, 29 21 improved family relationships, and full=time employment. 29 22 6. Of the funds appropriated in this section, $200,000 shall 29 23 be used as a grant to a nonprofit organization organized under 29 24 section 501(c)(4) of the Internal Revenue Code to implement a 29 25 youth development strategy through after=school programming 29 26 that promotes academic success, healthy lifestyles, good 29 27 character, and citizenship. The organization shall meet all of 29 28 the following criteria: 29 29 a. Operate statewide and provide services through more than 29 30 one location. 29 31 b. Provide the after=school programming for students ages 29 32 five through eighteen years of age who are members of families 29 33 eligible for the federal temporary assistance for needy 29 34 families program. 29 35 c. Provide evidence, based on measurable outcomes, that the 30 1 after=school programming provided results in increased student 30 2 achievement. 30 3 7. The department may transfer funds appropriated in this 30 4 section to the appropriations made in this division of this Act 30 5 for general administration and field operations as necessary 30 6 to administer this section and the overall family investment 30 7 program. 30 8 Sec. 9. CHILD SUPPORT RECOVERY. There is appropriated 30 9 from the general fund of the state to the department of human 30 10 services for the fiscal year beginning July 1, 2015, and ending 30 11 June 30, 2016, the following amount, or so much thereof as is 30 12 necessary, to be used for the purposes designated: 30 13 For child support recovery, including salaries, support, 30 14 maintenance, and miscellaneous purposes, and for not more than 30 15 the following full=time equivalent positions: 30 16 .................................................. $ 14,663,373 30 17 ............................................... FTEs 464.00 30 18 1. The department shall expend up to $24,329, including 30 19 federal financial participation, for the fiscal year beginning 30 20 July 1, 2015, for a child support public awareness campaign. 30 21 The department and the office of the attorney general shall 30 22 cooperate in continuation of the campaign. The public 30 23 awareness campaign shall emphasize, through a variety of 30 24 media activities, the importance of maximum involvement of 30 25 both parents in the lives of their children as well as the 30 26 importance of payment of child support obligations. 30 27 2. Federal access and visitation grant moneys shall be 30 28 issued directly to private not=for=profit agencies that provide 30 29 services designed to increase compliance with the child access 30 30 provisions of court orders, including but not limited to 30 31 neutral visitation sites and mediation services. 30 32 3. The appropriation made to the department for child 30 33 support recovery may be used throughout the fiscal year in the 30 34 manner necessary for purposes of cash flow management, and for 30 35 cash flow management purposes the department may temporarily 31 1 draw more than the amount appropriated, provided the amount 31 2 appropriated is not exceeded at the close of the fiscal year. 31 3 4. With the exception of the funding amount specified, the 31 4 requirements established under 2001 Iowa Acts, chapter 191, 31 5 section 3, subsection 5, paragraph "c", subparagraph (3), shall 31 6 be applicable to parental obligation pilot projects for the 31 7 fiscal year beginning July 1, 2015, and ending June 30, 2016. 31 8 Notwithstanding 441 IAC 100.8, providing for termination of 31 9 rules relating to the pilot projects, the rules shall remain 31 10 in effect until June 30, 2016. 31 11 Sec. 10. HEALTH CARE TRUST FUND ==== MEDICAL ASSISTANCE ==== 31 12 FY 2015=2016. Any funds remaining in the health care trust 31 13 fund created in section 453A.35A for the fiscal year beginning 31 14 July 1, 2015, and ending June 30, 2016, are appropriated to 31 15 the department of human services to supplement the medical 31 16 assistance program appropriations made in this division of this 31 17 Act, for medical assistance reimbursement and associated costs, 31 18 including program administration and costs associated with 31 19 program implementation. 31 20 Sec. 11. MEDICAID FRAUD FUND ==== MEDICAL ASSISTANCE ==== FY 31 21 2015=2016. Any funds remaining in the Medicaid fraud fund 31 22 created in section 249A.50 for the fiscal year beginning 31 23 July 1, 2015, and ending June 30, 2016, are appropriated to 31 24 the department of human services to supplement the medical 31 25 assistance appropriations made in this division of this Act, 31 26 for medical assistance reimbursement and associated costs, 31 27 including program administration and costs associated with 31 28 program implementation. 31 29 Sec. 12. MEDICAL ASSISTANCE. 31 30 1. There is appropriated from the general fund of the 31 31 state to the department of human services for the fiscal year 31 32 beginning July 1, 2015, and ending June 30, 2016, the following 31 33 amount, or so much thereof as is necessary, to be used for the 31 34 purpose designated: 31 35 For medical assistance program reimbursement and associated 32 1 costs as specifically provided in the reimbursement 32 2 methodologies in effect on June 30, 2015, except as otherwise 32 3 expressly authorized by law, including reimbursement for 32 4 abortion services which shall be available under the medical 32 5 assistance program only for those abortions which are medically 32 6 necessary: 32 7 .................................................. $1,346,353,640 32 8 2. Medically necessary abortions are those performed under 32 9 any of the following conditions: 32 10 a. The attending physician certifies that continuing the 32 11 pregnancy would endanger the life of the pregnant woman. 32 12 b. The attending physician certifies that the fetus is 32 13 physically deformed, mentally deficient, or afflicted with a 32 14 congenital illness. 32 15 c. The pregnancy is the result of a rape which is reported 32 16 within 45 days of the incident to a law enforcement agency or 32 17 public or private health agency which may include a family 32 18 physician. 32 19 d. The pregnancy is the result of incest which is reported 32 20 within 150 days of the incident to a law enforcement agency 32 21 or public or private health agency which may include a family 32 22 physician. 32 23 e. Any spontaneous abortion, commonly known as a 32 24 miscarriage, if not all of the products of conception are 32 25 expelled. 32 26 3. a. Iowans support reducing the number of abortions 32 27 performed in our state. For an abortion covered under the 32 28 program, except in the case of a medical emergency, as defined 32 29 in section 135L.1, for any woman, the physician shall certify 32 30 both of the following: 32 31 (1) That the woman has been given the opportunity to view an 32 32 ultrasound image of the fetus as part of the standard of care 32 33 before an abortion is performed. 32 34 (2) That the woman has been provided information regarding 32 35 the options relative to a pregnancy, including continuing the 33 1 pregnancy to term and retaining parental rights following the 33 2 child's birth, continuing the pregnancy to term and placing the 33 3 child for adoption, and terminating the pregnancy. 33 4 b. The provisions of this section relating to abortions 33 5 shall also apply to the Iowa health and wellness plan created 33 6 pursuant to chapter 249N. 33 7 4. The department shall utilize not more than $60,000 of 33 8 the funds appropriated in this section to continue the AIDS/HIV 33 9 health insurance premium payment program as established in 1992 33 10 Iowa Acts, Second Extraordinary Session, chapter 1001, section 33 11 409, subsection 6. Of the funds allocated in this subsection, 33 12 not more than $5,000 may be expended for administrative 33 13 purposes. 33 14 5. Of the funds appropriated in this Act to the department 33 15 of public health for addictive disorders, $950,000 for 33 16 the fiscal year beginning July 1, 2015, is transferred 33 17 to the department of human services for an integrated 33 18 substance=related disorder managed care system. The department 33 19 shall not assume management of the substance=related disorder 33 20 system in place of the managed care contractor unless such 33 21 a change in approach is specifically authorized in law. 33 22 The departments of human services and public health shall 33 23 work together to maintain the level of mental health and 33 24 substance=related disorder treatment services provided by the 33 25 managed care contractor through the Iowa plan for behavioral 33 26 health. Each department shall take the steps necessary to 33 27 continue the federal waivers as necessary to maintain the level 33 28 of services. 33 29 6. a. The department shall aggressively pursue options for 33 30 providing medical assistance or other assistance to individuals 33 31 with special needs who become ineligible to continue receiving 33 32 services under the early and periodic screening, diagnostic, 33 33 and treatment program under the medical assistance program 33 34 due to becoming 21 years of age who have been approved for 33 35 additional assistance through the department's exception to 34 1 policy provisions, but who have health care needs in excess 34 2 of the funding available through the exception to policy 34 3 provisions. 34 4 b. Of the funds appropriated in this section, $100,000 34 5 shall be used for participation in one or more pilot projects 34 6 operated by a private provider to allow the individual or 34 7 individuals to receive service in the community in accordance 34 8 with principles established in Olmstead v. L.C., 527 U.S. 581 34 9 (1999), for the purpose of providing medical assistance or 34 10 other assistance to individuals with special needs who become 34 11 ineligible to continue receiving services under the early and 34 12 periodic screening, diagnostic, and treatment program under 34 13 the medical assistance program due to becoming 21 years of 34 14 age who have been approved for additional assistance through 34 15 the department's exception to policy provisions, but who have 34 16 health care needs in excess of the funding available through 34 17 the exception to the policy provisions. 34 18 7. Of the funds appropriated in this section, up to 34 19 $3,050,082 may be transferred to the field operations or 34 20 general administration appropriations in this division of this 34 21 Act for operational costs associated with Part D of the federal 34 22 Medicare Prescription Drug Improvement and Modernization Act 34 23 of 2003, Pub. L. No. 108=173. 34 24 8. Of the funds appropriated in this section, up to $442,100 34 25 may be transferred to the appropriation in this division 34 26 of this Act for medical contracts to be used for clinical 34 27 assessment services and prior authorization of services. 34 28 9. A portion of the funds appropriated in this section 34 29 may be transferred to the appropriations in this division of 34 30 this Act for general administration, medical contracts, the 34 31 children's health insurance program, or field operations to be 34 32 used for the state match cost to comply with the payment error 34 33 rate measurement (PERM) program for both the medical assistance 34 34 and children's health insurance programs as developed by the 34 35 centers for Medicare and Medicaid services of the United States 35 1 department of health and human services to comply with the 35 2 federal Improper Payments Information Act of 2002, Pub. L. No. 35 3 107=300. 35 4 10. The department shall continue to implement the 35 5 recommendations of the assuring better child health and 35 6 development initiative II (ABCDII) clinical panel to the 35 7 Iowa early and periodic screening, diagnostic, and treatment 35 8 services healthy mental development collaborative board 35 9 regarding changes to billing procedures, codes, and eligible 35 10 service providers. 35 11 11. Of the funds appropriated in this section, a sufficient 35 12 amount is allocated to supplement the incomes of residents of 35 13 nursing facilities, intermediate care facilities for persons 35 14 with mental illness, and intermediate care facilities for 35 15 persons with an intellectual disability, with incomes of less 35 16 than $50 in the amount necessary for the residents to receive a 35 17 personal needs allowance of $50 per month pursuant to section 35 18 249A.30A. 35 19 12. Of the funds appropriated in this section, the following 35 20 amounts are transferred to the appropriations made in this 35 21 division of this Act for the state mental health institutes: 35 22 a. Cherokee mental health institute ................. $ 9,098,425 35 23 b. Clarinda mental health institute ................. $ 1,977,305 35 24 c. Independence mental health institute ............. $ 9,045,894 35 25 13. a. Of the funds appropriated in this section, 35 26 $8,596,650 is allocated for the state match for a 35 27 disproportionate share hospital payment of $19,133,430 to 35 28 hospitals that meet both of the conditions specified in 35 29 subparagraphs (1) and (2). In addition, the hospitals that 35 30 meet the conditions specified shall either certify public 35 31 expenditures or transfer to the medical assistance program 35 32 an amount equal to provide the nonfederal share for a 35 33 disproportionate share hospital payment of $7,500,000. The 35 34 hospitals that meet the conditions specified shall receive and 35 35 retain 100 percent of the total disproportionate share hospital 36 1 payment of $26,633,430. 36 2 (1) The hospital qualifies for disproportionate share and 36 3 graduate medical education payments. 36 4 (2) The hospital is an Iowa state=owned hospital with more 36 5 than 500 beds and eight or more distinct residency specialty 36 6 or subspecialty programs recognized by the American college of 36 7 graduate medical education. 36 8 b. Distribution of the disproportionate share payments 36 9 shall be made on a monthly basis. The total amount of 36 10 disproportionate share payments including graduate medical 36 11 education, enhanced disproportionate share, and Iowa 36 12 state=owned teaching hospital payments shall not exceed the 36 13 amount of the state's allotment under Pub. L. No. 102=234. 36 14 In addition, the total amount of all disproportionate 36 15 share payments shall not exceed the hospital=specific 36 16 disproportionate share limits under Pub. L. No. 103=66. 36 17 c. The university of Iowa hospitals and clinics shall either 36 18 certify public expenditures or transfer to the appropriations 36 19 made in this division of this Act for medical assistance an 36 20 amount equal to provide the nonfederal share for increased 36 21 medical assistance payments for inpatient and outpatient 36 22 hospital services of $9,900,000. The university of Iowa 36 23 hospitals and clinics shall receive and retain 100 percent of 36 24 the total increase in medical assistance payments. 36 25 d. Program payments for disproportionate share hospitals 36 26 and graduate medical education, and the upper payment limits 36 27 applicable to these programs shall be held harmless from the 36 28 impacts of Medicaid managed care and the governor's Medicaid 36 29 modernization initiative. Payment methodologies utilized 36 30 for these programs may be adjusted or converted to other 36 31 methodologies or payment types in order to comply with this 36 32 hold harmless requirement. 36 33 14. One hundred percent of the nonfederal share of payments 36 34 to area education agencies that are medical assistance 36 35 providers for medical assistance=covered services provided to 37 1 medical assistance=covered children, shall be made from the 37 2 appropriation made in this section. 37 3 15. Any new or renewed contract entered into by the 37 4 department with a third party to administer behavioral health 37 5 services under the medical assistance program shall provide 37 6 that any interest earned on payments from the state during 37 7 the state fiscal year shall be remitted to the department 37 8 and treated as recoveries to offset the costs of the medical 37 9 assistance program. 37 10 16. A portion of the funds appropriated in this section 37 11 may be transferred to the appropriation in this division of 37 12 this Act for medical contracts to be used for administrative 37 13 activities associated with the money follows the person 37 14 demonstration project. 37 15 17. Of the funds appropriated in this section, $349,011 37 16 shall be used for the administration of the health insurance 37 17 premium payment program, including salaries, support, 37 18 maintenance, and miscellaneous purposes. 37 19 18. a. The department may increase the amounts allocated 37 20 for salaries, support, maintenance, and miscellaneous purposes 37 21 associated with the medical assistance program, as necessary, 37 22 to implement cost containment strategies. The department shall 37 23 report any such increase to the legislative services agency and 37 24 the department of management. 37 25 b. If the savings to the medical assistance program from 37 26 cost containment efforts exceed the cost for the fiscal 37 27 year beginning July 1, 2015, the department may transfer any 37 28 savings generated for the fiscal year due to medical assistance 37 29 program cost containment efforts to the appropriation 37 30 made in this division of this Act for medical contracts or 37 31 general administration to defray the increased contract costs 37 32 associated with implementing such efforts. 37 33 c. The department of human services shall not implement 37 34 the following cost containment measures as recommended by the 37 35 governor for the fiscal year beginning July 1, 2015: 38 1 (1) A measure to provide uniform rates of $.575 per mile 38 2 based on the 2015 Internal Revenue Service mileage rate and 38 3 of $9.29, the current statewide average, per one=way trip for 38 4 Medicaid program home and community=based services waivers. 38 5 (2) A measure to cap the total costs of all services 38 6 received by a recipient of the home and community=based 38 7 services waiver for individuals with an intellectual disability 38 8 at the daily intermediate care facility for persons with an 38 9 intellectual disability (ICF/ID) per diem rate of $346.39 per 38 10 day based on the 80th percentile of all ICF/ID rates. 38 11 (3) A measure to align individual requests for exceptions to 38 12 policy with the capped total cost of services for a recipient 38 13 of the home and community=based services waiver for individuals 38 14 with an intellectual disability as computed under subparagraph 38 15 (2). 38 16 (4) A measure to utilize the supports intensity scale 38 17 to determine payment amounts and a tiered payment system 38 18 for the services provided to adults served under the home 38 19 and community=based services waiver for individuals with an 38 20 intellectual disability. 38 21 (5) A measure to accelerate implementation of the provision 38 22 that beginning July 1, 2015, rather than July 1, 2016, the 38 23 department of human services requires services through the 38 24 consumer=directed attendant care option to be provided through 38 25 an agency or consumer choices option. 38 26 (6) A measure to reallocate funding for community=based 38 27 systems of care to instead support integrated health homes. 38 28 (7) A measure to increase the university of Iowa hospitals 38 29 and clinics state share responsibility for the supplemental 38 30 disproportionate share hospital payment to the university of 38 31 Iowa hospitals and clinics for the fiscal year beginning July 38 32 1, 2015. 38 33 d. The department shall report the implementation of 38 34 any cost containment strategies under this subsection to 38 35 the individuals specified in this division of this Act for 39 1 submission of reports on a quarterly basis. 39 2 19. For the fiscal year beginning July 1, 2015, and ending 39 3 June 30, 2016, the replacement generation tax revenues required 39 4 to be deposited in the property tax relief fund pursuant to 39 5 section 437A.8, subsection 4, paragraph "d", and section 39 6 437A.15, subsection 3, paragraph "f", shall instead be credited 39 7 to and supplement the appropriation made in this section and 39 8 used for the allocations made in this section. 39 9 20. The department shall continue to administer the state 39 10 balancing incentive payments program as specified in 2012 Iowa 39 11 Acts, chapter 1133, section 14. 39 12 21. a. Of the funds appropriated in this section, $900,000 39 13 shall be used for continued implementation of the children's 39 14 mental health home project proposed by the department of human 39 15 services and reported to the general assembly's mental health 39 16 and disability services study committee in December 2011. Of 39 17 this amount, up to $50,000 may be transferred by the department 39 18 to the appropriation made in this division of this Act to the 39 19 department for the same fiscal year for general administration 39 20 to be used for associated administrative expenses and for not 39 21 more than one full=time equivalent position, in addition to 39 22 those authorized for the same fiscal year, to be assigned to 39 23 implementing the project. 39 24 b. Of the funds appropriated in this section, up to $400,000 39 25 may be transferred by the department to the appropriation made 39 26 to the department in this division of this Act for the same 39 27 fiscal year for Medicaid program=related general administration 39 28 planning and implementation activities. The funds may be used 39 29 for contracts or for personnel in addition to the amounts 39 30 appropriated for and the positions authorized for general 39 31 administration for the fiscal year. 39 32 c. Of the funds appropriated in this section, up to 39 33 $3,000,000 may be transferred by the department to the 39 34 appropriations made in this division of this Act for the same 39 35 fiscal year for general administration or medical contracts 40 1 to be used to support the development and implementation of 40 2 standardized assessment tools for persons with mental illness, 40 3 an intellectual disability, a developmental disability, or a 40 4 brain injury. 40 5 22. Of the funds appropriated in this section, $250,000 40 6 shall be used for lodging expenses associated with care 40 7 provided at the university of Iowa hospitals and clinics for 40 8 patients with cancer whose travel distance is 30 miles or more 40 9 and whose income is at or below 200 percent of the federal 40 10 poverty level as defined by the most recently revised poverty 40 11 income guidelines published by the United States department of 40 12 health and human services. The department of human services 40 13 shall establish the maximum number of overnight stays and the 40 14 maximum rate reimbursed for overnight lodging, which may be 40 15 based on the state employee rate established by the department 40 16 of administrative services. The funds allocated in this 40 17 subsection shall not be used as nonfederal share matching 40 18 funds. 40 19 23. The department of human services shall adopt rules to 40 20 provide for coverage of telehealth under the Medicaid program. 40 21 The rules shall provide that in=person contact between a 40 22 health care professional and a patient is not required as a 40 23 prerequisite for payment for services appropriately provided 40 24 through telehealth in accordance with generally accepted health 40 25 care practices and standards prevailing in the applicable 40 26 professional community at the time the services are provided. 40 27 Health care services provided through in=person consultations 40 28 or through telehealth shall be treated as equivalent services 40 29 for the purposes of reimbursement. 40 30 24. a. For inpatient and outpatient services provided 40 31 by hospitals on or after July 1, 2015, the department of 40 32 human services shall recalculate and prospectively apply an 40 33 updated cost=to=charge ratio upon the request of a hospital to 40 34 implement price or charge reductions, if all of the following 40 35 criteria are met: 41 1 (1) The recalculation of an updated cost=to=charge ratio is 41 2 budget neutral to the state funding amount appropriated for the 41 3 respective fiscal year and maintains budget neutral payments or 41 4 revenue to all hospitals. 41 5 (2) The hospital requesting the price or charge reduction 41 6 submits a proforma cost report and charge master that reflects 41 7 the anticipated cost=to=charge reduction. 41 8 b. Based upon the proforma cost report submitted by the 41 9 requesting hospital, the department of human services shall 41 10 prospectively apply the recalculated cost=to=charge ratio as 41 11 appropriate to submitted claims for health care services. 41 12 25. The department of human services shall not adopt 41 13 emergency rules to implement Medicaid managed care or the 41 14 governor's Medicaid modernization initiative. 41 15 26. The number of home and community=based services waiver 41 16 slots available during the fiscal year beginning July 1, 2015, 41 17 shall not be reduced below the number of such slots available 41 18 on January 1, 2015. 41 19 Sec. 13. MEDICAL CONTRACTS. There is appropriated from the 41 20 general fund of the state to the department of human services 41 21 for the fiscal year beginning July 1, 2015, and ending June 30, 41 22 2016, the following amount, or so much thereof as is necessary, 41 23 to be used for the purpose designated: 41 24 For medical contracts: 41 25 .................................................. $ 22,153,584 41 26 1. The department of inspections and appeals shall 41 27 provide all state matching funds for survey and certification 41 28 activities performed by the department of inspections 41 29 and appeals. The department of human services is solely 41 30 responsible for distributing the federal matching funds for 41 31 such activities. 41 32 2. Of the funds appropriated in this section, $50,000 shall 41 33 be used for continuation of home and community=based services 41 34 waiver quality assurance programs, including the review and 41 35 streamlining of processes and policies related to oversight and 42 1 quality management to meet state and federal requirements. 42 2 3. Of the amount appropriated in this section, up to 42 3 $200,000 may be transferred to the appropriation for general 42 4 administration in this division of this Act to be used for 42 5 additional full=time equivalent positions in the development of 42 6 key health initiatives such as cost containment, development 42 7 and oversight of managed care programs, and development of 42 8 health strategies targeted toward improved quality and reduced 42 9 costs in the Medicaid program. 42 10 4. Of the funds appropriated in this section, $1,000,000 42 11 shall be used for planning and development, in cooperation with 42 12 the department of public health, of a phased=in program to 42 13 provide a dental home for children. 42 14 5. Of the funds appropriated in this section, $2,000,000 42 15 shall be used for the autism support program created in chapter 42 16 225D. 42 17 Sec. 14. STATE SUPPLEMENTARY ASSISTANCE. 42 18 1. There is appropriated from the general fund of the 42 19 state to the department of human services for the fiscal year 42 20 beginning July 1, 2015, and ending June 30, 2016, the following 42 21 amount, or so much thereof as is necessary, to be used for the 42 22 purpose designated: 42 23 For the state supplementary assistance program: 42 24 .................................................. $12,997,187 42 25 2. The department shall increase the personal needs 42 26 allowance for residents of residential care facilities by the 42 27 same percentage and at the same time as federal supplemental 42 28 security income and federal social security benefits are 42 29 increased due to a recognized increase in the cost of living. 42 30 The department may adopt emergency rules to implement this 42 31 subsection. 42 32 3. If during the fiscal year beginning July 1, 2015, 42 33 the department projects that state supplementary assistance 42 34 expenditures for a calendar year will not meet the federal 42 35 pass=through requirement specified in Tit. XVI of the federal 43 1 Social Security Act, section 1618, as codified in 42 U.S.C. 43 2 {1382g, the department may take actions including but not 43 3 limited to increasing the personal needs allowance for 43 4 residential care facility residents and making programmatic 43 5 adjustments or upward adjustments of the residential care 43 6 facility or in=home health=related care reimbursement rates 43 7 prescribed in this division of this Act to ensure that federal 43 8 requirements are met. In addition, the department may make 43 9 other programmatic and rate adjustments necessary to remain 43 10 within the amount appropriated in this section while ensuring 43 11 compliance with federal requirements. The department may adopt 43 12 emergency rules to implement the provisions of this subsection. 43 13 Sec. 15. CHILDREN'S HEALTH INSURANCE PROGRAM. 43 14 1. There is appropriated from the general fund of the 43 15 state to the department of human services for the fiscal year 43 16 beginning July 1, 2015, and ending June 30, 2016, the following 43 17 amount, or so much thereof as is necessary, to be used for the 43 18 purpose designated: 43 19 For maintenance of the healthy and well kids in Iowa (hawk=i) 43 20 program pursuant to chapter 514I, including supplemental dental 43 21 services, for receipt of federal financial participation under 43 22 Tit. XXI of the federal Social Security Act, which creates the 43 23 children's health insurance program: 43 24 .................................................. $ 21,163,844 43 25 2. Of the funds appropriated in this section, $42,800 is 43 26 allocated for continuation of the contract for outreach with 43 27 the department of public health. 43 28 Sec. 16. CHILD CARE ASSISTANCE. There is appropriated 43 29 from the general fund of the state to the department of human 43 30 services for the fiscal year beginning July 1, 2015, and ending 43 31 June 30, 2016, the following amount, or so much thereof as is 43 32 necessary, to be used for the purpose designated: 43 33 For child care programs: 43 34 .................................................. $ 56,638,030 43 35 1. Of the funds appropriated in this section, $48,818,603 44 1 shall be used for state child care assistance in accordance 44 2 with section 237A.13. 44 3 2. Nothing in this section shall be construed or is 44 4 intended as or shall imply a grant of entitlement for services 44 5 to persons who are eligible for assistance due to an income 44 6 level consistent with the waiting list requirements of section 44 7 237A.13. Any state obligation to provide services pursuant to 44 8 this section is limited to the extent of the funds appropriated 44 9 in this section. 44 10 3. Of the funds appropriated in this section, $432,453 44 11 is allocated for the statewide grant program for child care 44 12 resource and referral services under section 237A.26. A list 44 13 of the registered and licensed child care facilities operating 44 14 in the area served by a child care resource and referral 44 15 service shall be made available to the families receiving state 44 16 child care assistance in that area. 44 17 4. Of the funds appropriated in this section, $936,974 44 18 is allocated for child care quality improvement initiatives 44 19 including but not limited to the voluntary quality rating 44 20 system in accordance with section 237A.30. 44 21 5. Of the funds appropriated in this section, $6,350,000 44 22 shall be credited to the early childhood programs grants 44 23 account in the early childhood Iowa fund created in section 44 24 256I.11. The moneys shall be distributed for funding of 44 25 community=based early childhood programs targeted to children 44 26 from birth through five years of age developed by early 44 27 childhood Iowa areas in accordance with approved community 44 28 plans as provided in section 256I.8. 44 29 6. The department may use any of the funds appropriated 44 30 in this section as a match to obtain federal funds for use in 44 31 expanding child care assistance and related programs. For 44 32 the purpose of expenditures of state and federal child care 44 33 funding, funds shall be considered obligated at the time 44 34 expenditures are projected or are allocated to the department's 44 35 service areas. Projections shall be based on current and 45 1 projected caseload growth, current and projected provider 45 2 rates, staffing requirements for eligibility determination 45 3 and management of program requirements including data systems 45 4 management, staffing requirements for administration of the 45 5 program, contractual and grant obligations and any transfers 45 6 to other state agencies, and obligations for decategorization 45 7 or innovation projects. 45 8 7. A portion of the state match for the federal child care 45 9 and development block grant shall be provided as necessary to 45 10 meet federal matching funds requirements through the state 45 11 general fund appropriation made for child development grants 45 12 and other programs for at=risk children in section 279.51. 45 13 8. If a uniform reduction ordered by the governor under 45 14 section 8.31 or other operation of law, transfer, or federal 45 15 funding reduction reduces the appropriation made in this 45 16 section for the fiscal year, the percentage reduction in the 45 17 amount paid out to or on behalf of the families participating 45 18 in the state child care assistance program shall be equal to or 45 19 less than the percentage reduction made for any other purpose 45 20 payable from the appropriation made in this section and the 45 21 federal funding relating to it. The percentage reduction to 45 22 the other allocations made in this section shall be the same as 45 23 the uniform reduction ordered by the governor or the percentage 45 24 change of the federal funding reduction, as applicable. 45 25 If there is an unanticipated increase in federal funding 45 26 provided for state child care assistance, the entire amount 45 27 of the increase shall be used for state child care assistance 45 28 payments. If the appropriations made for purposes of the 45 29 state child care assistance program for the fiscal year are 45 30 determined to be insufficient, it is the intent of the general 45 31 assembly to appropriate sufficient funding for the fiscal year 45 32 in order to avoid establishment of waiting list requirements. 45 33 9. Notwithstanding section 8.33, moneys advanced for 45 34 purposes of the programs developed by early childhood Iowa 45 35 areas, advanced for purposes of wraparound child care, or 46 1 received from the federal appropriations made for the purposes 46 2 of this section that remain unencumbered or unobligated at the 46 3 close of the fiscal year shall not revert to any fund but shall 46 4 remain available for expenditure for the purposes designated 46 5 until the close of the succeeding fiscal year. 46 6 10. Of the funds appropriated in this section, $100,000 46 7 is transferred to the department of public health to be used 46 8 to continue a program to assist parents in this state with 46 9 costs resulting from the death of a child in accordance with 46 10 this subsection. If it is less costly than administering the 46 11 program directly, the department shall issue a request for 46 12 proposals and issue a grant to an appropriate organization to 46 13 administer the program. 46 14 a. The program funding shall be used to assist parents who 46 15 reside in this state with costs incurred for a funeral, burial 46 16 or cremation, cemetery costs, or grave marker costs associated 46 17 with the unintended death of a child of the parent or a child 46 18 under the care of a guardian or custodian. The department 46 19 shall consider the following eligibility factors in developing 46 20 program requirements: 46 21 (1) The child was a stillborn infant or was less than age 46 22 eighteen at the time of death. 46 23 (2) The request for assistance was approved by the local 46 24 board or department of health or the county general assistance 46 25 director and may have been referred by a local funeral home. 46 26 (3) To be eligible, the parent, guardian, or custodian must 46 27 have an annual household income that is less than 145 percent 46 28 of the federal poverty level based on the number of people 46 29 in the applicant's household as defined by the most recently 46 30 revised poverty income guidelines published by the United 46 31 States department of health and human services. 46 32 (4) The maximum amount of grant assistance provided to a 46 33 parent, guardian, or custodian associated with the death of 46 34 a child is $2,000. If the death is a multiple death and the 46 35 infants or children are being cremated, or buried together, the 47 1 same limitation applies. 47 2 (5) To the extent the overall amount of assistance received 47 3 by a recipient for the costs addressed under this subsection 47 4 does not exceed the overall total of the costs, the recipient 47 5 may receive other public or private assistance in addition to 47 6 grant assistance under this section. 47 7 b. Notwithstanding section 8.33, moneys transferred by this 47 8 subsection that remain unencumbered or unobligated at the close 47 9 of the fiscal year shall not revert but shall remain available 47 10 for expenditure for the purposes designated until expended. 47 11 Sec. 17. JUVENILE INSTITUTIONS. There is appropriated 47 12 from the general fund of the state to the department of human 47 13 services for the fiscal year beginning July 1, 2015, and ending 47 14 June 30, 2016, the following amounts, or so much thereof as is 47 15 necessary, to be used for the purposes designated: 47 16 1. For the costs of security, building and grounds 47 17 maintenance, utilities, salary, and support for the facilities 47 18 located at the Iowa juvenile home at Toledo and for salaries, 47 19 support, maintenance, and miscellaneous purposes, and for not 47 20 more than the following full=time equivalent positions: 47 21 .................................................. $ 372,766 47 22 ............................................... FTEs 2.00 47 23 2. For operation of the state training school at Eldora and 47 24 for salaries, support, maintenance, and miscellaneous purposes, 47 25 and for not more than the following full=time equivalent 47 26 positions: 47 27 .................................................. $ 12,445,552 47 28 ............................................... FTEs 169.30 47 29 Of the funds appropriated in this subsection, $91,150 shall 47 30 be used for distribution to licensed classroom teachers at this 47 31 and other institutions under the control of the department of 47 32 human services based upon the average student yearly enrollment 47 33 at each institution as determined by the department. 47 34 Sec. 18. CHILD AND FAMILY SERVICES. 47 35 1. There is appropriated from the general fund of the 48 1 state to the department of human services for the fiscal year 48 2 beginning July 1, 2015, and ending June 30, 2016, the following 48 3 amount, or so much thereof as is necessary, to be used for the 48 4 purpose designated: 48 5 For child and family services: 48 6 .................................................. $ 98,182,179 48 7 2. Up to $5,200,000 of the amount of federal temporary 48 8 assistance for needy families block grant funding appropriated 48 9 in this division of this Act for child and family services 48 10 shall be made available for purposes of juvenile delinquent 48 11 graduated sanction services. 48 12 3. The department may transfer funds appropriated in this 48 13 section as necessary to pay the nonfederal costs of services 48 14 reimbursed under the medical assistance program, state child 48 15 care assistance program, or the family investment program which 48 16 are provided to children who would otherwise receive services 48 17 paid under the appropriation in this section. The department 48 18 may transfer funds appropriated in this section to the 48 19 appropriations made in this division of this Act for general 48 20 administration and for field operations for resources necessary 48 21 to implement and operate the services funded in this section. 48 22 4. a. Of the funds appropriated in this section, up to 48 23 $35,821,786 is allocated as the statewide expenditure target 48 24 under section 232.143 for group foster care maintenance and 48 25 services. If the department projects that such expenditures 48 26 for the fiscal year will be less than the target amount 48 27 allocated in this paragraph "a", the department may reallocate 48 28 the excess to provide additional funding for shelter care 48 29 or the child welfare emergency services addressed with the 48 30 allocation for shelter care. 48 31 b. If at any time after September 30, 2015, annualization 48 32 of a service area's current expenditures indicates a service 48 33 area is at risk of exceeding its group foster care expenditure 48 34 target under section 232.143 by more than 5 percent, the 48 35 department and juvenile court services shall examine all 49 1 group foster care placements in that service area in order to 49 2 identify those which might be appropriate for termination. 49 3 In addition, any aftercare services believed to be needed 49 4 for the children whose placements may be terminated shall be 49 5 identified. The department and juvenile court services shall 49 6 initiate action to set dispositional review hearings for the 49 7 placements identified. In such a dispositional review hearing, 49 8 the juvenile court shall determine whether needed aftercare 49 9 services are available and whether termination of the placement 49 10 is in the best interest of the child and the community. 49 11 5. In accordance with the provisions of section 232.188, 49 12 the department shall continue the child welfare and juvenile 49 13 justice funding initiative during fiscal year 2015=2016. Of 49 14 the funds appropriated in this section, $1,717,753 is allocated 49 15 specifically for expenditure for fiscal year 2015=2016 through 49 16 the decategorization services funding pools and governance 49 17 boards established pursuant to section 232.188. 49 18 6. A portion of the funds appropriated in this section 49 19 may be used for emergency family assistance to provide other 49 20 resources required for a family participating in a family 49 21 preservation or reunification project or successor project to 49 22 stay together or to be reunified. 49 23 7. Notwithstanding section 234.35 or any other provision 49 24 of law to the contrary, state funding for shelter care and 49 25 the child welfare emergency services contracting implemented 49 26 to provide for or prevent the need for shelter care shall be 49 27 limited to $8,068,474. 49 28 8. Federal funds received by the state during the fiscal 49 29 year beginning July 1, 2015, as the result of the expenditure 49 30 of state funds appropriated during a previous state fiscal 49 31 year for a service or activity funded under this section are 49 32 appropriated to the department to be used as additional funding 49 33 for services and purposes provided for under this section. 49 34 Notwithstanding section 8.33, moneys received in accordance 49 35 with this subsection that remain unencumbered or unobligated at 50 1 the close of the fiscal year shall not revert to any fund but 50 2 shall remain available for the purposes designated until the 50 3 close of the succeeding fiscal year. 50 4 9. a. Of the funds appropriated in this section, up to 50 5 $3,290,000 is allocated for the payment of the expenses of 50 6 court=ordered services provided to juveniles who are under the 50 7 supervision of juvenile court services, which expenses are a 50 8 charge upon the state pursuant to section 232.141, subsection 50 9 4. Of the amount allocated in this paragraph "a", up to 50 10 $1,556,287 shall be made available to provide school=based 50 11 supervision of children adjudicated under chapter 232, of which 50 12 not more than $15,000 may be used for the purpose of training. 50 13 A portion of the cost of each school=based liaison officer 50 14 shall be paid by the school district or other funding source as 50 15 approved by the chief juvenile court officer. 50 16 b. Of the funds appropriated in this section, up to $748,985 50 17 is allocated for the payment of the expenses of court=ordered 50 18 services provided to children who are under the supervision 50 19 of the department, which expenses are a charge upon the state 50 20 pursuant to section 232.141, subsection 4. 50 21 c. Notwithstanding section 232.141 or any other provision 50 22 of law to the contrary, the amounts allocated in this 50 23 subsection shall be distributed to the judicial districts 50 24 as determined by the state court administrator and to the 50 25 department's service areas as determined by the administrator 50 26 of the department of human services' division of child and 50 27 family services. The state court administrator and the 50 28 division administrator shall make the determination of the 50 29 distribution amounts on or before June 15, 2015. 50 30 d. Notwithstanding chapter 232 or any other provision of 50 31 law to the contrary, a district or juvenile court shall not 50 32 order any service which is a charge upon the state pursuant 50 33 to section 232.141 if there are insufficient court=ordered 50 34 services funds available in the district court or departmental 50 35 service area distribution amounts to pay for the service. The 51 1 chief juvenile court officer and the departmental service area 51 2 manager shall encourage use of the funds allocated in this 51 3 subsection such that there are sufficient funds to pay for 51 4 all court=related services during the entire year. The chief 51 5 juvenile court officers and departmental service area managers 51 6 shall attempt to anticipate potential surpluses and shortfalls 51 7 in the distribution amounts and shall cooperatively request the 51 8 state court administrator or division administrator to transfer 51 9 funds between the judicial districts' or departmental service 51 10 areas' distribution amounts as prudent. 51 11 e. Notwithstanding any provision of law to the contrary, 51 12 a district or juvenile court shall not order a county to pay 51 13 for any service provided to a juvenile pursuant to an order 51 14 entered under chapter 232 which is a charge upon the state 51 15 under section 232.141, subsection 4. 51 16 f. Of the funds allocated in this subsection, not more than 51 17 $83,000 may be used by the judicial branch for administration 51 18 of the requirements under this subsection. 51 19 g. Of the funds allocated in this subsection, $17,000 51 20 shall be used by the department of human services to support 51 21 the interstate commission for juveniles in accordance with 51 22 the interstate compact for juveniles as provided in section 51 23 232.173. 51 24 10. Of the funds appropriated in this section, $8,053,227 is 51 25 allocated for juvenile delinquent graduated sanctions services. 51 26 Any state funds saved as a result of efforts by juvenile court 51 27 services to earn a federal Tit. IV=E match for juvenile court 51 28 services administration may be used for the juvenile delinquent 51 29 graduated sanctions services. 51 30 11. Of the funds appropriated in this section, $1,608,285 is 51 31 transferred to the department of public health to be used for 51 32 the child protection center grant program for child protection 51 33 centers located in Iowa in accordance with section 135.118. 51 34 The grant amounts under the program shall be equalized so that 51 35 each center receives a uniform base amount of $245,000, and 52 1 the remaining funds shall be awarded through a funding formula 52 2 based upon the volume of children served. 52 3 12. If the department receives federal approval to 52 4 implement a waiver under Tit. IV=E of the federal Social 52 5 Security Act to enable providers to serve children who remain 52 6 in the children's families and communities, for purposes of 52 7 eligibility under the medical assistance program through 25 52 8 years of age, children who participate in the waiver shall be 52 9 considered to be placed in foster care. 52 10 13. Of the funds appropriated in this section, $4,025,167 is 52 11 allocated for the preparation for adult living program pursuant 52 12 to section 234.46. 52 13 14. Of the funds appropriated in this section, $520,150 52 14 shall be used for juvenile drug courts. The amount allocated 52 15 in this subsection shall be distributed as follows: 52 16 To the judicial branch for salaries to assist with the 52 17 operation of juvenile drug court programs operated in the 52 18 following jurisdictions: 52 19 a. Marshall county: 52 20 .................................................. $ 62,708 52 21 b. Woodbury county: 52 22 .................................................. $ 125,682 52 23 c. Polk county: 52 24 .................................................. $ 195,892 52 25 d. The third judicial district: 52 26 .................................................. $ 67,934 52 27 e. The eighth judicial district: 52 28 .................................................. $ 67,934 52 29 15. Of the funds appropriated in this section, $227,337 52 30 shall be used for the public purpose of continuing a grant to 52 31 a nonprofit human services organization providing services to 52 32 individuals and families in multiple locations in southwest 52 33 Iowa and Nebraska for support of a project providing immediate, 52 34 sensitive support and forensic interviews, medical exams, needs 52 35 assessments, and referrals for victims of child abuse and their 53 1 nonoffending family members. 53 2 16. Of the funds appropriated in this section, $300,620 53 3 is allocated for the foster care youth council approach of 53 4 providing a support network to children placed in foster care. 53 5 17. Of the funds appropriated in this section, $202,000 is 53 6 allocated for use pursuant to section 235A.1 for continuation 53 7 of the initiative to address child sexual abuse implemented 53 8 pursuant to 2007 Iowa Acts, chapter 218, section 18, subsection 53 9 21. 53 10 18. Of the funds appropriated in this section, $630,240 is 53 11 allocated for the community partnership for child protection 53 12 sites. 53 13 19. Of the funds appropriated in this section, $371,250 53 14 is allocated for the department's minority youth and family 53 15 projects under the redesign of the child welfare system. 53 16 20. Of the funds appropriated in this section, $1,186,595 53 17 is allocated for funding of the community circle of care 53 18 collaboration for children and youth in northeast Iowa. 53 19 21. Of the funds appropriated in this section, at least 53 20 $147,158 shall be used for the continuation of the child 53 21 welfare provider training academy, a collaboration between the 53 22 coalition for family and children's services in Iowa and the 53 23 department. 53 24 22. Of the funds appropriated in this section, $25,000 53 25 shall be used for the public purpose of continuation of a 53 26 grant to a child welfare services provider headquartered in a 53 27 county with a population between 205,000 and 215,000 in the 53 28 latest certified federal census that provides multiple services 53 29 including but not limited to a psychiatric medical institution 53 30 for children, shelter, residential treatment, after school 53 31 programs, school=based programming, and an Asperger's syndrome 53 32 program, to be used for support services for children with 53 33 autism spectrum disorder and their families. 53 34 23. Of the funds appropriated in this section, $25,000 53 35 shall be used for the public purpose of continuing a grant to 54 1 a hospital=based provider headquartered in a county with a 54 2 population between 90,000 and 95,000 in the latest certified 54 3 federal census that provides multiple services including 54 4 but not limited to diagnostic, therapeutic, and behavioral 54 5 services to individuals with autism spectrum disorder across 54 6 one's lifespan. The grant recipient shall utilize the funds 54 7 to continue the pilot project to determine the necessary 54 8 support services for children with autism spectrum disorder and 54 9 their families to be included in the children's disabilities 54 10 services system. The grant recipient shall submit findings and 54 11 recommendations based upon the results of the pilot project 54 12 to the individuals specified in this division of this Act for 54 13 submission of reports by December 31, 2015. 54 14 24. Of the funds appropriated in this section, $211,872 54 15 shall be used for continuation of the central Iowa system of 54 16 care program grant through June 30, 2016. 54 17 25. Of the funds appropriated in this section, $250,000 54 18 shall be used for the public purpose of the continuation 54 19 and expansion of a system of care program grant implemented 54 20 in Cerro Gordo and Linn counties to utilize a comprehensive 54 21 and long=term approach for helping children and families by 54 22 addressing the key areas in a child's life of childhood basic 54 23 needs, education and work, family, and community. 54 24 26. Of the funds appropriated in this section, at least 54 25 $25,000 shall be used to continue and to expand the foster 54 26 care respite pilot program in which postsecondary students in 54 27 social work and other human services=related programs receive 54 28 experience by assisting family foster care providers with 54 29 respite and other support. 54 30 27. Of the funds appropriated in this section, $110,000 54 31 shall be used for the public purpose of funding community=based 54 32 services and other supports with a system of care approach 54 33 for children with a serious emotional disturbance and their 54 34 families through a nonprofit provider of child welfare services 54 35 that has been in existence for more than 115 years, is located 55 1 in a county with a population of more than 200,000 but less 55 2 than 220,000 according to the latest census information 55 3 issued by the United States census bureau, is licensed as a 55 4 psychiatric medical institution for children, and was a system 55 5 of care grantee prior to July 1, 2015. 55 6 Sec. 19. ADOPTION SUBSIDY. 55 7 1. There is appropriated from the general fund of the 55 8 state to the department of human services for the fiscal year 55 9 beginning July 1, 2015, and ending June 30, 2016, the following 55 10 amount, or so much thereof as is necessary, to be used for the 55 11 purpose designated: 55 12 For adoption subsidy payments and services: 55 13 .................................................. $ 42,998,286 55 14 2. The department may transfer funds appropriated in 55 15 this section to the appropriation made in this division of 55 16 this Act for general administration for costs paid from the 55 17 appropriation relating to adoption subsidy. 55 18 3. Federal funds received by the state during the 55 19 fiscal year beginning July 1, 2015, as the result of the 55 20 expenditure of state funds during a previous state fiscal 55 21 year for a service or activity funded under this section are 55 22 appropriated to the department to be used as additional funding 55 23 for the services and activities funded under this section. 55 24 Notwithstanding section 8.33, moneys received in accordance 55 25 with this subsection that remain unencumbered or unobligated 55 26 at the close of the fiscal year shall not revert to any fund 55 27 but shall remain available for expenditure for the purposes 55 28 designated until the close of the succeeding fiscal year. 55 29 Sec. 20. JUVENILE DETENTION HOME FUND. Moneys deposited 55 30 in the juvenile detention home fund created in section 232.142 55 31 during the fiscal year beginning July 1, 2015, and ending June 55 32 30, 2016, are appropriated to the department of human services 55 33 for the fiscal year beginning July 1, 2015, and ending June 30, 55 34 2016, for distribution of an amount equal to a percentage of 55 35 the costs of the establishment, improvement, operation, and 56 1 maintenance of county or multicounty juvenile detention homes 56 2 in the fiscal year beginning July 1, 2014. Moneys appropriated 56 3 for distribution in accordance with this section shall be 56 4 allocated among eligible detention homes, prorated on the basis 56 5 of an eligible detention home's proportion of the costs of all 56 6 eligible detention homes in the fiscal year beginning July 56 7 1, 2014. The percentage figure shall be determined by the 56 8 department based on the amount available for distribution for 56 9 the fund. Notwithstanding section 232.142, subsection 3, the 56 10 financial aid payable by the state under that provision for the 56 11 fiscal year beginning July 1, 2015, shall be limited to the 56 12 amount appropriated for the purposes of this section. 56 13 Sec. 21. FAMILY SUPPORT SUBSIDY PROGRAM. 56 14 1. There is appropriated from the general fund of the 56 15 state to the department of human services for the fiscal year 56 16 beginning July 1, 2015, and ending June 30, 2016, the following 56 17 amount, or so much thereof as is necessary, to be used for the 56 18 purpose designated: 56 19 For the family support subsidy program subject to the 56 20 enrollment restrictions in section 225C.37, subsection 3: 56 21 .................................................. $ 1,073,932 56 22 2. The department shall use at least $641,500 of the moneys 56 23 appropriated in this section for the family support center 56 24 component of the comprehensive family support program under 56 25 section 225C.47. Not more than $25,000 of the amount allocated 56 26 in this subsection shall be used for administrative costs. 56 27 3. If at any time during the fiscal year, the amount of 56 28 funding available for the family support subsidy program 56 29 is reduced from the amount initially used to establish the 56 30 figure for the number of family members for whom a subsidy 56 31 is to be provided at any one time during the fiscal year, 56 32 notwithstanding section 225C.38, subsection 2, the department 56 33 shall revise the figure as necessary to conform to the amount 56 34 of funding available. 56 35 Sec. 22. CONNER DECREE. There is appropriated from the 57 1 general fund of the state to the department of human services 57 2 for the fiscal year beginning July 1, 2015, and ending June 30, 57 3 2016, the following amount, or so much thereof as is necessary, 57 4 to be used for the purpose designated: 57 5 For building community capacity through the coordination 57 6 and provision of training opportunities in accordance with the 57 7 consent decree of Conner v. Branstad, No. 4=86=CV=30871(S.D. 57 8 Iowa, July 14, 1994): 57 9 .................................................. $ 33,632 57 10 Sec. 23. MENTAL HEALTH INSTITUTES. There is appropriated 57 11 from the general fund of the state to the department of human 57 12 services for the fiscal year beginning July 1, 2015, and ending 57 13 June 30, 2016, the following amounts, or so much thereof as is 57 14 necessary, to be used for the purposes designated: 57 15 1. For the state mental health institute at Cherokee for 57 16 salaries, support, maintenance, and miscellaneous purposes, and 57 17 for not more than the following full=time equivalent positions: 57 18 .................................................. $ 5,545,616 57 19 ............................................... FTEs 169.20 57 20 2. For the state mental health institute at Clarinda for 57 21 salaries, support, maintenance, and miscellaneous purposes, and 57 22 for not more than the following full=time equivalent positions: 57 23 .................................................. $ 1,812,899 57 24 ............................................... FTEs 86.10 57 25 3. For the state mental health institute at Independence for 57 26 salaries, support, maintenance, and miscellaneous purposes, and 57 27 for not more than the following full=time equivalent positions: 57 28 .................................................. $ 10,390,773 57 29 ............................................... FTEs 233.00 57 30 Sec. 24. STATE RESOURCE CENTERS. 57 31 1. There is appropriated from the general fund of the 57 32 state to the department of human services for the fiscal year 57 33 beginning July 1, 2015, and ending June 30, 2016, the following 57 34 amounts, or so much thereof as is necessary, to be used for the 57 35 purposes designated: 58 1 a. For the state resource center at Glenwood for salaries, 58 2 support, maintenance, and miscellaneous purposes: 58 3 .................................................. $ 22,024,482 58 4 b. For the state resource center at Woodward for salaries, 58 5 support, maintenance, and miscellaneous purposes: 58 6 .................................................. $ 14,933,806 58 7 2. The department may continue to bill for state resource 58 8 center services utilizing a scope of services approach used for 58 9 private providers of intermediate care facilities for persons 58 10 with an intellectual disability services, in a manner which 58 11 does not shift costs between the medical assistance program, 58 12 counties, or other sources of funding for the state resource 58 13 centers. 58 14 3. The state resource centers may expand the time=limited 58 15 assessment and respite services during the fiscal year. 58 16 4. If the department's administration and the department 58 17 of management concur with a finding by a state resource 58 18 center's superintendent that projected revenues can reasonably 58 19 be expected to pay the salary and support costs for a new 58 20 employee position, or that such costs for adding a particular 58 21 number of new positions for the fiscal year would be less 58 22 than the overtime costs if new positions would not be added, 58 23 the superintendent may add the new position or positions. If 58 24 the vacant positions available to a resource center do not 58 25 include the position classification desired to be filled, the 58 26 state resource center's superintendent may reclassify any 58 27 vacant position as necessary to fill the desired position. The 58 28 superintendents of the state resource centers may, by mutual 58 29 agreement, pool vacant positions and position classifications 58 30 during the course of the fiscal year in order to assist one 58 31 another in filling necessary positions. 58 32 5. If existing capacity limitations are reached in 58 33 operating units, a waiting list is in effect for a service or 58 34 a special need for which a payment source or other funding 58 35 is available for the service or to address the special need, 59 1 and facilities for the service or to address the special need 59 2 can be provided within the available payment source or other 59 3 funding, the superintendent of a state resource center may 59 4 authorize opening not more than two units or other facilities 59 5 and begin implementing the service or addressing the special 59 6 need during fiscal year 2015=2016. 59 7 Sec. 25. SEXUALLY VIOLENT PREDATORS. 59 8 1. There is appropriated from the general fund of the 59 9 state to the department of human services for the fiscal year 59 10 beginning July 1, 2015, and ending June 30, 2016, the following 59 11 amount, or so much thereof as is necessary, to be used for the 59 12 purpose designated: 59 13 For costs associated with the commitment and treatment of 59 14 sexually violent predators in the unit located at the state 59 15 mental health institute at Cherokee, including costs of legal 59 16 services and other associated costs, including salaries, 59 17 support, maintenance, and miscellaneous purposes, and for not 59 18 more than the following full=time equivalent positions: 59 19 .................................................. $ 9,893,079 59 20 ............................................... FTEs 132.50 59 21 2. Unless specifically prohibited by law, if the amount 59 22 charged provides for recoupment of at least the entire amount 59 23 of direct and indirect costs, the department of human services 59 24 may contract with other states to provide care and treatment 59 25 of persons placed by the other states at the unit for sexually 59 26 violent predators at Cherokee. The moneys received under 59 27 such a contract shall be considered to be repayment receipts 59 28 and used for the purposes of the appropriation made in this 59 29 section. 59 30 Sec. 26. FIELD OPERATIONS. There is appropriated from the 59 31 general fund of the state to the department of human services 59 32 for the fiscal year beginning July 1, 2015, and ending June 30, 59 33 2016, the following amount, or so much thereof as is necessary, 59 34 to be used for the purposes designated: 59 35 For field operations, including salaries, support, 60 1 maintenance, and miscellaneous purposes, and for not more than 60 2 the following full=time equivalent positions: 60 3 .................................................. $ 58,920,976 60 4 ............................................... FTEs 1,837.00 60 5 1. As a condition of this appropriation, the department 60 6 shall make every possible effort to fill the entire number of 60 7 positions authorized by this section and, unless specifically 60 8 provided otherwise by an applicable collective bargaining 60 9 agreement, the department is not subject to any approval 60 10 requirement external to the department to fill a field 60 11 operations vacancy within the number of full=time equivalent 60 12 positions authorized by this section. The department shall 60 13 report on the first of each month to the chairpersons and 60 14 ranking members of the appropriations committees of the senate 60 15 and house of representatives, and the persons designated by 60 16 this Act for submission of reports concerning the status of 60 17 filling the positions. 60 18 2. Priority in filling full=time equivalent positions 60 19 shall be given to those positions related to child protection 60 20 services and eligibility determination for low=income families. 60 21 Sec. 27. GENERAL ADMINISTRATION. There is appropriated 60 22 from the general fund of the state to the department of human 60 23 services for the fiscal year beginning July 1, 2015, and ending 60 24 June 30, 2016, the following amount, or so much thereof as is 60 25 necessary, to be used for the purpose designated: 60 26 For general administration, including salaries, support, 60 27 maintenance, and miscellaneous purposes, and for not more than 60 28 the following full=time equivalent positions: 60 29 .................................................. $ 15,161,741 60 30 ............................................... FTEs 309.00 60 31 1. Of the funds appropriated in this section, $38,543 is 60 32 allocated for the prevention of disabilities policy council 60 33 created in section 225B.103, if enacted in this Act. 60 34 2. The department shall report at least monthly to the 60 35 legislative services agency concerning the department's 61 1 operational and program expenditures. 61 2 3. Of the funds appropriated in this section, $150,000 shall 61 3 be used to continue the contract for the provision of a program 61 4 to provide technical assistance, support, and consultation to 61 5 providers of habilitation services and home and community=based 61 6 services waiver services for adults with disabilities under the 61 7 medical assistance program. 61 8 4. Of the funds appropriated in this section, $50,000 61 9 is transferred to the Iowa finance authority to be used 61 10 for administrative support of the council on homelessness 61 11 established in section 16.2D and for the council to fulfill its 61 12 duties in addressing and reducing homelessness in the state. 61 13 5. Of the funds appropriated in this section, $250,000 61 14 is allocated to an Iowa food bank association selected by 61 15 the department for the purchase of food on behalf of an Iowa 61 16 emergency feeding organization or for the distribution of 61 17 moneys to the Iowa emergency feeding organization for the 61 18 purchase of food. The moneys allocated in this subsection 61 19 shall be allocated only to the extent that the allocated moneys 61 20 are matched on a dollar=for=dollar basis. Notwithstanding 61 21 section 8.33, moneys allocated in this subsection that remain 61 22 unencumbered or unobligated at the close of the fiscal year 61 23 shall not revert but shall remain available for expenditure for 61 24 the purposes designated until the close of the following fiscal 61 25 year. 61 26 6. Of the funds appropriated in this section, $250,000 61 27 shall be transferred to and deposited in the administrative 61 28 fund of the Iowa ABLE savings plan trust created in section 61 29 12I.4, if enacted in this Act, to be used for implementation 61 30 and administration activities of the Iowa ABLE savings plan 61 31 trust. Such activities may include the funding of a program 61 32 manager position, the issuance of a request for proposals, 61 33 and creation of an informational internet site, but shall not 61 34 include funding for marketing. The appropriation made in this 61 35 section is deemed to meet the requirement in the section of 62 1 the division of this Act, if enacted, relating to contingent 62 2 implementation of chapter 12I. 62 3 Sec. 28. VOLUNTEERS. There is appropriated from the general 62 4 fund of the state to the department of human services for the 62 5 fiscal year beginning July 1, 2015, and ending June 30, 2016, 62 6 the following amount, or so much thereof as is necessary, to be 62 7 used for the purpose designated: 62 8 For development and coordination of volunteer services: 62 9 .................................................. $ 84,686 62 10 Sec. 29. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY 62 11 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE 62 12 DEPARTMENT OF HUMAN SERVICES. 62 13 1. a. (1) For the fiscal year beginning July 1, 2015, 62 14 the total state funding amount for the nursing facility budget 62 15 shall not exceed $321,900,006. 62 16 (2) For the fiscal year beginning July 1, 2015, the 62 17 department shall rebase case=mix nursing facility rates 62 18 effective July 1, 2015. However, total nursing facility budget 62 19 expenditures, including both case=mix and noncase=mix, shall 62 20 not exceed the amount specified in subparagraph (1). When 62 21 calculating case=mix per diem cost and the patient=day=weighted 62 22 medians used in rate=setting for nursing facilities effective 62 23 July 1, 2015, the inflation factor applied from the midpoint 62 24 of the cost report period to the first day of the state fiscal 62 25 year rate period shall be adjusted to maintain state funding 62 26 within the amount specified in subparagraph (1). 62 27 (3) The department, in cooperation with nursing facility 62 28 representatives, shall review projections for state funding 62 29 expenditures for reimbursement of nursing facilities on a 62 30 quarterly basis and the department shall determine if an 62 31 adjustment to the medical assistance reimbursement rate is 62 32 necessary in order to provide reimbursement within the state 62 33 funding amount for the fiscal year. Notwithstanding 2001 62 34 Iowa Acts, chapter 192, section 4, subsection 2, paragraph 62 35 "c", and subsection 3, paragraph "a", subparagraph (2), 63 1 if the state funding expenditures for the nursing facility 63 2 budget for the fiscal year are projected to exceed the amount 63 3 specified in subparagraph (1), the department shall adjust 63 4 the reimbursement for nursing facilities reimbursed under the 63 5 case=mix reimbursement system to maintain expenditures of the 63 6 nursing facility budget within the specified amount for the 63 7 fiscal year. 63 8 (4) For the fiscal year beginning July 1, 2015, special 63 9 population nursing facilities shall be reimbursed in accordance 63 10 with the methodology in effect on June 30, 2015. 63 11 (5) For any open or unsettled nursing facility cost report 63 12 for a fiscal year prior to and including the fiscal year 63 13 beginning July 1, 2014, including any cost report remanded on 63 14 judicial review for inclusion of prescription drug, laboratory, 63 15 or x=ray costs, the department shall offset all reported 63 16 prescription drug, laboratory, and x=ray costs with any revenue 63 17 received from Medicare or other revenue source for any purpose. 63 18 For purposes of this subparagraph, a nursing facility cost 63 19 report is not considered open or unsettled if the facility did 63 20 not initiate an administrative appeal under chapter 17A or if 63 21 any appeal rights initiated have been exhausted. 63 22 b. (1) For the fiscal year beginning July 1, 2015, 63 23 the department shall establish the pharmacy dispensing fee 63 24 reimbursement at $11.73 per prescription as determined by the 63 25 June 2014 cost of dispensing fee survey. 63 26 (2) The department shall utilize an average acquisition 63 27 cost reimbursement methodology for all drugs covered under the 63 28 medical assistance program in accordance with 2012 Iowa Acts, 63 29 chapter 1133, section 33. 63 30 (3) Notwithstanding subparagraph (2), if the centers for 63 31 Medicare and Medicaid services of the United States department 63 32 of health and human services (CMS) requires, as a condition 63 33 of federal Medicaid funding, that the department implement an 63 34 aggregate federal upper limit (FUL) for drug reimbursement 63 35 based on the average manufacturer's price (AMP), the department 64 1 may utilize a reimbursement methodology for all drugs covered 64 2 under the Medicaid program based on the national average drug 64 3 acquisition cost (NADAC) methodology published by CMS, in order 64 4 to assure compliance with the aggregate FUL, minimize outcomes 64 5 of drug reimbursements below pharmacy acquisition costs, limit 64 6 administrative costs, and minimize any change in the aggregate 64 7 reimbursement for drugs. The department may adopt emergency 64 8 rules to implement this subparagraph. 64 9 c. (1) For the fiscal year beginning July 1, 2015, 64 10 reimbursement rates for outpatient hospital services shall 64 11 remain at the rates in effect on June 30, 2015, subject 64 12 to Medicaid program upper payment limit rules and adjusted 64 13 as necessary to maintain expenditures within the amount 64 14 appropriated to the department for this purpose for the fiscal 64 15 year. 64 16 (2) For the fiscal year beginning July 1, 2015, 64 17 reimbursement rates for inpatient hospital services shall be 64 18 rebased effective October 1, 2015, subject to Medicaid program 64 19 upper payment limit rules and adjusted as necessary to maintain 64 20 expenditures within the amount appropriated to the department 64 21 for this purpose for the fiscal year. 64 22 (3) For the fiscal year beginning July 1, 2015, the graduate 64 23 medical education and disproportionate share hospital fund 64 24 shall remain at the amount in effect on June 30, 2015, except 64 25 that the portion of the fund attributable to graduate medical 64 26 education shall be reduced in an amount that reflects the 64 27 elimination of graduate medical education payments made to 64 28 out=of=state hospitals. 64 29 (4) In order to ensure the efficient use of limited state 64 30 funds in procuring health care services for low=income Iowans, 64 31 funds appropriated in this Act for hospital services shall 64 32 not be used for activities which would be excluded from a 64 33 determination of reasonable costs under the federal Medicare 64 34 program pursuant to 42 U.S.C. {1395x(v)(1)(N). 64 35 d. For the fiscal year beginning July 1, 2015, reimbursement 65 1 rates for rural health clinics, hospices, and acute mental 65 2 hospitals shall be increased in accordance with increases under 65 3 the federal Medicare program or as supported by their Medicare 65 4 audited costs. 65 5 e. For the fiscal year beginning July 1, 2015, independent 65 6 laboratories and rehabilitation agencies shall be reimbursed 65 7 using the same methodology in effect on June 30, 2015. 65 8 f. (1) For the fiscal year beginning July 1, 2015, 65 9 reimbursement rates for home health agencies shall continue to 65 10 be based on the Medicare low utilization payment adjustment 65 11 (LUPA) methodology with state geographic wage adjustments, and 65 12 updated to reflect the most recent Medicare LUPA rates. 65 13 (2) For the fiscal year beginning July 1, 2015, rates for 65 14 private duty nursing and personal care services under the early 65 15 and periodic screening, diagnostic, and treatment program 65 16 benefit shall be calculated based on the methodology in effect 65 17 on June 30, 2015. 65 18 g. For the fiscal year beginning July 1, 2015, federally 65 19 qualified health centers shall receive cost=based reimbursement 65 20 for 100 percent of the reasonable costs for the provision of 65 21 services to recipients of medical assistance. 65 22 h. For the fiscal year beginning July 1, 2015, the 65 23 reimbursement rates for dental services shall remain at the 65 24 rates in effect on June 30, 2015. 65 25 i. (1) For the fiscal year beginning July 1, 2015, 65 26 state=owned psychiatric medical institutions for children shall 65 27 receive cost=based reimbursement for 100 percent of the actual 65 28 and allowable costs for the provision of services to recipients 65 29 of medical assistance. 65 30 (2) For the nonstate=owned psychiatric medical institutions 65 31 for children, reimbursement rates shall be based on the 65 32 reimbursement methodology developed by the department as 65 33 required for federal compliance. 65 34 (3) As a condition of participation in the medical 65 35 assistance program, enrolled providers shall accept the medical 66 1 assistance reimbursement rate for any covered goods or services 66 2 provided to recipients of medical assistance who are children 66 3 under the custody of a psychiatric medical institution for 66 4 children. 66 5 j. For the fiscal year beginning July 1, 2015, unless 66 6 otherwise specified in this Act, all noninstitutional medical 66 7 assistance provider reimbursement rates shall remain at the 66 8 rates in effect on June 30, 2015, except for area education 66 9 agencies, local education agencies, infant and toddler 66 10 services providers, home and community=based services providers 66 11 including consumer=directed attendant care providers under a 66 12 section 1915(c) or 1915(i) waiver, targeted case management 66 13 providers, and those providers whose rates are required to be 66 14 determined pursuant to section 249A.20. 66 15 k. Notwithstanding any provision to the contrary, for the 66 16 fiscal year beginning July 1, 2015, the reimbursement rate for 66 17 anesthesiologists shall remain at the rate in effect on June 66 18 30, 2015. 66 19 l. Notwithstanding section 249A.20, for the fiscal year 66 20 beginning July 1, 2015, the average reimbursement rate for 66 21 health care providers eligible for use of the federal Medicare 66 22 resource=based relative value scale reimbursement methodology 66 23 under section 249A.20 shall remain at the rate in effect on 66 24 June 30, 2015; however, this rate shall not exceed the maximum 66 25 level authorized by the federal government. 66 26 m. For the fiscal year beginning July 1, 2015, the 66 27 reimbursement rate for residential care facilities shall not 66 28 be less than the minimum payment level as established by the 66 29 federal government to meet the federally mandated maintenance 66 30 of effort requirement. The flat reimbursement rate for 66 31 facilities electing not to file annual cost reports shall not 66 32 be less than the minimum payment level as established by the 66 33 federal government to meet the federally mandated maintenance 66 34 of effort requirement. 66 35 n. For the fiscal year beginning July 1, 2015, the 67 1 reimbursement rates for inpatient mental health services 67 2 provided at hospitals shall be rebased effective October 1, 67 3 2015, subject to Medicaid program upper payment limit rules; 67 4 and psychiatrists shall be reimbursed at the medical assistance 67 5 program fee=for=service rate in effect on June 30, 2015. 67 6 o. For the fiscal year beginning July 1, 2015, community 67 7 mental health centers may choose to be reimbursed for the 67 8 services provided to recipients of medical assistance through 67 9 either of the following options: 67 10 (1) For 100 percent of the reasonable costs of the services. 67 11 (2) In accordance with the alternative reimbursement rate 67 12 methodology established by the medical assistance program's 67 13 managed care contractor for mental health services and approved 67 14 by the department of human services. 67 15 p. For the fiscal year beginning July 1, 2015, the 67 16 reimbursement rate for providers of family planning services 67 17 that are eligible to receive a 90 percent federal match shall 67 18 remain at the rates in effect on June 30, 2015. 67 19 q. For the fiscal year beginning July 1, 2015, the upper 67 20 limits on reimbursement rates for providers of home and 67 21 community=based services waiver services shall be increased by 67 22 1.5 percent over the limits in effect on June 30, 2015. 67 23 r. For the fiscal year beginning July 1, 2015, the 67 24 reimbursement rates for emergency medical service providers 67 25 shall remain at the rates in effect on June 30, 2015. 67 26 s. For the fiscal year beginning July 1, 2015, reimbursement 67 27 rates for substance=related disorder treatment programs 67 28 licensed under section 125.13 shall be increased by 3 percent 67 29 over the rates in effect on June 30, 2015. 67 30 2. For the fiscal year beginning July 1, 2015, the 67 31 reimbursement rate for providers reimbursed under the 67 32 in=home=related care program shall not be less than the minimum 67 33 payment level as established by the federal government to meet 67 34 the federally mandated maintenance of effort requirement. 67 35 3. Unless otherwise directed in this section, when the 68 1 department's reimbursement methodology for any provider 68 2 reimbursed in accordance with this section includes an 68 3 inflation factor, this factor shall not exceed the amount 68 4 by which the consumer price index for all urban consumers 68 5 increased during the calendar year ending December 31, 2002. 68 6 4. For the fiscal year beginning July 1, 2015, the foster 68 7 family basic daily maintenance rate and the maximum adoption 68 8 subsidy rate for children ages 0 through 5 years shall be 68 9 $16.78, the rate for children ages 6 through 11 years shall be 68 10 $17.45, the rate for children ages 12 through 15 years shall 68 11 be $19.10, and the rate for children and young adults ages 16 68 12 and older shall be $19.35. For youth ages 18 to 21 who have 68 13 exited foster care, the preparation for adult living program 68 14 maintenance rate shall be $602.70 per month. The maximum 68 15 payment for adoption subsidy nonrecurring expenses shall be 68 16 limited to $500 and the disallowance of additional amounts 68 17 for court costs and other related legal expenses implemented 68 18 pursuant to 2010 Iowa Acts, chapter 1031, section 408, shall 68 19 be continued. 68 20 5. For the fiscal year beginning July 1, 2015, the maximum 68 21 reimbursement rates for social services providers under 68 22 contract shall remain at the rates in effect on June 30, 2015, 68 23 or the provider's actual and allowable cost plus inflation for 68 24 each service, whichever is less. However, if a new service 68 25 or service provider is added after June 30, 2015, the initial 68 26 reimbursement rate for the service or provider shall be based 68 27 upon a weighted average of provider rates for similar services. 68 28 6. For the fiscal year beginning July 1, 2015, the 68 29 reimbursement rates for resource family recruitment and 68 30 retention contractors, child welfare emergency services 68 31 contractors, and supervised apartment living foster care 68 32 providers shall be increased by 5 percent over the rates in 68 33 effect on June 30, 2015. 68 34 7. For the fiscal year beginning July 1, 2015, the 68 35 reimbursement rate for safety plan services and family safety, 69 1 risk, and permanency services (family=centered) shall be 69 2 increased as follows: 69 3 a. The statewide base monthly payment amount for all 69 4 family safety, risk, and permanency services (family=centered) 69 5 contractors shall be increased by $25.22 per month over the 69 6 rate in effect on June 30, 2015. 69 7 (1) Family safety, risk, and permanency services 69 8 Performance Measure 1 payments shall be increased by $5.25 per 69 9 case over the rate in effect on June 30, 2015. 69 10 (2) Family safety, risk, and permanency services 69 11 Performance Measure 2 payments shall be increased by $13.15 per 69 12 case over the rate in effect on June 30, 2015. 69 13 (3) Family safety, risk, and permanency services 69 14 Performance Measure 3 payments shall be increased by $26.25 per 69 15 case over the rate in effect on June 30, 2015. 69 16 (4) Family safety, risk, and permanency services 69 17 Performance Measure 4 payments shall be increased by $26.25 per 69 18 case over the rate in effect on June 30, 2015. 69 19 b. The maximum reimbursement unit rate for safety plan 69 20 services shall be increased by $27.61 over the rate in effect 69 21 on June 30, 2015. 69 22 (1) Safety plan services Performance Measure 1 payments 69 23 shall be increased by $5.25 per case over the rate in effect on 69 24 June 30, 2015. 69 25 (2) Safety plan services Performance Measure 2 payments 69 26 shall be increased by $5.25 per case over the rate in effect on 69 27 June 30, 2015. 69 28 8. a. For the purposes of this subsection, "combined 69 29 reimbursement rate" means the combined service and maintenance 69 30 reimbursement rate for a service level under the department's 69 31 reimbursement methodology. Effective July 1, 2015, the 69 32 combined reimbursement rate for a group foster care service 69 33 level shall be the amount designated in this subsection. 69 34 However, if a group foster care provider's reimbursement rate 69 35 for a service level as of June 30, 2015, is more than the rate 70 1 designated in this subsection, the provider's reimbursement 70 2 shall remain at the higher rate. 70 3 b. Unless a group foster care provider is subject to the 70 4 exception provided in paragraph "a", effective July 1, 2015, 70 5 the combined reimbursement rates for the service levels under 70 6 the department's reimbursement methodology shall be as follows: 70 7 (1) For service level, community = D1, the daily rate shall 70 8 be at least $84.17. 70 9 (2) For service level, comprehensive = D2, the daily rate 70 10 shall be at least $119.09. 70 11 (3) For service level, enhanced = D3, the daily rate shall 70 12 be at least $131.09. 70 13 9. The group foster care reimbursement rates paid for 70 14 placement of children out of state shall be calculated 70 15 according to the same rate=setting principles as those used for 70 16 in=state providers, unless the director of human services or 70 17 the director's designee determines that appropriate care cannot 70 18 be provided within the state. The payment of the daily rate 70 19 shall be based on the number of days in the calendar month in 70 20 which service is provided. 70 21 10. a. For the fiscal year beginning July 1, 2015, the 70 22 reimbursement rate paid for shelter care and the child welfare 70 23 emergency services implemented to provide or prevent the need 70 24 for shelter care shall be established by contract. 70 25 b. For the fiscal year beginning July 1, 2015, the combined 70 26 service and maintenance components of the reimbursement rate 70 27 paid for shelter care services shall be based on the financial 70 28 and statistical report submitted to the department. The 70 29 maximum reimbursement rate shall be $101.83 per day. The 70 30 department shall reimburse a shelter care provider at the 70 31 provider's actual and allowable unit cost, plus inflation, not 70 32 to exceed the maximum reimbursement rate. 70 33 c. Notwithstanding section 232.141, subsection 8, for the 70 34 fiscal year beginning July 1, 2015, the amount of the statewide 70 35 average of the actual and allowable rates for reimbursement of 71 1 juvenile shelter care homes that is utilized for the limitation 71 2 on recovery of unpaid costs shall remain at the amount in 71 3 effect for this purpose in the fiscal year beginning July 1, 71 4 2014. 71 5 11. For the fiscal year beginning July 1, 2015, the 71 6 department shall calculate reimbursement rates for intermediate 71 7 care facilities for persons with an intellectual disability 71 8 at the 80th percentile. Beginning July 1, 2015, the rate 71 9 calculation methodology shall utilize the consumer price index 71 10 inflation factor applicable to the fiscal year beginning July 71 11 1, 2015. 71 12 12. For the fiscal year beginning July 1, 2015, for child 71 13 care providers reimbursed under the state child care assistance 71 14 program, the department shall set provider reimbursement 71 15 rates based on the rate reimbursement survey completed in 71 16 December 2004. Effective July 1, 2015, the child care provider 71 17 reimbursement rates shall remain at the rates in effect on June 71 18 30, 2015. The department shall set rates in a manner so as 71 19 to provide incentives for a nonregistered provider to become 71 20 registered by applying the increase only to registered and 71 21 licensed providers. 71 22 13. For the fiscal year beginning July 1, 2015, if the 71 23 centers for Medicare and Medicaid services of the United 71 24 States department of health and human services approves the 71 25 waivers necessary to implement medical assistance program 71 26 managed care applicable to any providers or services subject to 71 27 reimbursement under this section, notwithstanding any provision 71 28 to the contrary under this section, affected providers or 71 29 services shall instead be reimbursed as follows: 71 30 a. For fee=for=service claims, reimbursement rates shall 71 31 be calculated based on the methodology otherwise specified in 71 32 this section for the fiscal year beginning July 1, 2015, for 71 33 the respective provider or service. 71 34 b. For claims subject to a managed care contract, 71 35 reimbursement shall be based on the actuarially sound 72 1 capitation rates established under the contract. However, 72 2 any reimbursement established under such contract shall not 72 3 be lower than the reimbursement otherwise specified in this 72 4 section for the fiscal year beginning July 1, 2015, for the 72 5 respective provider or service. 72 6 14. The department may adopt emergency rules to implement 72 7 this section. 72 8 Sec. 30. EMERGENCY RULES. 72 9 1. If specifically authorized by a provision of this 72 10 division of this Act, the department of human services or 72 11 the mental health and disability services commission may 72 12 adopt administrative rules under section 17A.4, subsection 72 13 3, and section 17A.5, subsection 2, paragraph "b", to 72 14 implement the provisions of this division of this Act and 72 15 the rules shall become effective immediately upon filing or 72 16 on a later effective date specified in the rules, unless the 72 17 effective date of the rules is delayed or the applicability 72 18 of the rules is suspended by the administrative rules review 72 19 committee. Any rules adopted in accordance with this section 72 20 shall not take effect before the rules are reviewed by the 72 21 administrative rules review committee. The delay authority 72 22 provided to the administrative rules review committee under 72 23 section 17A.4, subsection 7, and section 17A.8, subsection 9, 72 24 shall be applicable to a delay imposed under this section, 72 25 notwithstanding a provision in those sections making them 72 26 inapplicable to section 17A.5, subsection 2, paragraph "b". 72 27 Any rules adopted in accordance with the provisions of this 72 28 section shall also be published as a notice of intended action 72 29 as provided in section 17A.4. 72 30 2. If during a fiscal year, the department of human 72 31 services is adopting rules in accordance with this section 72 32 or as otherwise directed or authorized by state law, and the 72 33 rules will result in an expenditure increase beyond the amount 72 34 anticipated in the budget process or if the expenditure was 72 35 not addressed in the budget process for the fiscal year, the 73 1 department shall notify the persons designated by this division 73 2 of this Act for submission of reports, the chairpersons and 73 3 ranking members of the committees on appropriations, and 73 4 the department of management concerning the rules and the 73 5 expenditure increase. The notification shall be provided at 73 6 least 30 calendar days prior to the date notice of the rules 73 7 is submitted to the administrative rules coordinator and the 73 8 administrative code editor. 73 9 Sec. 31. REPORTS. Any reports or other information 73 10 required to be compiled and submitted under this Act during the 73 11 fiscal year beginning July 1, 2015, shall be submitted to the 73 12 chairpersons and ranking members of the joint appropriations 73 13 subcommittee on health and human services, the legislative 73 14 services agency, and the legislative caucus staffs on or 73 15 before the dates specified for submission of the reports or 73 16 information. 73 17 Sec. 32. EFFECTIVE UPON ENACTMENT. The following 73 18 provisions of this division of this Act, being deemed of 73 19 immediate importance, take effect upon enactment: 73 20 1. The provision relating to section 232.141 and directing 73 21 the state court administrator and the division administrator of 73 22 the department of human services division of child and family 73 23 services to make the determination, by June 15, 2015, of the 73 24 distribution of funds allocated for the payment of the expenses 73 25 of court=ordered services provided to juveniles which are a 73 26 charge upon the state. 73 27 2. The provision prohibiting the department of human 73 28 services from adopting emergency rules to implement Medicaid 73 29 managed care or the governor's Medicaid modernization 73 30 initiative. 73 31 DIVISION VI 73 32 HEALTH CARE ACCOUNTS AND FUNDS ==== FY 2015=2016 73 33 Sec. 33. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is 73 34 appropriated from the pharmaceutical settlement account created 73 35 in section 249A.33 to the department of human services for the 74 1 fiscal year beginning July 1, 2015, and ending June 30, 2016, 74 2 the following amount, or so much thereof as is necessary, to be 74 3 used for the purpose designated: 74 4 Notwithstanding any provision of law to the contrary, to 74 5 supplement the appropriations made in this Act for medical 74 6 contracts under the medical assistance program for the fiscal 74 7 year beginning July 1, 2015, and ending June 30, 2016: 74 8 .................................................. $ 500,000 74 9 Sec. 34. QUALITY ASSURANCE TRUST FUND ==== DEPARTMENT OF HUMAN 74 10 SERVICES. Notwithstanding any provision to the contrary and 74 11 subject to the availability of funds, there is appropriated 74 12 from the quality assurance trust fund created in section 74 13 249L.4 to the department of human services for the fiscal year 74 14 beginning July 1, 2015, and ending June 30, 2016, the following 74 15 amounts, or so much thereof as is necessary, for the purposes 74 16 designated: 74 17 To supplement the appropriation made in this Act from the 74 18 general fund of the state to the department of human services 74 19 for medical assistance for the same fiscal year: 74 20 .................................................. $ 36,705,208 74 21 Sec. 35. HOSPITAL HEALTH CARE ACCESS TRUST FUND ==== 74 22 DEPARTMENT OF HUMAN SERVICES. Notwithstanding any provision to 74 23 the contrary and subject to the availability of funds, there is 74 24 appropriated from the hospital health care access trust fund 74 25 created in section 249M.4 to the department of human services 74 26 for the fiscal year beginning July 1, 2015, and ending June 74 27 30, 2016, the following amounts, or so much thereof as is 74 28 necessary, for the purposes designated: 74 29 To supplement the appropriation made in this Act from the 74 30 general fund of the state to the department of human services 74 31 for medical assistance for the same fiscal year: 74 32 .................................................. $ 34,700,000 74 33 Sec. 36. MEDICAL ASSISTANCE PROGRAM ==== NONREVERSION 74 34 FOR FY 2015=2016. Notwithstanding section 8.33, if moneys 74 35 appropriated for purposes of the medical assistance program for 75 1 the fiscal year beginning July 1, 2015, and ending June 30, 75 2 2016, from the general fund of the state, the quality assurance 75 3 trust fund and the hospital health care access trust fund, are 75 4 in excess of actual expenditures for the medical assistance 75 5 program and remain unencumbered or unobligated at the close 75 6 of the fiscal year, the excess moneys shall not revert but 75 7 shall remain available for expenditure for the purposes of the 75 8 medical assistance program until the close of the succeeding 75 9 fiscal year. 75 10 DIVISION VII 75 11 PATIENT=CENTERED HEALTH ADVISORY COUNCIL 75 12 Sec. 37. Section 135.159, subsection 2, paragraph a, 75 13 unnumbered paragraph 1, Code 2015, is amended to read as 75 14 follows: 75 15 The department shall establishana patient=centered health 75 16 advisory council which shall include but is not limited to 75 17 all of the following members, selected by their respective 75 18 organizations, and any other members the department determines 75 19 necessary to assist in the department's duties at various 75 20 stages of development of the medical home system: 75 21 Sec. 38. Section 135.159, subsection 2, paragraph b, Code 75 22 2015, is amended to read as follows: 75 23 b. Public members of the patient=centered health advisory 75 24 council shall receive reimbursement for actual expenses 75 25 incurred while serving in their official capacity only if they 75 26 are not eligible for reimbursement by the organization that 75 27 they represent. 75 28 Sec. 39. Section 135.159, subsection 10, Code 2015, is 75 29 amended to read as follows: 75 30 10. The department shall integrate the recommendations and 75 31 policies developed pursuant to section 135.161, Code 2011, into 75 32 the medical home system and shall incorporate the development 75 33 and implementation of the state initiative for prevention 75 34 and chronic care management as developed pursuant to section 75 35 135.161, Code 2011, into the duties of themedical home system 76 1patient=centered health advisory council beginning January 1, 76 2 2012. 76 3 Sec. 40. CODE EDITOR DIRECTIVE. The Code editor shall amend 76 4 the headnote of section 135.159, Code 2015, to read Medical home 76 5 system ==== patient=centered health advisory council ==== development 76 6 and implementation. 76 7 DIVISION VIII 76 8 PRIOR YEAR APPROPRIATIONS AND OTHER PRIOR PROVISIONS 76 9 DECATEGORIZATION 76 10 Sec. 41. DECATEGORIZATION CARRYOVER FUNDING ==== TRANSFER TO 76 11 MEDICAID PROGRAM. Notwithstanding section 232.188, subsection 76 12 5, paragraph "b", any state appropriated moneys in the funding 76 13 pool that remained unencumbered or unobligated at the close 76 14 of the fiscal year beginning July 1, 2012, and were deemed 76 15 carryover funding to remain available for the two succeeding 76 16 fiscal years that still remain unencumbered or unobligated at 76 17 the close of the fiscal year beginning July 1, 2014, shall 76 18 not revert but shall be transferred to the medical assistance 76 19 program for the fiscal year beginning July 1, 2014. 76 20 COMMUNITY MENTAL HEALTH SERVICES APPROPRIATION 76 21 Sec. 42. 2013 Iowa Acts, chapter 136, section 2, subsection 76 22 1, paragraph c, is amended to read as follows: 76 23 c. The department shall allocate not less than 95 percent 76 24 of the amount of the block grant each federal fiscal year 76 25 to eligible community mental health services providers for 76 26 carrying out the plan submitted to and approved by the federal 76 27 substance abuse and mental health services administration 76 28 for the fiscal year involved, except that for federal fiscal 76 29 year 2014=2015, $1,643,467 of such federal block grant funds 76 30 shall be used for child and family services pursuant to 2013 76 31 Iowa Acts, chapter 138, section 148, as amended by 2014 Iowa 76 32 Acts, chapter 1140, section 25, for the purposes of 2014 Iowa 76 33 Acts, chapter 1140, section 25, subsection 20, relating to 76 34 the community circle of care collaboration for children and 76 35 youth in northeast Iowa, subsection 24 relating to the central 77 1 Iowa system of care program grant, subsection 25 relating 77 2 to the system of care grant implemented in Cerro Gordo and 77 3 Linn counties, and subsection 27 relating to a system of care 77 4 approach for children with a serious emotional disturbance and 77 5 their families through a nonprofit provider of child welfare 77 6 services licensed as a psychiatric medical institution for 77 7 children. 77 8 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES 77 9 Sec. 43. 2013 Iowa Acts, chapter 138, section 136, 77 10 subsections 1, 2, 6, and 13, as amended by 2014 Iowa Acts, 77 11 chapter 1140, section 9, are amended to read as follows: 77 12 1. To be credited to the family investment program account 77 13 and used for assistance under the family investment program 77 14 under chapter 239B: 77 15 .................................................. $9,879,48877 16 6,281,222 77 17 2. To be credited to the family investment program account 77 18 and used for the job opportunities and basic skills (JOBS) 77 19 program and implementing family investment agreements in 77 20 accordance with chapter 239B: 77 21 .................................................. $11,091,91177 22 10,232,340 77 23 6. For state child care assistance: 77 24 .................................................. $35,047,11077 25 41,210,239 77 26 a. Of the funds appropriated in this subsection, 77 27$26,347,110$26,332,712 is transferred to the child care and 77 28 development block grant appropriation made by the Eighty=fifth 77 29 General Assembly, 2013 Session, in 2013 Iowa Acts, chapter 136, 77 30 section 14 for the federal fiscal year beginning October 1, 77 31 2014, and ending September 30, 2015. Of this amount, $200,000 77 32 shall be used for provision of educational opportunities to 77 33 registered child care home providers in order to improve 77 34 services and programs offered by this category of providers 77 35 and to increase the number of providers. The department may 78 1 contract with institutions of higher education or child care 78 2 resource and referral centers to provide the educational 78 3 opportunities. Allowable administrative costs under the 78 4 contracts shall not exceed 5 percent. The application for a 78 5 grant shall not exceed two pages in length. 78 6 b. Any funds appropriated in this subsection remaining 78 7 unallocated shall be used for state child care assistance 78 8 payments for families who are employed, including but not 78 9 limited to individuals enrolled in the family investment 78 10 programwho are employed. 78 11 13. a. Notwithstanding any provision to the contrary, 78 12 including but not limited to requirements in section 8.41 or 78 13 provisions in 2013 or 2014 Iowa Acts regarding the receipt and 78 14 appropriation of federal block grants, federal funds from the 78 15 temporary assistance for needy families block grant received 78 16 by the state not otherwise appropriated in this section and 78 17 remaining available for the fiscal year beginning July 1, 2014, 78 18 are appropriated to the department of human services to the 78 19 extent as may be necessary to be used in the following priority 78 20 order: the family investment program, for state child care 78 21 assistance program payments forindividuals enrolled in the 78 22 family investment programfamilies who are employed, and for 78 23 the family investment program share of costs to develop and 78 24 maintain a new, integrated eligibility determination system. 78 25 The federal funds appropriated in this paragraph "a" shall be 78 26 expended only after all other funds appropriated in subsection 78 27 1 for the assistance under the family investment program, 78 28 in subsection 6 for child care assistance, or in subsection 78 29 12 for the family investment program share of the costs to 78 30 continue to develop and maintain a new, integrated eligibility 78 31 determination system, as applicable, have been expended. For 78 32 the purposes of this subsection, the funds appropriated in 78 33 subsection 6, paragraph "a", for transfer to the child care and 78 34 development block grant are considered fully expended when the 78 35 full amount has been transferred. 79 1 b. The department shall, on a quarterly basis, advise the 79 2 legislative services agency and department of management of 79 3 the amount of funds appropriated in this subsection that was 79 4 expended in the prior quarter. 79 5 CHILD SUPPORT RECOVERY UNIT 79 6 Sec. 44. 2013 Iowa Acts, chapter 138, section 139, 79 7 unnumbered paragraph 2, as amended by 2014 Iowa Acts, chapter 79 8 1140, section 12, is amended to read as follows: 79 9 For child support recovery, including salaries, support, 79 10 maintenance, and miscellaneous purposes, and for not more than 79 11 the following full=time equivalent positions: 79 12 .................................................. $14,911,23079 13 14,771,230 79 14 ............................................... FTEs 464.00 79 15 MEDICAL ASSISTANCE 79 16 Sec. 45. 2013 Iowa Acts, chapter 139, section 142, 79 17 unnumbered paragraph 2, as amended by 2014 Iowa Acts, chapter 79 18 1140, section 14, is amended to read as follows: 79 19 For medical assistance program reimbursement and associated 79 20 costs as specifically provided in the reimbursement 79 21 methodologies in effect on June 30, 2014, except as otherwise 79 22 expressly authorized by law, consistent with options under 79 23 federal law and regulations, and contingent upon receipt of 79 24 approval from the office of the governor of reimbursement for 79 25 each abortion performed under the program: 79 26 .................................................. $1,250,658,39379 27 1,310,299,250 79 28 MEDICAL CONTRACTS 79 29 Sec. 46. 2013 Iowa Acts, chapter 138, section 143, 79 30 unnumbered paragraphs 1 and 2, as amended by 2014 Iowa Acts, 79 31 chapter 1140, section 19, are amended to read as follows: 79 32 There is appropriated from the general fund of the state to 79 33 the department of human services for the fiscal year beginning 79 34 July 1, 2014, and ending June 30, 2015, the following amount, 79 35 or so much thereof as is necessary, to be used for the purpose 80 1 designated: 80 2 For medical contracts: 80 3 .................................................. $17,148,57680 4 12,896,400 80 5 STATE SUPPLEMENTARY ASSISTANCE 80 6 Sec. 47. 2013 Iowa Acts, chapter 138, section 144, 80 7 subsection 1, as amended by 2014 Iowa Acts, chapter 1140, 80 8 section 20, is amended to read as follows: 80 9 1. There is appropriated from the general fund of the 80 10 state to the department of human services for the fiscal year 80 11 beginning July 1, 2014, and ending June 30, 2015, the following 80 12 amount, or so much thereof as is necessary, to be used for the 80 13 purpose designated: 80 14 For the state supplementary assistance program: 80 15 .................................................. $14,121,15480 16 12,965,318 80 17 CHILDREN'S HEALTH INSURANCE PROGRAM/ 80 18 HEALTHY AND WELL KIDS IN IOWA PROGRAM 80 19 Sec. 48. 2013 Iowa Acts, chapter 138, section 145, 80 20 subsection 1, as amended by 2014 Iowa Acts, chapter 1140, 80 21 section 21, is amended to read as follows: 80 22 1. There is appropriated from the general fund of the 80 23 state to the department of human services for the fiscal year 80 24 beginning July 1, 2014, and ending June 30, 2015, the following 80 25 amount, or so much thereof as is necessary, to be used for the 80 26 purpose designated: 80 27 For maintenance of the healthy and well kids in Iowa (hawk=i) 80 28 program pursuant to chapter 514I, including supplemental dental 80 29 services, for receipt of federal financial participation under 80 30 Tit. XXI of the federal Social Security Act, which creates the 80 31 children's health insurance program: 80 32 .................................................. $45,877,99880 33 45,097,085 80 34 CHILD CARE ASSISTANCE 80 35 Sec. 49. 2013 Iowa Acts, chapter 138, section 146, 81 1 unnumbered paragraphs 1 and 2, as amended by 2014 Iowa Acts, 81 2 chapter 1140, section 22, are amended to read as follows: 81 3 There is appropriated from the general fund of the state to 81 4 the department of human services for the fiscal year beginning 81 5 July 1, 2014, and ending June 30, 2015, the following amount, 81 6 or so much thereof as is necessary, to be used for the purpose 81 7 designated: 81 8 For child care programs: 81 9 .................................................. $47,132,08081 10 36,303,944 81 11 CHILDREN ADJUDICATED AS DELINQUENT AND CHILD IN NEED OF 81 12 ASSISTANCE PLACEMENTS 81 13 Sec. 50. 2013 Iowa Acts, chapter 138, unnumbered paragraphs 81 14 1 and 2, as amended by 2014 Iowa Acts, chapter 1140, section 81 15 24, are amended to read as follows: 81 16 There is appropriated from the general fund of the state to 81 17 the department of human services for the fiscal year beginning 81 18 July 1, 2014, and ending June 30, 2015, the following amount, 81 19 or so much thereof as is necessary, to be used for the purposes 81 20 designated: 81 21 For the placement costs of female children adjudicated as 81 22 delinquent and male and female children adjudicated as a child 81 23 in need of assistance: 81 24 .................................................. $2,000,00081 25 1,400,000 81 26 CHILD AND FAMILY SERVICES 81 27 Sec. 51. 2013 Iowa Acts, chapter 138, section 148, 81 28 subsection 1, as amended by 2014 Iowa Acts, chapter 1140, 81 29 section 25, is amended to read as follows: 81 30 1. There is appropriated from the general fund of the 81 31 state to the department of human services for the fiscal year 81 32 beginning July 1, 2014, and ending June 30, 2015, the following 81 33 amount, or so much thereof as is necessary, to be used for the 81 34 purpose designated: 81 35 For child and family services: 82 1 .................................................. $94,857,55482 2 91,364,087 82 3 ADOPTION SUBSIDY 82 4 Sec. 52. 2013 Iowa Acts, chapter 138, section 149, 82 5 subsection 1, as amended by 2014 Iowa Acts, chapter 1140, 82 6 section 26, is amended to read as follows: 82 7 1. There is appropriated from the general fund of the 82 8 state to the department of human services for the fiscal year 82 9 beginning July 1, 2014, and ending June 30, 2015, the following 82 10 amount, or so much thereof as is necessary, to be used for the 82 11 purpose designated: 82 12 For adoption subsidy payments and services: 82 13 .................................................. $42,580,74982 14 41,744,149 82 15 FAMILY SUPPORT SUBSIDY 82 16 Sec. 53. 2013 Iowa Acts, chapter 138, section 151, 82 17 subsection 1, as amended by 2014 Iowa Acts, chapter 1140, 82 18 section 27, is amended to read as follows: 82 19 1. There is appropriated from the general fund of the 82 20 state to the department of human services for the fiscal year 82 21 beginning July 1, 2014, and ending June 30, 2015, the following 82 22 amount, or so much thereof as is necessary, to be used for the 82 23 purpose designated: 82 24 For the family support subsidy program subject to the 82 25 enrollment restrictions in section 225C.37, subsection 3: 82 26 .................................................. $1,079,73982 27 579,739 82 28 FIELD OPERATIONS 82 29 Sec. 54. 2013 Iowa Acts, chapter 138, section 156, 82 30 unnumbered paragraphs 1 and 2, as amended by 2014 Iowa Acts, 82 31 chapter 1140, section 32, are amended to read as follows: 82 32 There is appropriated from the general fund of the state to 82 33 the department of human services for the fiscal year beginning 82 34 July 1, 2014, and ending June 30, 2015, the following amount, 82 35 or so much thereof as is necessary, to be used for the purposes 83 1 designated: 83 2 For field operations, including salaries, support, 83 3 maintenance, and miscellaneous purposes, and for not more than 83 4 the following full=time equivalent positions: 83 5 .................................................. $65,170,97683 6 61,170,976 83 7 ............................................... FTEs 1,837.00 83 8 GENERAL ADMINISTRATION 83 9 Sec. 55. 2013 Iowa Acts, chapter 138, section 157, 83 10 unnumbered paragraphs 1 and 2, as amended by 2014 Iowa Acts, 83 11 chapter 1140, section 33, are amended to read as follows: 83 12 There is appropriated from the general fund of the state to 83 13 the department of human services for the fiscal year beginning 83 14 July 1, 2014, and ending June 30, 2015, the following amount, 83 15 or so much thereof as is necessary, to be used for the purpose 83 16 designated: 83 17 For general administration, including salaries, support, 83 18 maintenance, and miscellaneous purposes, and for not more than 83 19 the following full=time equivalent positions: 83 20 .................................................. $16,072,30283 21 15,072,302 83 22 ............................................... FTEs 309.00 83 23 PHARMACEUTICAL SETTLEMENT ACCOUNT 83 24 Sec. 56. 2013 Iowa Acts, chapter 138, section 162, as 83 25 amended by 2014 Iowa Acts, chapter 1140, section 47, is amended 83 26 to read as follows: 83 27 SEC. 162. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is 83 28 appropriated from the pharmaceutical settlement account created 83 29 in section 249A.33 to the department of human services for the 83 30 fiscal year beginning July 1, 2014, and ending June 30, 2015, 83 31 the following amount, or so much thereof as is necessary, to be 83 32 used for the purpose designated: 83 33 Notwithstanding any provision of law to the contrary, to 83 34 supplement the appropriations made in this Act for medical 83 35 contracts under the medical assistance program for the fiscal 84 1 year beginning July 1, 2014, and ending June 30, 2015: 84 2 .................................................. $5,467,56484 3 6,969,740 84 4 QUALITY ASSURANCE TRUST FUND 84 5 Sec. 57. 2013 Iowa Acts, chapter 138, section 163, as 84 6 amended by 2014 Iowa Acts, chapter 1140, section 48, is amended 84 7 to read as follows: 84 8 SEC. 163. QUALITY ASSURANCE TRUST FUND ==== DEPARTMENT OF 84 9 HUMAN SERVICES. Notwithstanding any provision to the contrary 84 10 and subject to the availability of funds, there is appropriated 84 11 from the quality assurance trust fund created in section 84 12 249L.4 to the department of human services for the fiscal year 84 13 beginning July 1, 2014, and ending June 30, 2015, the following 84 14 amounts, or so much thereof as is necessary, for the purposes 84 15 designated: 84 16 To supplement the appropriation made in this Act from the 84 17 general fund of the state to the department of human services 84 18 for medical assistance for the same fiscal year: 84 19 .................................................. $29,195,65384 20 29,695,653 84 21 Sec. 58. EFFECTIVE UPON ENACTMENT. This division of this 84 22 Act, being deemed of immediate importance, takes effect upon 84 23 enactment. 84 24 Sec. 59. RETROACTIVE APPLICABILITY. This division of this 84 25 Act is retroactively applicable to July 1, 2014. 84 26 DIVISION IX 84 27 QUALITY ASSURANCE ASSESSMENT 84 28 Sec. 60. Section 249L.3, subsection 1, paragraph d, Code 84 29 2015, is amended to read as follows: 84 30 d. The aggregate quality assurance assessments imposed 84 31 under this chapter shallnot exceed the lower ofbe established 84 32 at three percent of the aggregate non=Medicare revenues of a 84 33 nursing facilityor the maximum amount that may be assessed84 34 pursuant to the indirect guarantee threshold as established 84 35 pursuant to 42 C.F.R. {433.68(f)(3)(i), and shall be stated on 85 1 a per=patient=day basis. 85 2 DIVISION X 85 3 HEALTH POLICY ==== OVERSIGHT 85 4 Sec. 61. NEW SECTION. 2.70 Legislative health policy 85 5 oversight committee. 85 6 1. A legislative health policy oversight committee 85 7 is created to provide a formal venue for oversight of 85 8 and stakeholder engagement in, the design, development, 85 9 implementation, administration, and funding associated 85 10 with general state health care policy, with a particular 85 11 focus on the Medicaid program. The overall purpose of the 85 12 committee is to ensure that health care policy in this state 85 13 is consumer=focused and provides for accessible, accountable, 85 14 efficient, cost=effective, and quality health care. The goal 85 15 of the committee is to continue to further health policy that 85 16 improves health care, improves population health, reduces 85 17 health care costs, and integrates medical and social services 85 18 and supports into a holistic health system. 85 19 2. a. The committee shall include all of the following 85 20 members: 85 21 (1) The co=chairpersons and ranking members of the 85 22 legislative joint appropriations subcommittee on health 85 23 and human services, or members of the joint appropriations 85 24 subcommittee designated by the respective co=chairpersons or 85 25 ranking members. 85 26 (2) The chairpersons and ranking members of the 85 27 human resources committees of the senate and house of 85 28 representatives, or members of the respective committees 85 29 designated by the respective chairpersons or ranking members. 85 30 (3) The chairpersons and ranking members of the 85 31 appropriations committees of the senate and house of 85 32 representatives, or members of the respective committees 85 33 designated by the respective chairpersons or ranking members. 85 34 b. The members of the committee shall receive a per diem as 85 35 provided in section 2.10. 86 1 c. The committee shall meet at least quarterly, but may meet 86 2 as often as necessary. The committee may request information 86 3 from sources as deemed appropriate, and the department of human 86 4 services and other agencies of state government shall provide 86 5 information to the committee as requested. The legislative 86 6 services agency shall provide staff support to the committee. 86 7 d. The committee shall select co=chairpersons, one 86 8 representing the senate and one representing the house of 86 9 representatives, annually, from its membership. A majority of 86 10 the members of the committee shall constitute a quorum. 86 11 e. The committee may contract for the services of persons 86 12 who are qualified by education, expertise, or experience to 86 13 advise, consult with, or otherwise assist the committee in the 86 14 performance of its duties. 86 15 3. The committee shall submit a report to the governor and 86 16 the general assembly by December 15, annually. 86 17 Sec. 62. NEW SECTION. 231.44 Utilization of resources 86 18 == assistance and advocacy related to long=term services and 86 19 supports under the Medicaid program. 86 20 1. The office of long=term care ombudsman may utilize its 86 21 available resources to provide assistance and advocacy services 86 22 to potential or actual recipients, or the families or legal 86 23 representatives of such potential or actual recipients, of 86 24 long=term services and supports provided through the Medicaid 86 25 program. Such assistance and advocacy shall include but is not 86 26 limited to all of the following: 86 27 a. Providing information, education, consultation, and 86 28 assistance regarding eligibility for, enrollment in, and the 86 29 obtaining of long=term services and supports through the 86 30 Medicaid program. 86 31 b. Identifying and referring individuals who may be eligible 86 32 for and in need of long=term services and supports to the 86 33 Medicaid program. 86 34 c. Developing procedures for tracking and reporting 86 35 individual requests for assistance with the obtaining of 87 1 necessary services and supports. 87 2 d. Providing consultation for individuals transitioning into 87 3 or out of an institutional setting or across levels of care. 87 4 e. Identifying gaps in or duplication of services provided 87 5 to older individuals and persons with disabilities and 87 6 developing strategies to improve the delivery and coordination 87 7 of these services for these individuals. 87 8 f. Providing advice, assistance, and negotiation relating 87 9 to the preparation and filing of complaints, grievances, and 87 10 appeals of complaints or grievances relating to long=term 87 11 services and supports under the Medicaid program. 87 12 g. Providing individual case advocacy services in 87 13 administrative hearings and legal representation for judicial 87 14 proceedings related to long=term services and supports under 87 15 the Medicaid program. 87 16 2. A representative of the office of long=term care 87 17 ombudsman providing assistance and advocacy services authorized 87 18 under this section for an individual, shall be provided 87 19 access to the individual, and shall be provided access to 87 20 the individual's medical and social records as authorized by 87 21 the individual or the individual's legal representative, as 87 22 necessary to carry out the duties specified in this section. 87 23 3. A representative of the office of long=term care 87 24 ombudsman providing assistance and advocacy services authorized 87 25 under this section for an individual, shall be provided access 87 26 to administrative records related to the provision of the 87 27 long=term services and supports to the individual, as necessary 87 28 to carry out the duties specified in this section. 87 29 4. For the purposes of this section: 87 30 a. "Institutional setting" includes a long=term care 87 31 facility, an elder group home, or an assisted living program. 87 32 b. "Long=term services and supports" means the broad range of 87 33 health, health=related, and personal care assistance services 87 34 and supports, provided in both institutional settings and home 87 35 and community=based settings, necessary for older individuals 88 1 and persons with disabilities who experience limitations in 88 2 their capacity for self=care due to a physical, cognitive, or 88 3 mental disability or condition. 88 4 Sec. 63. MEDICAID MANAGED CARE ORGANIZATIONS ==== UTILIZATION 88 5 OF CAPITATED PAYMENTS. 88 6 1. All of the following shall apply to Medicaid managed care 88 7 contracts entered into on or after July 1, 2015: 88 8 a. Two percent of the Medicaid capitation payment amount 88 9 specified under the contract shall be withheld by the state to 88 10 be used to provide for Medicaid program oversight, including 88 11 for a health consumer ombudsman function, and for quality 88 12 improvement. 88 13 b. The minimum medical loss ratio applicable to Medicaid 88 14 managed care shall be established at no less than eighty=five 88 15 percent. The portion of the Medicaid capitation payment paid 88 16 to a Medicaid managed care contractor that is required to be 88 17 dedicated to meeting the minimum medical loss ratio shall be 88 18 allocated to a Medicaid claims fund. Expenditures of moneys 88 19 in the Medicaid claims fund shall comply with all of the 88 20 following: 88 21 (1) Only expenditures for medical claims shall be 88 22 considered in computing the minimum medical loss ratio 88 23 as specified in the contract. For the purposes of the 88 24 computation, "medical claims" means only the costs of claims 88 25 for direct delivery of covered benefits incurred during the 88 26 applicable minimum medical loss ratio reporting period, not 88 27 otherwise defined or designated as administrative costs, 88 28 population health benefits or quality improvement, or profit in 88 29 this section. 88 30 (2) If a Medicaid managed care contractor does not meet 88 31 the minimum medical loss ratio established under the contract 88 32 for the reporting period specified, the Medicaid managed 88 33 care contractor shall remit the excess amount, multiplied 88 34 by the total contract revenue, to the state for community 88 35 reinvestment, oversight, and quality improvement. 89 1 c. The portion of the Medicaid capitation payment that is 89 2 not required to be dedicated to meeting the minimum medical 89 3 loss ratio, shall be allocated to an administrative fund. 89 4 Expenditure or use of moneys in the administrative fund shall 89 5 comply with all of the following: 89 6 (1) Funds in the administrative fund may be used for 89 7 population health and quality improvement activities 89 8 including conflict or reinvestment free case management, care 89 9 coordination, community benefit expenditures, nontraditional 89 10 consumer=centered services that address social determinants 89 11 of health, health information technology, data collection and 89 12 analysis, and other population health and quality improvement 89 13 activities as specified by rule of the department of human 89 14 services. 89 15 (2) Administrative costs shall not exceed the percentage 89 16 applicable to the Medicaid program for administrative costs for 89 17 FY 2015 of a maximum of 4 percent calculated as a percentage of 89 18 the Medicaid capitation payment during the applicable minimum 89 19 medical loss ratio reporting period. Administrative functions 89 20 and costs shall not be shifted to providers or other entities 89 21 as a means of administrative cost avoidance. 89 22 (3) Profit, including reserves and earnings on reserves 89 23 such as investment income and earned interest, as a percentage 89 24 of the Medicaid capitated payment, shall be limited to a 89 25 maximum of 3 percent during the applicable minimum medical loss 89 26 ratio reporting period. 89 27 (4) Any funds remaining in the administrative fund 89 28 following allowable expenditures or uses specified in 89 29 subparagraphs (1), (2), and (3) shall be remitted to the state 89 30 for community reinvestment, oversight, and quality improvement. 89 31 2. The department of human services shall specify by rule 89 32 reporting requirements for Medicaid managed care contractors 89 33 under this section. 89 34 Sec. 64. PROPOSAL FOR A HEALTH CONSUMER OMBUDSMAN 89 35 ALLIANCE. The office of long=term care ombudsman shall 90 1 collaborate with the department on aging, the office of 90 2 substitute decision maker, the department of veterans affairs, 90 3 the department of human services, the department of public 90 4 health, the department of inspections and appeals, the 90 5 designated protection and advocacy agency as provided in 90 6 section 135C.2, subsection 4, the civil rights commission, the 90 7 senior health insurance information program, the Iowa insurance 90 8 consumer advocate, Iowa legal aid, and other consumer advocates 90 9 and consumer assistance programs, to develop a proposal for the 90 10 establishment of a health consumer ombudsman alliance. The 90 11 purpose of the alliance is to provide a permanent coordinated 90 12 system of independent consumer supports to ensure that 90 13 consumers, including consumers covered under Medicaid managed 90 14 care, obtain and maintain essential health care, are provided 90 15 unbiased information in understanding coverage models, and are 90 16 assisted in resolving problems regarding health care services, 90 17 coverage, access, and rights. The proposal developed shall 90 18 include annual budget projections and shall be submitted to the 90 19 governor and the general assembly no later than December 15, 90 20 2015. 90 21 Sec. 65. FUNCTIONAL, LEVEL OF CARE, AND NEEDS=BASED 90 22 ASSESSMENTS ==== CASE MANAGEMENT. 90 23 1. The department of human services shall contract 90 24 with a conflict free third party to conduct initial and 90 25 subsequent functional, level of care, and needs assessments and 90 26 reassessments of consumers who may be eligible for long=term 90 27 services and supports and are subject to a Medicaid managed 90 28 care contract. Such assessments and reassessments shall not 90 29 be completed by a Medicaid managed care organization under 90 30 contract with the state or by any entity that is not deemed 90 31 conflict free. If a managed care contractor becomes aware that 90 32 an applicant may require long=term services and supports or 90 33 that an enrolled consumer's functional level of care, support 90 34 needs, or medical status has changed, the Medicaid managed care 90 35 contractor shall notify the department and the conflict free 91 1 third party shall administer any assessment or reassessment 91 2 in response to the notification. A case manager or Medicaid 91 3 managed care contractor shall not alter a consumer's service 91 4 plan independent of the prior administration of an assessment 91 5 or reassessment conducted by the conflict free third party. 91 6 The department of human services shall retain authority to 91 7 determine or redetermine a consumer's categorical, financial, 91 8 level of care or needs=based eligibility based on the conflict 91 9 free third party assessment or reassessment. 91 10 2. The department of human services shall provide for 91 11 administration of non=biased, community=based, in=person 91 12 options counseling by a conflict free third party for 91 13 applicants for a Medicaid managed care plan. 91 14 3. Case management under a Medicaid managed care contract 91 15 shall be administered in a conflict free manner. 91 16 4. For the purposes of this section, "conflict free" means 91 17 conflict free pursuant to specifications of the balancing 91 18 incentive program requirements. 91 19 DIVISION XI 91 20 AUTISM 91 21 Sec. 66. Section 225D.1, subsections 3 and 8, Code 2015, are 91 22 amended to read as follows: 91 23 3. "Autism service provider" means a person providing 91 24 applied behavioral analysis, who meets all of the following 91 25 criteria: 91 26 a. Is any of the following: 91 27 (1) Is certified as a behavior analyst by the behavior 91 28 analyst certification boardor is a health professional 91 29 licensed under chapter 147. 91 30 (2) Is a board=certified assistant behavior analyst who 91 31 performs duties, identified by and based on the standards of 91 32 the behavior analyst certification board, under the supervision 91 33 of a board=certified behavior analyst. 91 34 b. Is approved as a member of the provider network by the 91 35 department. 92 1 8. "Eligible individual" means a child less thannine 92 2fifteen years of age who has been diagnosed with autism based 92 3 on a diagnostic assessment of autism, is not otherwise eligible 92 4 for coverage for applied behavioral analysis treatment under 92 5 the medical assistance program, section 514C.28, or private 92 6 insurance coverage, and whose household income does not exceed 92 7 four hundred percent of the federal poverty level. 92 8 Sec. 67. Section 225D.2, subsection 2, paragraph c, Code 92 9 2015, is amended to read as follows: 92 10 c. Notwithstanding the age limitation for an eligible 92 11 individual, a provision that if an eligible individual reaches 92 12ninefifteen years of age prior to completion of the maximum 92 13 applied behavioral analysis treatment period specified in 92 14 paragraph "b", the individual may complete such treatment in 92 15 accordance with the individual's treatment plan, not to exceed 92 16 the maximum treatment period. 92 17 Sec. 68. Section 225D.2, subsection 2, Code 2015, is amended 92 18 by adding the following new paragraph: 92 19 NEW PARAGRAPH. l. Proof of eligibility for the autism 92 20 support program that includes a written denial for coverage or 92 21 a benefits summary indicating that applied behavioral analysis 92 22 treatment is not a covered benefit for which the applicant 92 23 is eligible, under the Medicaid program, section 514C.28, or 92 24 private insurance coverage. 92 25 DIVISION XII 92 26 OFFICE OF SUBSTITUTE DECISIONMAKER 92 27 Sec. 69. Section 231E.4, subsection 3, paragraph a, Code 92 28 2015, is amended to read as follows: 92 29 a. Select persons through a request for proposals process to 92 30 establish local offices of substitute decision maker in each 92 31 of the planning and service areas. Local offices shall be 92 32 established statewide on or before July 1,20152017. 92 33 DIVISION XIII 92 34 DEMENTIA WORKFORCE 92 35 Sec. 70. INTERAGENCY DEMENTIA PROFICIENT WORKFORCE TASK 93 1 FORCE. The department on aging shall convene an interagency 93 2 task force, in collaboration with the office of long=term 93 3 care ombudsman, the office of substitute decision maker, the 93 4 departments of public health, human services, and inspections 93 5 and appeals, and the Alzheimer's association, to review the 93 6 recommendations for a standard curriculum model for dementia 93 7 education submitted by the Alzheimer's association dementia 93 8 education task force to the department on aging in June 2010, 93 9 in the Iowa dementia education project final report, and the 93 10 curricula=related recommendations submitted by the direct care 93 11 worker task force and the direct care worker advisory council; 93 12 identify staff, in settings in which individuals with dementia 93 13 may seek services and care, who should have some level of 93 14 dementia proficiency and analyze gaps in existing training 93 15 and educational requirements; and develop an implementation 93 16 plan to transition toward competency=based dementia curricula 93 17 and training that achieves dementia proficiency across a 93 18 broader care continuum. To the greatest extent possible, 93 19 the plan shall address training strategies for different 93 20 settings, levels of skill, and licensure. The plan shall 93 21 include a timeline for implementation, fiscal implications of 93 22 recommendations, and identification of key decision points 93 23 for the general assembly. The task force shall provide 93 24 opportunities for stakeholder input from affected industry, 93 25 education, professional, employee, and consumer organizations. 93 26 The task force shall submit its recommendations to the governor 93 27 and the general assembly no later than December 15, 2015. 93 28 DIVISION XIV 93 29 PHARMACEUTICAL COLLECTION AND DISPOSAL PROGRAM 93 30 Sec. 71. Section 155A.43, Code 2015, is amended to read as 93 31 follows: 93 32 155A.43 Pharmaceutical collection and disposal program ==== 93 33 annual allocation. 93 34 Of the fees collected pursuant to sections 124.301 and 93 35 147.80 and chapter 155A by the board of pharmacy, and retained 94 1 by the board pursuant to section 147.82, not more than 94 2 one hundredtwenty=fiveseventy=five thousand dollars may 94 3 be allocated annually by the board for administering the 94 4 pharmaceutical collection and disposal program originally 94 5 established pursuant to 2009 Iowa Acts, ch. 175, {9. The 94 6 program shall provide for the management and disposal of 94 7 unused, excess, and expired pharmaceuticals. The board of 94 8 pharmacy may cooperate with the Iowa pharmacy association and 94 9 may consult with the department and sanitary landfill operators 94 10 in administering the program. 94 11 DIVISION XV 94 12 MEDICAID STATE PLAN ==== FAMILY PLANNING 94 13 Sec. 72. MEDICAID STATE PLAN AMENDMENT ==== FAMILY 94 14 PLANNING. The department of human services shall amend the 94 15 medical assistance state plan to include, effective no later 94 16 than January 1, 2016, the eligibility provisions of the Iowa 94 17 family planning network section 1115 demonstration waiver in 94 18 effect on January 1, 2015. The department shall implement 94 19 the state plan amendment upon receipt of approval by the 94 20 centers for Medicare and Medicaid services of the United States 94 21 department of health and human services. 94 22 Sec. 73. EFFECTIVE DATE. This division of this Act, being 94 23 deemed of immediate importance, takes effect upon enactment. 94 24 DIVISION XVI 94 25 IOWA ABLE SAVINGS PLAN TRUST 94 26 Sec. 74. NEW SECTION. 12I.1 Purpose and definitions. 94 27 1. The general assembly finds that the general welfare 94 28 and well=being of the state are directly related to the 94 29 health, maintenance, independence, and quality of life of its 94 30 disabled residents, and that a vital and valid public purpose 94 31 is served by the creation and implementation of programs that 94 32 encourage and make possible savings to secure funding for 94 33 disability=related expenses on behalf of individuals with 94 34 disabilities that will supplement, but not supplant, other 94 35 benefits provided by various federal, state, and private 95 1 sources. The creation of the means of encouragement for 95 2 citizens to invest in such a program represents the carrying 95 3 out of a vital and valid public purpose. In order to make 95 4 available to the citizens of the state an opportunity to fund 95 5 future disability=related expenses of individuals, it is 95 6 necessary that a public trust be established in which moneys 95 7 may be invested for payment of future disability=related 95 8 expenses of an individual. 95 9 2. As used in this chapter, unless the context otherwise 95 10 requires: 95 11 a. "Account balance limit" means the maximum allowable 95 12 aggregate balance of an account established for a designated 95 13 beneficiary. Account earnings, if any, are included in the 95 14 account balance limit. 95 15 b. "Account owner" means an individual who enters into a 95 16 participation agreement under this chapter for the payment 95 17 of qualified disability expenses on behalf of a designated 95 18 beneficiary. 95 19 c. "Contracting state" means the same as defined in section 95 20 529A of the Internal Revenue Code. 95 21 d. "Designated beneficiary" means an individual who is a 95 22 resident of this state or a resident of a contracting state and 95 23 who meets the definition of "eligible individual" in section 95 24 529A of the Internal Revenue Code. 95 25 e. "Internal Revenue Code" means the Internal Revenue Code 95 26 of 1986, as amended, and regulations promulgated thereunder. 95 27 f. "Iowa ABLE savings plan trust" or "trust" means the trust 95 28 created under section 12I.2. 95 29 g. "Participation agreement" means an agreement between the 95 30 account owner and the trust entered into under this chapter. 95 31 h. "Qualified ABLE program" means the same as defined in 95 32 section 529A of the Internal Revenue Code. 95 33 i. "Qualified disability expenses" means the same as defined 95 34 in section 529A of the Internal Revenue Code. 95 35 j. "Resident" shall be defined by rules adopted by the 96 1 treasurer of state. The rules shall determine residency in 96 2 such manner as may be required or permitted under section 96 3 529A of the Internal Revenue Code, or, in the absence of any 96 4 guidance under federal law, as the treasurer of state deems 96 5 advisable for the purpose of satisfying the requirements of 96 6 section 529A of the Internal Revenue Code. 96 7 Sec. 75. NEW SECTION. 12I.2 Creation of Iowa ABLE savings 96 8 plan trust. 96 9 An Iowa ABLE savings plan trust is created. The treasurer of 96 10 state is the trustee of the trust, and has all powers necessary 96 11 to carry out and effectuate the purposes, objectives, and 96 12 provisions of this chapter pertaining to the trust, including 96 13 the power to do all of the following: 96 14 1. Make and enter into contracts necessary for the 96 15 administration of the trust created under this chapter. 96 16 2. Enter into agreements with this state or any other 96 17 state, or any federal or other state agency, or other entity as 96 18 required to implement this chapter. 96 19 3. Carry out the duties and obligations of the trust 96 20 pursuant to this chapter. 96 21 4. Accept any grants, gifts, legislative appropriations, 96 22 and other moneys from the state, any unit of federal, state, or 96 23 local government, or any other person, firm, partnership, or 96 24 corporation which the treasurer of state shall deposit into the 96 25 administrative fund or program fund. 96 26 5. Participate in any federal, state, or local governmental 96 27 program for the benefit of the trust. 96 28 6. Procure insurance against any loss in connection with the 96 29 property, assets, or activities of the trust. 96 30 7. Enter into participation agreements with account owners. 96 31 8. Make payments to designated beneficiaries pursuant to 96 32 participation agreements. 96 33 9. Make refunds to account owners upon the termination 96 34 of participation agreements, and partial nonqualified 96 35 distributions to account owners, pursuant to this chapter and 97 1 the limitations and restrictions set forth in this chapter. 97 2 10. Invest moneys from the program fund in any investments 97 3 that are determined by the treasurer of state to be 97 4 appropriate. 97 5 11. Engage investment advisors, if necessary, to assist in 97 6 the investment of trust assets. 97 7 12. Contract for goods and services and engage personnel 97 8 as necessary, including consultants, actuaries, managers, 97 9 legal counsel, and auditors for the purpose of rendering 97 10 professional, managerial, and technical assistance and advice 97 11 to the treasurer of state regarding trust administration and 97 12 operation. 97 13 13. Establish, impose, and collect administrative fees 97 14 and charges in connection with transactions of the trust, and 97 15 provide for reasonable service charges, including penalties for 97 16 cancellations and late payments with respect to participation 97 17 agreements. 97 18 14. Administer the funds of the trust. 97 19 15. Prepare and file reports and notices. 97 20 16. Enter into agreements with contracting states to permit 97 21 residents of the contracting state to participate in the Iowa 97 22 ABLE savings plan trust. 97 23 17. Adopt rules pursuant to chapter 17A for the 97 24 administration of this chapter. 97 25 Sec. 76. NEW SECTION. 12I.3 Participation agreements for 97 26 trust. 97 27 On or after July 1, 2016, the trust may enter into 97 28 participation agreements with account owners pursuant to the 97 29 following terms and agreements: 97 30 1. a. Unless otherwise permitted under section 529A of the 97 31 Internal Revenue Code, the treasurer of state shall allow only 97 32 one participation agreement per designated beneficiary. 97 33 b. Unless otherwise permitted under section 529A of the 97 34 Internal Revenue Code, the account owner must also be the 97 35 designated beneficiary of the account. However, a trustee or 98 1 legal guardian may be designated as custodian of an account for 98 2 a designated beneficiary who is a minor or who lacks capacity 98 3 to enter into a participation agreement if such designation is 98 4 not prohibited under section 529A of the Internal Revenue Code. 98 5 c. The treasurer of state shall set an annual contribution 98 6 limit and account balance limit to maintain compliance with 98 7 section 529A of the Internal Revenue Code. A contribution 98 8 shall not be permitted to the extent it exceeds the annual 98 9 contribution limit or causes the aggregate balance of the 98 10 account established for the designated beneficiary to exceed 98 11 the applicable account balance limit. 98 12 d. The maximum amount that may be deducted per year for 98 13 Iowa income tax purposes by an individual for contributions on 98 14 behalf of any one designated beneficiary that is a resident 98 15 of this state shall not exceed the maximum deductible amount 98 16 determined for the year pursuant to section 12D.3, subsection 98 17 1, paragraph "a". 98 18 e. Participation agreements may be amended to provide 98 19 for adjusted levels of contributions based upon changed 98 20 circumstances or changes in disability=related expenses. 98 21 f. Any person may make contributions pursuant to a 98 22 participation agreement on behalf of a designated beneficiary 98 23 under rules adopted by the treasurer of state. 98 24 2. The execution of a participation agreement by the trust 98 25 shall not guarantee in any way that future disability=related 98 26 expenses will be equal to projections and estimates provided by 98 27 the trust or that the account owner or designated beneficiary 98 28 is guaranteed any of the following: 98 29 a. A return of principal. 98 30 b. A rate of interest or other return from the trust. 98 31 c. Payment of interest or other return from the trust. 98 32 3. a. A designated beneficiary under a participation 98 33 agreement may be changed as permitted under rules adopted by 98 34 the treasurer of state upon written request of the account 98 35 owner as long as such change would be permitted by section 529A 99 1 of the Internal Revenue Code. 99 2 b. Participation agreements may otherwise be freely amended 99 3 throughout their terms in order to enable account owners to 99 4 increase or decrease the level of participation, change the 99 5 designated beneficiary, and carry out similar matters as 99 6 authorized by rule. 99 7 4. Each participation agreement shall provide that the 99 8 participation agreement may be canceled upon the terms and 99 9 conditions, and upon payment of applicable fees and costs set 99 10 forth and contained in the rules adopted by the treasurer of 99 11 state. 99 12 Sec. 77. NEW SECTION. 12I.4 Program and administrative 99 13 funds ==== investment and payment. 99 14 1. a. The treasurer of state shall segregate moneys 99 15 received by the trust into two funds: the program fund and the 99 16 administrative fund. 99 17 b. All moneys paid by account owners or other persons 99 18 on behalf of a designated beneficiary in connection with 99 19 participation agreements shall be deposited as received into 99 20 separate accounts for each designated beneficiary within the 99 21 program fund. 99 22 c. Contributions to the trust made on behalf of designated 99 23 beneficiaries may only be made in the form of cash. 99 24 d. An account owner or designated beneficiary is 99 25 not permitted to provide investment direction regarding 99 26 contributions or earnings held by the trust. 99 27 2. Moneys accrued by account owners in the program fund 99 28 of the trust may be used for payments of qualified disability 99 29 expenses. 99 30 3. Moneys in the account of a designated beneficiary may 99 31 be claimed by the Iowa Medicaid program as provided in section 99 32 529A(f) of the Internal Revenue Code and subject to limitations 99 33 imposed by the treasurer of state. 99 34 4. The trust shall comply with Pub. L. No. 113=295, {103, 99 35 regarding treatment of ABLE accounts under certain federal 100 1 programs. 100 2 5. Moneys in the funds are not subject to section 8.33. 100 3 Notwithstanding section 12C.7, interest or earnings on moneys 100 4 in the funds shall be credited to the funds. 100 5 Sec. 78. NEW SECTION. 12I.5 Cancellation of agreements. 100 6 An account owner may cancel a participation agreement at 100 7 will. Upon cancellation of a participation agreement, an 100 8 account owner shall be entitled to the return of the account 100 9 owner's account balance. 100 10 Sec. 79. NEW SECTION. 12I.6 Repayment and ownership of 100 11 payments and investment income ==== transfer of ownership rights. 100 12 1. a. An account owner retains ownership of all 100 13 contributions made on behalf of a designated beneficiary under 100 14 a participation agreement up to the date of utilization for 100 15 payment of qualified disability expenses of the designated 100 16 beneficiary. 100 17 b. All income derived from the investment of the 100 18 contributions made on behalf of a designated beneficiary shall 100 19 be considered to be held in trust for the benefit of the 100 20 designated beneficiary. 100 21 2. In the event the trust is terminated prior to payment of 100 22 qualified disability expenses for the designated beneficiary, 100 23 the account owner is entitled to a refund of the account 100 24 owner's account balance. 100 25 3. Any amounts which may be paid to any person or persons 100 26 pursuant to the Iowa ABLE savings plan trust but which are not 100 27 listed in this section are owned by the trust. 100 28 4. An account owner may transfer ownership rights to 100 29 another designated beneficiary, including a gift of the 100 30 ownership rights to a designated beneficiary who is a minor, in 100 31 accordance with rules adopted by the treasurer of state and the 100 32 terms of the participation agreement, so long as the transfer 100 33 would be permitted by section 529A of the Internal Revenue 100 34 Code. 100 35 5. An account owner or designated beneficiary shall not be 101 1 entitled to utilize any interest in the trust as security for 101 2 a loan. 101 3 Sec. 80. NEW SECTION. 12I.7 Reports ==== annual audited 101 4 financial report ==== reports under federal law. 101 5 1. a. The treasurer of state shall submit an annual 101 6 audited financial report, prepared in accordance with generally 101 7 accepted accounting principles, on the operations of the trust 101 8 by November 1 to the governor and the general assembly. 101 9 b. The annual audit shall be made either by the auditor 101 10 of state or by an independent certified public accountant 101 11 designated by the auditor of state and shall include direct and 101 12 indirect costs attributable to the use of outside consultants, 101 13 independent contractors, and any other persons who are not 101 14 state employees. 101 15 2. The annual audit shall be supplemented by all of the 101 16 following information prepared by the treasurer of state: 101 17 a. Any related studies or evaluations prepared in the 101 18 preceding year. 101 19 b. A summary of the benefits provided by the trust, 101 20 including the number of account owners and designated 101 21 beneficiaries in the trust, or, if the trust has caused this 101 22 state to become a contracting state pursuant to section 12I.10, 101 23 a summary of the benefits provided to Iowa residents by the 101 24 contracted qualified ABLE program, including the number of 101 25 account owners and designated beneficiaries in the contracted 101 26 qualified ABLE program who are Iowa residents. 101 27 c. Any other information deemed relevant by the treasurer of 101 28 state in order to make a full, fair, and effective disclosure 101 29 of the operations of the trust or the contracted qualified ABLE 101 30 program if applicable. 101 31 3. The treasurer of state shall prepare and submit to the 101 32 secretary of the United States treasury or other required party 101 33 any reports, notices, or statements required under section 529A 101 34 of the Internal Revenue Code. 101 35 Sec. 81. NEW SECTION. 12I.8 Tax considerations. 102 1 1. For federal income tax purposes, the Iowa ABLE savings 102 2 plan trust shall be considered a qualified ABLE program exempt 102 3 from taxation pursuant to section 529A of the Internal Revenue 102 4 Code and shall be operated so that it meets the requirements of 102 5 section 529A of the Internal Revenue Code. 102 6 2. State income tax treatment of the Iowa ABLE savings plan 102 7 trust shall be as provided in section 422.7, subsections 34 and 102 8 34A. 102 9 3. State inheritance tax treatment of interests in Iowa ABLE 102 10 savings plans shall be as provided in section 450.4, subsection 102 11 9. 102 12 Sec. 82. NEW SECTION. 12I.9 Property rights to assets in 102 13 trust. 102 14 1. The assets of the trust shall at all times be preserved, 102 15 invested, and expended solely and only for the purposes of the 102 16 trust and shall be held in trust for the account owners and 102 17 designated beneficiaries. 102 18 2. Except as provided in section 12I.4, subsection 3, no 102 19 property rights in the trust shall exist in favor of the state. 102 20 3. Except as provided in section 12I.4, subsection 3, the 102 21 assets of the trust shall not be transferred or used by the 102 22 state for any purposes other than the purposes of the trust. 102 23 Sec. 83. NEW SECTION. 12I.10 Implementation as a 102 24 contracting state ==== tax considerations. 102 25 1. The general assembly acknowledges that section 529A of 102 26 the Internal Revenue Code permits access to qualified ABLE 102 27 programs by residents of a state without such a program. The 102 28 general assembly finds that becoming a contracting state may 102 29 accomplish the public purpose set forth in section 12I.1, 102 30 subsection 1, in the same manner as if the qualified ABLE 102 31 program under the Iowa ABLE savings plan trust were to be 102 32 implemented and administered by this state. To that end, 102 33 the treasurer of state, as trustee of the trust, may defer 102 34 implementation of the qualified ABLE program under the trust 102 35 and alternatively cause this state to become a contracting 103 1 state by entering into an agreement with another state with a 103 2 qualified ABLE program to provide Iowa residents access to that 103 3 state's qualified ABLE program. The trust shall not enter into 103 4 an agreement pursuant to this section unless the treasurer, 103 5 as trustee of the trust, determines that all of the following 103 6 requirements are satisfied: 103 7 a. The program is a qualified ABLE program. 103 8 b. The qualified ABLE program provides comparable benefits 103 9 and protections to Iowa residents as would be provided under 103 10 the Iowa ABLE savings plan trust. 103 11 c. That entering into an agreement for access to the 103 12 qualified ABLE program would not result in increased costs to 103 13 the state or to account owners and designated beneficiaries as 103 14 compared to the costs of implementing and administering the 103 15 qualified ABLE program under the Iowa ABLE savings plan trust. 103 16 d. The qualified ABLE program will be audited annually by 103 17 an independent certified public accountant or by the state 103 18 auditor, or similar public official, of the state that has 103 19 implemented the qualified ABLE program. 103 20 e. The qualified ABLE program will provide information to 103 21 the treasurer of state as trustee of the trust so as to allow 103 22 the trustee to fulfill the reporting requirements in section 103 23 12I.7. 103 24 2. a. The maximum amount that may be deducted per year for 103 25 Iowa income tax purposes by an individual for contributions on 103 26 behalf of any one designated beneficiary that is a resident of 103 27 this state to the qualified ABLE program with which the state 103 28 has contracted pursuant to this section shall not exceed the 103 29 maximum deductible amount determined for the year pursuant to 103 30 section 12D.3, subsection 1, paragraph "a". 103 31 b. State income tax treatment of the qualified ABLE program 103 32 with which the state has contracted pursuant to this section 103 33 shall be as provided in section 422.7, subsections 34 and 34A. 103 34 3. State inheritance tax treatment of interests in the 103 35 qualified ABLE program with which the state has contracted 104 1 pursuant to this section shall be as provided in section 450.4, 104 2 subsection 9. 104 3 Sec. 84. NEW SECTION. 12I.11 Construction. 104 4 This chapter shall be construed liberally in order to 104 5 effectuate its purpose. 104 6 Sec. 85. Section 422.7, Code 2015, is amended by adding the 104 7 following new subsections: 104 8 NEW SUBSECTION. 34. a. Subtract the amount contributed 104 9 during the tax year on behalf of a designated beneficiary 104 10 that is a resident of this state to the Iowa ABLE savings 104 11 plan trust or to the qualified ABLE program with which the 104 12 state has contracted pursuant to section 12I.10, not to exceed 104 13 the maximum contribution level established in section 12I.3, 104 14 subsection 1, paragraph "d", or section 12I.10, subsection 2, 104 15 paragraph "a", as applicable. 104 16 b. Add the amount resulting from the cancellation of a 104 17 participation agreement refunded to the taxpayer as an account 104 18 owner in the Iowa ABLE savings plan trust or the qualified 104 19 ABLE program with which the state has contracted pursuant to 104 20 section 12I.10 to the extent previously deducted pursuant 104 21 to this subsection by the taxpayer or any other person as a 104 22 contribution to the trust or qualified ABLE program. 104 23 c. Add the amount resulting from a withdrawal made by a 104 24 taxpayer from the Iowa ABLE savings plan trust or the qualified 104 25 ABLE program with which the state has contracted pursuant to 104 26 section 12I.10 for purposes other than the payment of qualified 104 27 disability expenses to the extent previously deducted pursuant 104 28 to this subsection by the taxpayer or any other person as a 104 29 contribution to the trust or qualified ABLE program. 104 30 NEW SUBSECTION. 34A. Subtract, to the extent included, 104 31 income from interest and earnings received from the Iowa ABLE 104 32 savings plan trust created in chapter 12I, or received by a 104 33 resident account owner from a qualified ABLE program with which 104 34 the state has contracted pursuant to section 12I.10. 104 35 Sec. 86. Section 450.4, Code 2015, is amended by adding the 105 1 following new subsection: 105 2 NEW SUBSECTION. 9. On the value of any interest in the Iowa 105 3 ABLE savings plan trust created in chapter 12I, or any interest 105 4 held by a resident account owner in a qualified ABLE program 105 5 with which the state has contracted pursuant to section 12I.10. 105 6 Sec. 87. CONTINGENT IMPLEMENTATION. The implementation of 105 7 chapter 12I as enacted in this division of this Act is subject 105 8 to an appropriation with the stated purpose of the Iowa ABLE 105 9 Savings Plan Trust. 105 10 Sec. 88. APPLICABILITY. The section of this division of 105 11 this Act amending section 450.4 applies to estates of decedents 105 12 dying on or after January 1, 2016. 105 13 Sec. 89. APPLICABILITY. The section of this division of 105 14 this Act amending section 422.7 applies to tax years beginning 105 15 on or after January 1, 2016. 105 16 DIVISION XVII 105 17 STATE CHILD CARE ASSISTANCE ==== INCOME ELIGIBILITY 105 18 Sec. 90. Section 237A.13, subsection 7, paragraph c, Code 105 19 2015, is amended to read as follows: 105 20 c. Families with an income of more than one hundred 105 21 percent but not more than one hundredforty=fivesixty percent 105 22 of the federal poverty level whose members, for at least 105 23 twenty=eight hours per week in the aggregate, are employed 105 24 or are participating at a satisfactory level in an approved 105 25 training program or educational program. 105 26 Sec. 91. DIRECTIVE TO DEPARTMENT OF HUMAN SERVICES ON 105 27 CHILD CARE ASSISTANCE. The department of human services shall 105 28 amend its administrative rules relating to income eligibility 105 29 for state child care assistance, according to family size for 105 30 children needing basic care, to families whose nonexempt gross 105 31 monthly income does not exceed 160 percent of the federal 105 32 poverty level. 105 33 DIVISION XVIII 105 34 COUNTY MENTAL HEALTH AND DISABILITIES SERVICES FUNDING ==== 105 35 EQUALIZATION AND MEDICAID OFFSET 106 1 Sec. 92. Section 331.424A, subsection 8, unnumbered 106 2 paragraph 1, Code 2015, is amended to read as follows: 106 3 Notwithstanding subsection 6, for the fiscal years beginning 106 4 July 1, 2013, July 1, 2014,andJuly 1, 2015, and July 1, 2016, 106 5 county revenues from taxes levied by the county and credited 106 6 to the county services fund shall not exceed the lower of the 106 7 following amounts: 106 8 Sec. 93. Section 426B.3, subsection 1, Code 2015, is amended 106 9 to read as follows: 106 10 1. For the fiscal years beginning July 1, 2013, July 106 11 1, 2014,andJuly 1, 2015, and July 1, 2016, the state and 106 12 county funding for the mental health and disability services 106 13 administered or paid for by counties shall be provided based on 106 14 a statewide per capita expenditure target amount computed in 106 15 accordance with this section and section 331.424A. 106 16 Sec. 94. Section 426B.3, subsection 4, paragraph a, Code 106 17 2015, is amended to read as follows: 106 18 a. For the fiscal years beginning July 1, 2013, July 1, 106 19 2014,andJuly 1, 2015, and July 1, 2016, a county with a county 106 20 population expenditure target amount that exceeds the amount 106 21 of the county's base year expenditures for mental health and 106 22 disabilities services shall receive an equalization payment for 106 23 the difference. 106 24 Sec. 95. Section 426B.3, subsection 5, Code 2015, is amended 106 25 by striking the subsection. 106 26 DIVISION XIX 106 27 MEDICAID OFFSET PAYMENTS ==== PROPERTY TAX RELIEF FUND 106 28 APPROPRIATIONS 106 29 Sec. 96. MEDICAID OFFSET PAYMENTS ==== PROPERTY TAX RELIEF 106 30 FUND APPROPRIATION. 106 31 1. Of the moneys credited to the property tax relief fund 106 32 pursuant to section 426B.3, subsection 5, paragraph "e", 106 33 subparagraph (1), Code 2015, in the fiscal year beginning July 106 34 1, 2014, and ending June 30, 2015, there is appropriated to the 106 35 department of human services for the fiscal year beginning July 107 1 1, 2015, and ending June 30, 2016, the following amounts, to be 107 2 used for the purposes designated, notwithstanding any contrary 107 3 provision of chapter 426B: 107 4 a. For reductions in the waiting lists of all medical 107 5 assistance home and community=based services waivers: 107 6 .................................................. $ 5,092,000 107 7 b. For allocation to the department on aging for a grant 107 8 to a nationally affiliated organization providing support and 107 9 education to people living with Alzheimer's disease and other 107 10 related dementias to be used for a statewide public awareness 107 11 campaign regarding the signs of Alzheimer's disease and other 107 12 related dementias and the resources available to such people: 107 13 .................................................. $ 100,000 107 14 c. For development of an application for a planning 107 15 grant through the substance abuse and mental health services 107 16 administration of the United States department of health and 107 17 human services to participate in a two=year pilot project for 107 18 certified community behavioral health clinics under the federal 107 19 Protecting Access to Medicare Act of 2014, Pub. L. No. 113=93: 107 20 .................................................. $ 240,000 107 21 The department may use the funds allocated pursuant to this 107 22 paragraph to contract for necessary support to develop and 107 23 submit the application for the planning grant. The department 107 24 shall submit the application for the planning grant to the 107 25 centers for Medicare and Medicaid services of the United States 107 26 department of health and human services upon completion of the 107 27 application. 107 28 2. Of the moneys credited to the property tax relief 107 29 fund pursuant to section 426B.3, subsection 5, paragraph e, 107 30 subparagraph (1), Code 2015, in the fiscal year beginning July 107 31 1, 2014, and ending June 30, 2015, there is appropriated to 107 32 the department of human services for the fiscal year beginning 107 33 July 1, 2015, and ending June 30, 2016, the following amount, 107 34 or so much thereof as is necessary, to be used for the purpose 107 35 designated: 108 1 a. For distribution to a mental health and disability 108 2 services region where 25 percent of a region's projected 108 3 expenditures exceeds the region's projected fund balance: 108 4 .................................................. $ 4,554,651 108 5 b. For purposes of this section: 108 6 (1) "Available funds" means a county mental health and 108 7 services fund balance on June 30, 2015, plus the maximum amount 108 8 a county was allowed to levy for the fiscal year beginning July 108 9 1, 2015. 108 10 (2) "Projected expenditures" means the actual expenditures 108 11 of a mental health and disability services region as of June 108 12 30, 2015, multiplied by an annual inflation rate equal to 108 13 2 percent plus the projected costs for core services and 108 14 additional core services administered by the region as provided 108 15 in a region's regional service system management plan approved 108 16 pursuant to section 331.393 for the fiscal year beginning July 108 17 1, 2015. 108 18 (3) "Projected fund balance" means the difference between a 108 19 mental health and disability services region's available funds 108 20 and projected expenditures. 108 21 c. If sufficient funds are not available to implement this 108 22 subsection, the department of human services shall distribute 108 23 funds to a region in proportion to the availability of funds. 108 24 DIVISION XX 108 25 PROPERTY TAX RELIEF FUND ==== BLOCK GRANT MONEYS ==== MENTAL HEALTH 108 26 INSTITUTES 108 27 Sec. 97. MENTAL HEALTH INSTITUTES. The moneys transferred 108 28 to the property tax relief fund for the fiscal year beginning 108 29 July 1, 2015, from the federal social services block grant 108 30 pursuant to 2015 Iowa Acts, House File 630, if enacted, and 108 31 from the federal temporary assistance for needy families block 108 32 grant, totaling at least $11,774,275, are appropriated to the 108 33 department of human services for the fiscal year beginning July 108 34 1, 2015, and ending June 30, 2016, to be used for the purposes 108 35 designated: 109 1 1. For the state mental health institute at Clarinda for 109 2 salaries, support, maintenance, and miscellaneous purposes: 109 3 .................................................. $ 4,836,507 109 4 2. For the state mental health institute at Mount Pleasant 109 5 for salaries, support, maintenance, and miscellaneous purposes, 109 6 and for not more than the following full=time equivalent 109 7 positions: 109 8 .................................................. $ 6,937,768 109 9 ............................................... FTEs 97.68 109 10 DIVISION XXI 109 11 STUDY ==== CHILD WELFARE ADVISORY COMMITTEE 109 12 Sec. 98. STUDY ==== CHILD WELFARE ADVISORY COMMITTEE. The 109 13 child welfare advisory committee of the council on human 109 14 services established pursuant to section 217.3A shall study 109 15 procedures in the department of human services for receiving 109 16 complaints from families involved in guardianship, placement, 109 17 and custody proceedings; the specificity and clarity of court 109 18 orders issued in foster care placements pursuant to the State 109 19 of Iowa Primary Review of Tit. IV=E Foster Care Eligibility 109 20 Report of Findings for October 1, 2012, through March 31, 2013; 109 21 caseload trends of social workers, including an analysis of how 109 22 Iowa compares nationally and with best practices as defined 109 23 by national associations; and immunity provisions for social 109 24 workers employed by the department of human services and basic 109 25 qualifications of social workers employed by the department 109 26 of human services. The committee shall submit a report with 109 27 findings and recommendations to the governor and general 109 28 assembly on or before December 15, 2015. 109 29 DIVISION XXII 109 30 COVERAGE OF SERVICES PROVIDED BY A PHYSICAL THERAPIST, 109 31 OCCUPATIONAL THERAPIST, OR SPEECH PATHOLOGIST 109 32 Sec. 99. NEW SECTION. 514C.30 Services provided by 109 33 a physical therapist, occupational therapist, or speech 109 34 pathologist. 109 35 1. Notwithstanding the uniformity of treatment requirements 110 1 of section 514C.6, a policy, contract, or plan providing 110 2 for third=party payment or prepayment of health or medical 110 3 expenses shall not impose a copayment or coinsurance amount 110 4 on an insured for services provided by a physical therapist 110 5 licensed pursuant to chapter 148A, by an occupational therapist 110 6 licensed pursuant to chapter 148B, or by a speech pathologist 110 7 licensed pursuant to 154F that is greater than the copayment or 110 8 coinsurance amount imposed on the insured for services provided 110 9 by a person engaged in the practice of medicine and surgery 110 10 or osteopathic medicine and surgery under chapter 148 for the 110 11 same or a similar diagnosed condition even if a different 110 12 nomenclature is used to describe the condition for which the 110 13 services are provided. 110 14 2. This section applies to the following classes of 110 15 third=party payment provider policies, contracts, or plans 110 16 delivered, issued for delivery, continued, or renewed in this 110 17 state on or after July 1, 2015: 110 18 a. Individual or group accident and sickness insurance 110 19 providing coverage on an expense=incurred basis. 110 20 b. An individual or group hospital or medical service 110 21 contract issued pursuant to chapter 509, 514, or 514A. 110 22 c. An individual or group health maintenance organization 110 23 contract regulated under chapter 514B. 110 24 d. A plan established pursuant to chapter 509A for public 110 25 employees. 110 26 e. An organized delivery system licensed by the director of 110 27 public health. 110 28 3. This section shall not apply to accident=only, 110 29 specified disease, short=term hospital or medical, hospital 110 30 confinement indemnity, credit, dental, vision, Medicare 110 31 supplement, long=term care, basic hospital and medical=surgical 110 32 expense coverage as defined by the commissioner, disability 110 33 income insurance coverage, coverage issued as a supplement 110 34 to liability insurance, workers' compensation or similar 110 35 insurance, or automobile medical payment insurance. 111 1 DIVISION XXIII 111 2 CHILDREN'S MENTAL HEALTH AND WELL=BEING WORKGROUP 111 3 Sec. 100. CHILDREN'S MENTAL HEALTH AND WELL=BEING 111 4 WORKGROUP. The department of human services, in cooperation 111 5 with the departments of education and public health, shall 111 6 facilitate a workgroup of stakeholders to study and make 111 7 recommendations relating to children's mental health and 111 8 well=being in this state. The issues that may be considered 111 9 by the workgroup include developing a strategic plan for 111 10 data systems to provide for a comprehensive analysis of 111 11 the mental health and well=being of children in this state; 111 12 creating a comprehensive system of care for children that 111 13 incorporates a coordinated response to mental health issues 111 14 across many disciplines including education, public health, 111 15 mental health, child welfare, and child welfare systems 111 16 and services and that specifically addresses the effects of 111 17 adverse childhood experiences and extreme child poverty and 111 18 homelessness; and building interdepartmental awareness of 111 19 issues relating to child mental health and well=being and 111 20 creating interdepartmental strategies for helping improve 111 21 child mental health and well=being and understanding impacts 111 22 on education and employment outcomes; examining child care 111 23 quality and affordability; and determining how government can 111 24 create community partnerships to help address issues of child 111 25 mental health and well=being. In carrying out the charge 111 26 of the workgroup, the workgroup shall review a 2014 report 111 27 by the children's defense fund on the state of America's 111 28 children containing the most recent and reliable national and 111 29 state=by=state data on many complex issues affecting children's 111 30 health and well=being, including data on more than 7,000 111 31 homeless public school students in Iowa. The workgroup shall 111 32 develop and recommend proactive strategies across state systems 111 33 to address these most complex needs impacting children's mental 111 34 health and well=being which will also aid different populations 111 35 of children with fewer challenges. The workgroup shall submit 112 1 a report on the study and make recommendations to the governor 112 2 and the general assembly on or before December 15, 2015. 112 3 DIVISION XXIV 112 4 PREVENTION OF DISABILITIES POLICY COUNCIL 112 5 Sec. 101. NEW SECTION. 225B.101 Findings and intent. 112 6 1. The general assembly finds that: 112 7 a. Between ten and twenty percent of Iowans have a 112 8 disability that affects their ability to learn, work, 112 9 communicate, perform activities of daily living, and 112 10 participate in everyday community life. These disabilities 112 11 are the result of genetics, environmental factors, injury, or 112 12 illness; may occur at any point in life; may be mild, severe, 112 13 or intermittent; and are often very costly for the individuals 112 14 affected, their families, and government both in terms of 112 15 quality of life and financial expenditures. 112 16 b. Most disabilities are due to conditions that can be 112 17 prevented, can be minimized if recognized and treated early, or 112 18 can be reduced through appropriate accommodation. 112 19 c. A need exists to optimize the use of cost=effective 112 20 prevention of disability strategies in state policies and 112 21 programs in order to reduce the cost of disabilities to Iowa's 112 22 citizens and government. 112 23 2. It is the intent of the general assembly to establish 112 24 a structure and process to identify opportunities to enhance 112 25 prevention of disability efforts in Iowa, design cross=agency 112 26 strategies to address the prevention of disabilities, integrate 112 27 and coordinate proven prevention of disability strategies 112 28 within state programs, and inform the general assembly about 112 29 priority prevention of disability policies and programs. 112 30 Sec. 102. NEW SECTION. 225B.102 Definitions. 112 31 As used in this chapter, unless the context otherwise 112 32 requires: 112 33 1. "Council" means the prevention of disabilities policy 112 34 council. 112 35 2. "Disability" means an individual who meets the definition 113 1 in 42 U.S.C. {12102. 113 2 3. "Prevention" activities include policies, programs, and 113 3 practices that do any of the following: 113 4 a. Prevent a disability or a condition that leads to a 113 5 disability from occurring. 113 6 b. Identify a disability or a condition that leads to a 113 7 disability early on so that intervention can eliminate the risk 113 8 of a disability or minimize the disability's effect. 113 9 c. Reduce the effects of a disability on an individual's 113 10 health and independence. 113 11 Sec. 103. NEW SECTION. 225B.103 Prevention of disabilities 113 12 policy council established ==== membership ==== duties. 113 13 1. A prevention of disabilities policy council is 113 14 established to focus state prevention of disability efforts 113 15 and provide oversight in the development and operation of a 113 16 coordinated prevention of disabilities system. The council 113 17 shall consist of the following members: 113 18 a. Three providers of disability prevention services 113 19 appointed by the governor and confirmed by the senate. The 113 20 governor may consider recommendations from the prevention of 113 21 disabilities policy council in making appointments. 113 22 b. Three persons with expertise in priority prevention areas 113 23 appointed by the governor and confirmed by the senate. The 113 24 governor may consider recommendations from the prevention of 113 25 disabilities policy council in making appointments. 113 26 c. Three persons with disabilities or family members 113 27 of a person with disabilities appointed by the governor, 113 28 and confirmed by the senate. The governor may consider 113 29 recommendations from the prevention of disabilities policy 113 30 council in making appointments. 113 31 d. One representative each from the department on aging, 113 32 department of education, department of human services, and 113 33 department of public health appointed by the directors of the 113 34 respective agencies. 113 35 e. Two members of the senate appointed by the senate 114 1 majority leader and minority leader and two members of the 114 2 house of representatives appointed by the speaker of the house 114 3 and the house minority leader. 114 4 2. Members of the council appointed by the governor shall 114 5 serve three=year staggered terms for terms beginning and ending 114 6 as provided in section 69.19. Members representing the state 114 7 departments shall serve one=year terms and shall serve as ex 114 8 officio, nonvoting members. Members of the general assembly 114 9 appointed to the council shall serve two=year terms as provided 114 10 in section 69.16B and shall serve as ex officio, nonvoting 114 11 members. Vacancies on the council shall be filled in the same 114 12 manner as original appointments. Members are entitled to 114 13 reimbursement of actual expenses incurred in performance of 114 14 their official duties. 114 15 3. The council shall do all of the following: 114 16 a. Review the prevention of disabilities activities of 114 17 public and private entities and provide recommendations to 114 18 optimize the planning, implementation, and evaluation of 114 19 prevention of disabilities efforts. 114 20 b. Promote cooperative and complementary planning among the 114 21 public, nonpublic, and volunteer sectors involved in prevention 114 22 of disabilities activities. 114 23 c. Facilitate coordination of prevention of disabilities 114 24 activities among state departments to develop an integrated 114 25 system of care. 114 26 d. Provide support and technical assistance to public 114 27 or nonpublic entities to identify, seek, implement, and 114 28 evaluate state, federal, and private grants for prevention of 114 29 disabilities activities. 114 30 e. Encourage research into the causes and prevention of 114 31 disabilities, including methods to evaluate the effectiveness 114 32 of prevention efforts. 114 33 f. Promote professional and provider training in 114 34 evidence=based prevention of disabilities measures and assure 114 35 adequate dissemination of such to appropriate entities. 115 1 g. Submit to the governor and general assembly annually by 115 2 November 1 a report that includes all of the following: 115 3 (1) A summary of all disabilities prevention activities 115 4 conducted since the preceding annual report. 115 5 (2) Recommendations for policy and priorities for the 115 6 prevention of disabilities. 115 7 4. The council shall meet at least six times during the 115 8 year. A majority of the members of the council constitutes a 115 9 quorum and a quorum is necessary to act on matters within the 115 10 purview of the council. 115 11 Sec. 104. NEW SECTION. 225B.104 Rules. 115 12 The department of human services shall adopt and update 115 13 administrative rules as necessary to implement the provisions 115 14 of this chapter. All rules adopted by the department of human 115 15 services pursuant to this section are subject to approval by 115 16 the council. 115 17 Sec. 105. NEW SECTION. 225B.105 Coordination with state 115 18 agencies. 115 19 1. The directors or deputy directors of the state 115 20 departments on aging, and of education, human services, and 115 21 public health shall meet at least annually with the council and 115 22 shall do all of the following: 115 23 a. Provide an update to the council regarding the status 115 24 of prevention of disabilities policies and programs with 115 25 each respective department and provide recommendations about 115 26 priorities the council should consider in the next year. 115 27 b. Receive new policy and program recommendations from the 115 28 council regarding the prevention of disabilities. 115 29 2. The council may seek and receive data from state 115 30 departments that will aid in developing, implementing, and 115 31 evaluating prevention of disabilities efforts and systems in 115 32 Iowa. 115 33 Sec. 106. NEW SECTION. 225B.106 Coordination with 115 34 disability groups. 115 35 The chairpersons and designated staff of chairpersons of 116 1 public and private state disabilities prevention groups shall 116 2 meet with the council at least annually to do all of the 116 3 following: 116 4 1. Identify ways to incorporate prevention of disabilities 116 5 activities within Iowa's disabilities services system. 116 6 2. Assist in developing a policy agenda for prevention of 116 7 disabilities services system improvements. 116 8 Sec. 107. NEW SECTION. 225B.107 Evaluation. 116 9 The state's prevention of disability effort and the council 116 10 are subject to review and evaluation by the governor and the 116 11 general assembly. 116 12 DIVISION XXV 116 13 FACILITY FOR PERSONS WITH AGGRESSIVE OR PSYCHIATRIC BEHAVIORS 116 14 ==== INTERIM COMMITTEE 116 15 Sec. 108. FACILITY FOR PERSONS WITH AGGRESSIVE OR 116 16 PSYCHIATRIC BEHAVIORS ==== INTERIM COMMITTEE ==== REPORT. 116 17 1. The legislative council is requested to establish an 116 18 interim study committee relating to the establishment of one 116 19 or more facilities to provide care and treatment for persons 116 20 who are sexually aggressive, combative, or who have unmet 116 21 geropsychiatric needs. 116 22 2. The study committee shall be composed of ten members 116 23 of the general assembly. Five members shall be members of 116 24 the senate, three of whom shall be appointed by the majority 116 25 leader of the senate, and two of whom shall be appointed by 116 26 the minority leader of the senate. Five members shall be 116 27 members of the house of representatives, three of whom shall 116 28 be appointed by the speaker of the house of representatives, 116 29 and two of whom shall be appointed by the minority leader of 116 30 the house of representatives. 116 31 3. The study committee shall receive testimony from 116 32 stakeholders with an interest or expertise relating to the 116 33 care and treatment of persons who are sexually aggressive, 116 34 combative, or who have unmet geropsychiatric needs including 116 35 health care providers, long=term care facilities, hospitals, 117 1 health systems, and other entities; consumers and families of 117 2 consumers; individuals involved in the delivery and financing 117 3 of related services and supports; and representatives of 117 4 agencies responsible for oversight, funding, and regulation of 117 5 such services and supports. 117 6 4. The study committee shall specifically address and 117 7 make recommendations relating to the characteristics of the 117 8 residents for such a facility and the size of the resident 117 9 populations to be served; options for creating a new facility 117 10 or expanding an existing facility; workforce recruitment, 117 11 training, and compensation issues; requirements that the 117 12 facility or facilities must meet in order to qualify for 117 13 Medicaid reimbursement; and any other information deemed 117 14 appropriate by the committee. 117 15 5. The study committee shall meet during the 2015 117 16 legislative interim and shall submit a report and 117 17 recommendations to the general assembly by January 1, 2016. 117 18 DIVISION XXVI 117 19 ANATOMICAL GIFT PUBLIC AWARENESS AND TRANSPLANTATION FUND 117 20 Sec. 109. Section 142C.15, subsection 4, paragraph c, 117 21 unnumbered paragraph 1, Code 2015, is amended to read as 117 22 follows: 117 23Not more than fifty percent of theAny unobligated moneys 117 24 in the fund annually may be expended in the form of grants to 117 25 transplant recipients, transplant candidates, living organ 117 26 donors, or to legal representatives on behalf of transplant 117 27 recipients, transplant candidates, or living organ donors. 117 28 Transplant recipients, transplant candidates, living organ 117 29 donors, or the legal representatives of transplant recipients, 117 30 transplant candidates, or living organ donors shall submit 117 31 grant applications with supporting documentation provided 117 32 by a hospital that performs transplants, verifying that the 117 33 person by or for whom the application is submitted requires a 117 34 transplant or is a living organ donor and specifying the amount 117 35 of the costs associated with the following, if funds are not 118 1 available from any other third=party payor: 118 2 DIVISION XXVII 118 3 HOSPITAL AND LONG=TERM CARE PHARMACY PRACTICE ==== 118 4 PNEUMOCOCCAL VACCINES ==== BOARD OF PHARMACY RULES 118 5 Sec. 110. HOSPITAL AND LONG=TERM CARE PHARMACY PRACTICE ==== 118 6 PNEUMOCOCCAL VACCINES ==== BOARD OF PHARMACY RULES. The board 118 7 of pharmacy shall adopt rules pursuant to chapter 17A relating 118 8 to hospital and long=term care pharmacy practices that allow, 118 9 as authorized by federal law, in addition to influenza and 118 10 pneumococcal polysaccharide vaccines, that a written or verbal 118 11 patient=specific medication administration order shall not 118 12 be required prior to administration to an adult patient of 118 13 pneumococcal conjugate vaccine pursuant to physician=approved 118 14 hospital or facility policy and after the patient has been 118 15 assessed for contraindications. 118 16 DIVISION XXVIII 118 17 HEALTHY AND WELL KIDS IN IOWA PROGRAM ==== CONTINUED ENROLLMENT 118 18 Sec. 111. Section 514I.8, subsection 3, Code 2015, is 118 19 amended to read as follows: 118 20 3. In accordance with the rules adopted by the board, a 118 21 child may be determined to be presumptively eligible for the 118 22 program pending a final eligibility determination. Following 118 23 final determination of eligibility, a child shall be eligible 118 24 for a twelve=month period. At the end of the twelve=month 118 25 period, a review of the circumstances of the child's family 118 26 shall be conducted to establish eligibility and cost sharing 118 27 for the subsequent twelve=month period. Pending such review 118 28 of the circumstances of the child's family, the child shall 118 29 continue to be eligible for and remain enrolled in the same 118 30 plan if the family complies with requirements to provide 118 31 information and verification of income, otherwise cooperates 118 32 in the annual review process, and submits the completed 118 33 review form and any information necessary to establish 118 34 continued eligibility in a timely manner in accordance with 118 35 administrative rules. 119 1 DIVISION XXIX 119 2 PERSONNEL SETTLEMENT AGREEMENT PAYMENTS 119 3 Sec. 112. PERSONNEL SETTLEMENT AGREEMENT PAYMENTS. As a 119 4 condition of the appropriations in this 2015 Act, the moneys 119 5 appropriated and any other moneys available shall not be used 119 6 for payment of a personnel settlement agreement that contains a 119 7 confidentiality provision intended to prevent public disclosure 119 8 of the agreement or any terms of the agreement. 119 9 DIVISION XXX 119 10 MEDICAID REIMBURSEMENT == PSYCHIATRISTS 119 11 Sec. 113. Section 249A.15, Code 2015, is amended to read as 119 12 follows: 119 13 249A.15 Licensed psychologists eligible for payment. 119 14 The department shall adopt rules pursuant to chapter 17A 119 15 entitling psychologists who are licensed pursuant to chapter 119 16 154B and psychologists who are licensed in the state where 119 17 the services are provided and have a doctorate degree in 119 18 psychology, have had at least two years of clinical experience 119 19 in a recognized health setting, or have met the standards of a 119 20 national register of health service providers in psychology, 119 21 to payment for services provided to recipients of medical 119 22 assistance, subject to limitations and exclusions the 119 23 department finds necessary on the basis of federal laws and 119 24 regulations and of funds available for the medical assistance 119 25 program. 119 26 DIVISION XXXI 119 27 DEPARTMENT ON AGING ==== FY 2016=2017 119 28 Sec. 114. DEPARTMENT ON AGING. There is appropriated from 119 29 the general fund of the state to the department on aging for 119 30 the fiscal year beginning July 1, 2016, and ending June 30, 119 31 2017, the following amount, or so much thereof as is necessary, 119 32 to be used for the purposes designated: 119 33 For aging programs for the department on aging and area 119 34 agencies on aging to provide citizens of Iowa who are 60 years 119 35 of age and older with case management for frail elders, Iowa's 120 1 aging and disabilities resource center, and other services 120 2 which may include but are not limited to adult day services, 120 3 respite care, chore services, information and assistance, 120 4 and material aid, for information and options counseling for 120 5 persons with disabilities who are 18 years of age or older, 120 6 and for salaries, support, administration, maintenance, and 120 7 miscellaneous purposes, and for not more than the following 120 8 full=time equivalent positions: 120 9 .................................................. $ 5,718,033 120 10 ............................................... FTEs 31.00 120 11 1. Funds appropriated in this section may be used to 120 12 supplement federal funds under federal regulations. To 120 13 receive funds appropriated in this section, a local area 120 14 agency on aging shall match the funds with moneys from other 120 15 sources according to rules adopted by the department. Funds 120 16 appropriated in this section may be used for elderly services 120 17 not specifically enumerated in this section only if approved 120 18 by an area agency on aging for provision of the service within 120 19 the area. 120 20 2. Of the funds appropriated in this section, $139,973 is 120 21 transferred to the economic development authority for the Iowa 120 22 commission on volunteer services to be used for the retired and 120 23 senior volunteer program. 120 24 3. a. The department on aging shall establish and enforce 120 25 procedures relating to expenditure of state and federal funds 120 26 by area agencies on aging that require compliance with both 120 27 state and federal laws, rules, and regulations, including but 120 28 not limited to all of the following: 120 29 (1) Requiring that expenditures are incurred only for goods 120 30 or services received or performed prior to the end of the 120 31 fiscal period designated for use of the funds. 120 32 (2) Prohibiting prepayment for goods or services not 120 33 received or performed prior to the end of the fiscal period 120 34 designated for use of the funds. 120 35 (3) Prohibiting the prepayment for goods or services 121 1 not defined specifically by good or service, time period, or 121 2 recipient. 121 3 (4) Prohibiting the establishment of accounts from which 121 4 future goods or services which are not defined specifically by 121 5 good or service, time period, or recipient, may be purchased. 121 6 b. The procedures shall provide that if any funds are 121 7 expended in a manner that is not in compliance with the 121 8 procedures and applicable federal and state laws, rules, and 121 9 regulations, and are subsequently subject to repayment, the 121 10 area agency on aging expending such funds in contravention of 121 11 such procedures, laws, rules and regulations, not the state, 121 12 shall be liable for such repayment. 121 13 4. Of the funds appropriated in this section, at least 121 14 $125,000 shall be used to fund the unmet needs identified 121 15 through Iowa's aging and disability resource center network. 121 16 5. Of the funds appropriated in this section, at least 121 17 $300,000 shall be used to fund home and community=based 121 18 services through the area agencies on aging that enable older 121 19 individuals to avoid more costly utilization of residential or 121 20 institutional services and remain in their own homes. 121 21 6. Of the funds appropriated in this section, $425,000 121 22 shall be used for the purposes of chapter 231E and section 121 23 231.56A, of which $162,500 shall be used for the office of 121 24 substitute decision maker pursuant to chapter 231E, and the 121 25 remainder shall be distributed equally to the area agencies on 121 26 aging to administer the prevention of elder abuse, neglect, and 121 27 exploitation program pursuant to section 231.56A, in accordance 121 28 with the requirements of the federal Older Americans Act of 121 29 1965, 42 U.S.C. {3001 et seq., as amended. 121 30 DIVISION XXXII 121 31 OFFICE OF LONG=TERM CARE OMBUDSMAN ==== FY 2016=2017 121 32 Sec. 115. OFFICE OF LONG=TERM CARE OMBUDSMAN. 121 33 1. There is appropriated from the general fund of the state 121 34 to the office of long=term care ombudsman for the fiscal year 121 35 beginning July 1, 2016, and ending June 30, 2017, the following 122 1 amount, or so much thereof as is necessary, to be used for the 122 2 purposes designated: 122 3 For salaries, support, administration, maintenance, and 122 4 miscellaneous purposes, and for not more than the following 122 5 full=time equivalent positions: 122 6 .................................................. $ 753,392 122 7 ............................................... FTEs 21.00 122 8 2. Of the funds appropriated in this section, $225,000 shall 122 9 be used to continue to provide for additional local long=term 122 10 care ombudsmen. 122 11 DIVISION XXXIII 122 12 DEPARTMENT OF PUBLIC HEALTH ==== FY 2016=2017 122 13 Sec. 116. DEPARTMENT OF PUBLIC HEALTH. There is 122 14 appropriated from the general fund of the state to the 122 15 department of public health for the fiscal year beginning July 122 16 1, 2016, and ending June 30, 2017, the following amounts, or 122 17 so much thereof as is necessary, to be used for the purposes 122 18 designated: 122 19 1. ADDICTIVE DISORDERS 122 20 For reducing the prevalence of the use of tobacco, alcohol, 122 21 and other drugs, and treating individuals affected by addictive 122 22 behaviors, including gambling, and for not more than the 122 23 following full=time equivalent positions: 122 24 .................................................. $ 13,631,845 122 25 ............................................... FTEs 10.00 122 26 a. (1) Of the funds appropriated in this subsection, 122 27 $2,624,181 shall be used for the tobacco use prevention 122 28 and control initiative, including efforts at the state and 122 29 local levels, as provided in chapter 142A. The commission 122 30 on tobacco use prevention and control established pursuant 122 31 to section 142A.3 shall advise the director of public health 122 32 in prioritizing funding needs and the allocation of moneys 122 33 appropriated for the programs and initiatives. Activities 122 34 of the programs and initiatives shall be in alignment with 122 35 the United States centers for disease control and prevention 123 1 best practices for comprehensive tobacco control programs that 123 2 include the goals of preventing youth initiation of tobacco 123 3 usage, reducing exposure to secondhand smoke, and promotion of 123 4 tobacco cessation. 123 5 (2) (a) Of the funds allocated in this paragraph "a", 123 6 $226,534 is transferred to the alcoholic beverages division of 123 7 the department of commerce for enforcement of tobacco laws, 123 8 regulations, and ordinances and to engage in tobacco control 123 9 activities approved by the division of tobacco use prevention 123 10 and control of the department of public health as specified 123 11 in the memorandum of understanding entered into between the 123 12 divisions. 123 13 (b) For the fiscal year beginning July 1, 2016, and ending 123 14 June 30, 2017, the terms of the memorandum of understanding, 123 15 entered into between the division of tobacco use prevention 123 16 and control of the department of public health and the 123 17 alcoholic beverages division of the department of commerce, 123 18 governing compliance checks conducted to ensure licensed retail 123 19 tobacco outlet conformity with tobacco laws, regulations, and 123 20 ordinances relating to persons under eighteen years of age, 123 21 shall continue to restrict the number of such checks to one 123 22 check per retail outlet, and one additional check for any 123 23 retail outlet found to be in violation during the first check. 123 24 b. Of the funds appropriated in this subsection, 123 25 $11,007,664 shall be used for problem gambling and 123 26 substance=related disorder prevention, treatment, and recovery 123 27 services, including a 24=hour helpline, public information 123 28 resources, professional training, and program evaluation. 123 29 (1) Of the funds allocated in this paragraph "b", $9,451,857 123 30 shall be used for substance=related disorder prevention and 123 31 treatment. 123 32 (a) Of the funds allocated in this subparagraph (1), 123 33 $449,650 shall be used for the public purpose of a grant 123 34 program to provide substance=related disorder prevention 123 35 programming for children. 124 1 (i) Of the funds allocated in this subparagraph division 124 2 (a), $213,770 shall be used for grant funding for organizations 124 3 that provide programming for children by utilizing mentors. 124 4 Programs approved for such grants shall be certified or must 124 5 be certified within six months of receiving the grant award 124 6 by the Iowa commission on volunteer services as utilizing the 124 7 standards for effective practice for mentoring programs. 124 8 (ii) Of the funds allocated in this subparagraph division 124 9 (a), $213,420 shall be used for grant funding for organizations 124 10 providing programming that includes youth development and 124 11 leadership services. The programs shall also be recognized as 124 12 being programs that are scientifically based with evidence of 124 13 their effectiveness in reducing substance=related disorders in 124 14 children. 124 15 (iii) The department of public health shall utilize a 124 16 request for proposals process to implement the grant program. 124 17 (iv) All grant recipients shall participate in a program 124 18 evaluation as a requirement for receiving grant funds. 124 19 (v) Of the funds allocated in this subparagraph division 124 20 (a), up to $22,461 may be used to administer substance=related 124 21 disorder prevention grants and for program evaluations. 124 22 (b) Of the funds allocated in this subparagraph 124 23 (1), $136,302 shall be used for culturally competent 124 24 substance=related disorder treatment pilot projects. 124 25 (i) The department shall utilize the amount allocated 124 26 in this subparagraph division (b) for at least three pilot 124 27 projects to provide culturally competent substance=related 124 28 disorder treatment in various areas of the state. Each pilot 124 29 project shall target a particular ethnic minority population. 124 30 The populations targeted shall include but are not limited to 124 31 African American, Asian, and Latino. 124 32 (ii) The pilot project requirements shall provide for 124 33 documentation or other means to ensure access to the cultural 124 34 competence approach used by a pilot project so that such 124 35 approach can be replicated and improved upon in successor 125 1 programs. 125 2 (2) Of the funds allocated in this paragraph "b", up 125 3 to $1,555,807 may be used for problem gambling prevention, 125 4 treatment, and recovery services. 125 5 (a) Of the funds allocated in this subparagraph (2), 125 6 $1,286,881 shall be used for problem gambling prevention and 125 7 treatment. 125 8 (b) Of the funds allocated in this subparagraph (2), up to 125 9 $218,926 may be used for a 24=hour helpline, public information 125 10 resources, professional training, and program evaluation. 125 11 (c) Of the funds allocated in this subparagraph (2), up 125 12 to $50,000 may be used for the licensing of problem gambling 125 13 treatment programs. 125 14 (3) It is the intent of the general assembly that from the 125 15 moneys allocated in this paragraph "b", persons with a dual 125 16 diagnosis of substance=related disorder and gambling addiction 125 17 shall be given priority in treatment services. 125 18 c. Notwithstanding any provision of law to the contrary, 125 19 to standardize the availability, delivery, cost of delivery, 125 20 and accountability of problem gambling and substance=related 125 21 disorder treatment services statewide, the department shall 125 22 continue implementation of a process to create a system 125 23 for delivery of treatment services in accordance with the 125 24 requirements specified in 2008 Iowa Acts, chapter 1187, section 125 25 3, subsection 4. To ensure the system provides a continuum 125 26 of treatment services that best meets the needs of Iowans, 125 27 the problem gambling and substance=related disorder treatment 125 28 services in any area may be provided either by a single agency 125 29 or by separate agencies submitting a joint proposal. 125 30 (1) The system for delivery of substance=related disorder 125 31 and problem gambling treatment shall include problem gambling 125 32 prevention. 125 33 (2) The system for delivery of substance=related disorder 125 34 and problem gambling treatment shall include substance=related 125 35 disorder prevention by July 1, 2017. 126 1 (3) Of the funds allocated in paragraph "b", the department 126 2 may use up to $50,000 for administrative costs to continue 126 3 developing and implementing the process in accordance with this 126 4 paragraph "c". 126 5 d. The requirement of section 123.53, subsection 5, is met 126 6 by the appropriations and allocations made in this division of 126 7 this Act for purposes of substance=related disorder treatment 126 8 and addictive disorders for the fiscal year beginning July 1, 126 9 2016. 126 10 e. The department of public health shall work with all 126 11 other departments that fund substance=related disorder 126 12 prevention and treatment services and all such departments 126 13 shall, to the extent necessary, collectively meet the state 126 14 maintenance of effort requirements for expenditures for 126 15 substance=related disorder services as required under the 126 16 federal substance=related disorder prevention and treatment 126 17 block grant. 126 18 2. HEALTHY CHILDREN AND FAMILIES 126 19 For promoting the optimum health status for children, 126 20 adolescents from birth through 21 years of age, and families, 126 21 and for not more than the following full=time equivalent 126 22 positions: 126 23 .................................................. $ 3,665,801 126 24 ............................................... FTEs 13.00 126 25 a. Of the funds appropriated in this subsection, not more 126 26 than $367,421 shall be used for the healthy opportunities for 126 27 parents to experience success (HOPES)=healthy families Iowa 126 28 (HFI) program established pursuant to section 135.106. The 126 29 funding shall be distributed to renew the grants that were 126 30 provided to the grantees that operated the program during the 126 31 fiscal year ending June 30, 2016. 126 32 b. In order to implement the legislative intent stated in 126 33 sections 135.106 and 256I.9, that priority for home visitation 126 34 program funding be given to programs using evidence=based or 126 35 promising models for home visitation, it is the intent of the 127 1 general assembly to phase in the funding priority in accordance 127 2 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2, 127 3 paragraph 0b. 127 4 c. Of the funds appropriated in this subsection, $2,456,444 127 5 shall be used to continue to expand statewide the department's 127 6 initiative to provide for adequate developmental surveillance 127 7 and screening during a child's first five years. The funds 127 8 shall be used first to fully fund the current sites to ensure 127 9 that the sites are fully operational, with the remaining 127 10 funds to be used for expansion to additional sites. The full 127 11 implementation and expansion shall include enhancing the scope 127 12 of the program through collaboration with the child health 127 13 specialty clinics to promote healthy child development through 127 14 early identification and response to both biomedical and social 127 15 determinants of healthy development; by monitoring child 127 16 health metrics to inform practice, document long=term health 127 17 impacts and savings, and provide for continuous improvement 127 18 through training, education, and evaluation; and by providing 127 19 for practitioner consultation particularly for children with 127 20 behavioral conditions and needs. The department of public 127 21 health shall also collaborate with the Iowa Medicaid enterprise 127 22 and the child health specialty clinics to integrate the 127 23 activities of the first five initiative into the establishment 127 24 of patient=centered medical homes, community utilities, 127 25 accountable care organizations, and other integrated care 127 26 models developed to improve health quality and population 127 27 health while reducing health care costs. To the maximum extent 127 28 possible, funding allocated in this paragraph shall be utilized 127 29 as matching funds for medical assistance program reimbursement. 127 30 d. Of the funds appropriated in this subsection, $37,320 127 31 shall be distributed to a statewide dental carrier to provide 127 32 funds to continue the donated dental services program patterned 127 33 after the projects developed by the lifeline network to provide 127 34 dental services to indigent individuals who are elderly or with 127 35 disabilities. 128 1 e. Of the funds appropriated in this subsection, $55,998 128 2 shall be used for childhood obesity prevention. 128 3 f. Of the funds appropriated in this subsection, $81,384 128 4 shall be used to provide audiological services and hearing 128 5 aids for children. The department may enter into a contract 128 6 to administer this paragraph. 128 7 g. Of the funds appropriated in this subsection, $12,500 is 128 8 transferred to the university of Iowa college of dentistry for 128 9 provision of primary dental services to children. State funds 128 10 shall be matched on a dollar=for=dollar basis. The university 128 11 of Iowa college of dentistry shall coordinate efforts with the 128 12 department of public health, bureau of oral and health delivery 128 13 systems, to provide dental care to underserved populations 128 14 throughout the state. 128 15 h. Of the funds appropriated in this subsection, $25,000 128 16 shall be used to address youth suicide prevention. 128 17 i. Of the funds appropriated in this subsection, $25,000 128 18 shall be used to support the Iowa effort to address the survey 128 19 of children who experience adverse childhood experiences known 128 20 as ACEs. 128 21 3. CHRONIC CONDITIONS 128 22 For serving individuals identified as having chronic 128 23 conditions or special health care needs, and for not more than 128 24 the following full=time equivalent positions: 128 25 .................................................. $ 2,552,931 128 26 ............................................... FTEs 5.00 128 27 a. Of the funds appropriated in this subsection, $79,966 128 28 shall be used for grants to individual patients who have an 128 29 inherited metabolic disorder to assist with the costs of 128 30 medically necessary foods and formula. 128 31 b. Of the funds appropriated in this subsection, $445,822 128 32 shall be used for the brain injury services program pursuant to 128 33 section 135.22B, including for continuation of the contracts 128 34 for resource facilitator services in accordance with section 128 35 135.22B, subsection 9, and to enhance brain injury training and 129 1 recruitment of service providers on a statewide basis. Of the 129 2 amount allocated in this paragraph, $47,500 shall be used to 129 3 fund one full=time equivalent position to serve as the state 129 4 brain injury services program manager. 129 5 c. Of the funds appropriated in this subsection, $273,991 129 6 shall be used as additional funding to leverage federal funding 129 7 through the federal Ryan White Care Act, Tit. II, AIDS drug 129 8 assistance program supplemental drug treatment grants. 129 9 d. Of the funds appropriated in this subsection, $74,912 129 10 shall be used for the public purpose of continuing to contract 129 11 with an existing national=affiliated organization to provide 129 12 education, client=centered programs, and client and family 129 13 support for people living with epilepsy and their families. 129 14 The amount allocated in this paragraph in excess of $50,000 129 15 shall be matched dollar=for=dollar by the organization 129 16 specified. 129 17 e. Of the funds appropriated in this subsection, $392,557 129 18 shall be used for child health specialty clinics. 129 19 f. Of the funds appropriated in this subsection, $200,000 129 20 shall be used by the regional autism assistance program 129 21 established pursuant to section 256.35, and administered by 129 22 the child health specialty clinic located at the university of 129 23 Iowa hospitals and clinics. The funds shall be used to enhance 129 24 interagency collaboration and coordination of educational, 129 25 medical, and other human services for persons with autism, 129 26 their families, and providers of services, including delivering 129 27 regionalized services of care coordination, family navigation, 129 28 and integration of services through the statewide system of 129 29 regional child health specialty clinics and fulfilling other 129 30 requirements as specified in chapter 225D. The university of 129 31 Iowa shall not receive funds allocated under this paragraph for 129 32 indirect costs associated with the regional autism assistance 129 33 program. 129 34 g. Of the funds appropriated in this subsection, $285,497 129 35 shall be used for the comprehensive cancer control program to 130 1 reduce the burden of cancer in Iowa through prevention, early 130 2 detection, effective treatment, and ensuring quality of life. 130 3 Of the funds allocated in this paragraph "g", $75,000 shall 130 4 be used to support a melanoma research symposium, a melanoma 130 5 biorepository and registry, basic and translational melanoma 130 6 research, and clinical trials. 130 7 h. Of the funds appropriated in this subsection, $63,225 130 8 shall be used for cervical and colon cancer screening, and 130 9 $150,000 shall be used to enhance the capacity of the cervical 130 10 cancer screening program to include provision of recommended 130 11 prevention and early detection measures to a broader range of 130 12 low=income women. 130 13 i. Of the funds appropriated in this subsection, $338,432 130 14 shall be used for the center for congenital and inherited 130 15 disorders including to provide for surveillance of stillbirths 130 16 as defined in section 136A.2. 130 17 j. Of the funds appropriated in this subsection, $64,706 130 18 shall be used for the prescription drug donation repository 130 19 program created in chapter 135M. 130 20 k. Of the funds appropriated in this subsection, 130 21 $107,632 shall be used by the department of public health 130 22 for reform=related activities, including but not limited to 130 23 facilitation of communication to stakeholders at the state and 130 24 local level, administering the patient=centered health advisory 130 25 council pursuant to section 135.159, and involvement in health 130 26 care system innovation activities occurring across the state. 130 27 l. Of the funds appropriated in this subsection, $12,500 130 28 shall be used for administration of chapter 124D, the medical 130 29 cannabidiol Act, or other Code provisions authorizing the 130 30 compassionate medical use of cannabis, if enacted by the 2016 130 31 regular session of the Eighty=sixth General Assembly. 130 32 4. COMMUNITY CAPACITY 130 33 For strengthening the health care delivery system at the 130 34 local level, and for not more than the following full=time 130 35 equivalent positions: 131 1 .................................................. $ 4,359,858 131 2 ............................................... FTEs 11.00 131 3 a. Of the funds appropriated in this subsection, $49,707 131 4 is allocated for continuation of the child vision screening 131 5 program implemented through the university of Iowa hospitals 131 6 and clinics in collaboration with early childhood Iowa areas. 131 7 The program shall submit a report to the individuals identified 131 8 in this Act for submission of reports regarding the use of 131 9 funds allocated under this paragraph "a". The report shall 131 10 include the objectives and results for the program year 131 11 including the target population and how the funds allocated 131 12 assisted the program in meeting the objectives; the number, 131 13 age, and location within the state of individuals served; 131 14 the type of services provided to the individuals served; the 131 15 distribution of funds based on service provided; and the 131 16 continuing needs of the program. 131 17 b. Of the funds appropriated in this subsection, $55,328 is 131 18 allocated for continuation of an initiative implemented at the 131 19 university of Iowa and $49,952 is allocated for continuation of 131 20 an initiative at the state mental health institute at Cherokee 131 21 to expand and improve the workforce engaged in mental health 131 22 treatment and services. The initiatives shall receive input 131 23 from the university of Iowa, the department of human services, 131 24 the department of public health, and the mental health and 131 25 disability services commission to address the focus of the 131 26 initiatives. 131 27 c. Of the funds appropriated in this subsection, $582,314 131 28 shall be used for essential public health services that promote 131 29 healthy aging throughout one's lifespan, contracted through a 131 30 formula for local boards of health, to enhance health promotion 131 31 and disease prevention services. 131 32 d. Of the funds appropriated in this section, $49,643 shall 131 33 be deposited in the governmental public health system fund 131 34 created in section 135A.8 to be used for the purposes of the 131 35 fund. 132 1 e. Of the funds appropriated in this subsection, $52,724 132 2 shall be used to continue to address the shortage of mental 132 3 health professionals in the state. 132 4 f. Of the funds appropriated in this subsection, 132 5 $25,000 shall be used for a grant to a statewide association 132 6 of psychologists that is affiliated with the American 132 7 psychological association to be used for continuation of a 132 8 program to rotate intern psychologists in placements in urban 132 9 and rural mental health professional shortage areas, as defined 132 10 in section 135.180. 132 11 g. (1) Of the funds appropriated in this subsection, 132 12 $1,441,485 shall be allocated as a grant to the Iowa primary 132 13 care association to be used pursuant to section 135.153 for 132 14 the statewide coordination of the Iowa collaborative safety 132 15 net provider network. Coordination of the network shall 132 16 focus on increasing access by underserved populations to 132 17 health care services, increasing integration of the health 132 18 system and collaboration across the continuum of care with 132 19 a focus on safety net services, and enhancing the Iowa 132 20 collaborative safety net provider network's communication and 132 21 education efforts. The amount allocated as a grant under this 132 22 subparagraph (1) shall be used as follows to support the Iowa 132 23 collaborative safety net provider network goals of increased 132 24 access, health system integration, and engagement: 132 25 (a) For distribution to safety net partners in the state 132 26 that work to increase access of the underserved population to 132 27 health services: 132 28 .................................................. $ 512,743 132 29 (i) Of the amount allocated in this subparagraph 132 30 division (a), up to $206,708 shall be distributed to the 132 31 Iowa prescription drug corporation for continuation of the 132 32 pharmaceutical infrastructure for safety net providers as 132 33 described in 2007 Iowa Acts, chapter 218, section 108. 132 34 (ii) Of the amount allocated in this subparagraph division 132 35 (a), up to $174,161 shall be distributed to free clinics and 133 1 free clinics of Iowa for necessary infrastructure, statewide 133 2 coordination, provider recruitment, service delivery, and 133 3 provision of assistance to patients in securing a medical home 133 4 inclusive of oral health care. 133 5 (iii) Of the amount allocated in this subparagraph 133 6 division (a), up to $25,000 shall be distributed to the 133 7 Iowa coalition against sexual assault to continue a training 133 8 program for sexual assault response team (SART) members, 133 9 including representatives of law enforcement, victim advocates, 133 10 prosecutors, and certified medical personnel. 133 11 (iv) Of the amount allocated in this subparagraph division 133 12 (a), up to $106,874 shall be distributed to the Polk county 133 13 medical society for continuation of the safety net provider 133 14 patient access to a specialty health care initiative as 133 15 described in 2007 Iowa Acts, chapter 218, section 109. 133 16 (b) For distribution to safety net partners in the 133 17 state that work to increase health system integration, care 133 18 coordination, and collaboration across the continuum of care 133 19 with a focus on safety net services. Such efforts shall 133 20 include but not be limited to community care coordination team 133 21 development and integration of medical and behavioral health 133 22 services. Efforts shall also include working, in conjunction 133 23 with the department of human services and the department 133 24 of public health, to support Medicaid managed care efforts 133 25 inclusive of the state innovation model through the continued 133 26 development and implementation of community care coordination 133 27 teams. Implementation of the community care coordination 133 28 teams shall be accomplished through a statewide regionally 133 29 based network that provides an integrated approach to health 133 30 care delivery through care coordination that supports primary 133 31 care providers and links patients with community resources 133 32 necessary to empower patients in addressing biomedical and 133 33 social determinants of health to improve health outcomes: 133 34 .................................................. $ 836,100 133 35 (c) For distribution to safety net partners in the state 134 1 that work to serve as a resource for credible, accurate 134 2 information on health care=related needs and services 134 3 for vulnerable populations in the state including the 134 4 Iowa association of rural health clinics for necessary 134 5 infrastructure and service delivery transformation and the Iowa 134 6 primary care association to support partner engagement, program 134 7 management, and statewide coordination of the network: 134 8 .................................................. $ 92,643 134 9 (2) The amount allocated under this paragraph "g" shall 134 10 not be reduced for administrative or other costs prior to 134 11 distribution. The Iowa collaborative safety net provider 134 12 network may continue to distribute funds allocated pursuant to 134 13 this paragraph "g" through existing contracts or renewal of 134 14 existing contracts. 134 15 (3) For each goal of the Iowa collaborative safety net 134 16 provider network, the Iowa primary care association shall 134 17 submit a progress report to the individuals designated in this 134 18 Act for submission of reports by December 15, 2016, including 134 19 progress in developing and implementing the network, how the 134 20 funds were distributed and used in developing and implementing 134 21 the network, and the remaining needs identified to fully 134 22 develop and implement the network. 134 23 h. Of the funds appropriated in this subsection, $106,700 134 24 shall be used for continuation of the work of the direct care 134 25 worker advisory council established pursuant to 2008 Iowa Acts, 134 26 chapter 1188, section 69, in implementing the recommendations 134 27 in the final report submitted by the advisory council to the 134 28 governor and the general assembly in March 2012, including 134 29 by continuing to develop, promote, and make available on a 134 30 statewide basis the prepare=to=care core curriculum and its 134 31 associated modules and specialties through various formats 134 32 including online access, community colleges, and other venues; 134 33 exploring new and maintaining existing specialties including 134 34 but not limited to oral health and dementia care; supporting 134 35 instructor training; and assessing and making recommendations 135 1 concerning the Iowa care book and information technology 135 2 systems and infrastructure uses and needs. 135 3 i. (1) Of the funds appropriated in this subsection, 135 4 $108,188 shall be used for allocation to an independent 135 5 statewide direct care worker organization under continuation 135 6 of the contract in effect during the fiscal year ending June 135 7 30, 2016. 135 8 (2) Of the funds appropriated in this subsection, 135 9 $52,500 shall be used to provide scholarships or other 135 10 forms of subsidization for direct care worker educational 135 11 conferences, training, or outreach activities, and for the 135 12 mouth=care=matters oral health care project. 135 13 j. Of the funds appropriated in this subsection, the 135 14 department may use up to $29,088 for up to one full=time 135 15 equivalent position to administer the volunteer health care 135 16 provider program pursuant to section 135.24. 135 17 k. Of the funds appropriated in this subsection, $50,000 135 18 shall be used for a matching dental education loan repayment 135 19 program to be allocated to a dental nonprofit health service 135 20 corporation to continue to develop the criteria and implement 135 21 the loan repayment program. 135 22 l. Of the funds appropriated in this subsection, $52,912 is 135 23 transferred to the college student aid commission for deposit 135 24 in the rural Iowa primary care trust fund created in section 135 25 261.113 to be used for the purposes of the fund. 135 26 m. Of the funds appropriated in this subsection, $125,000 135 27 shall be used for the purposes of the Iowa donor registry as 135 28 specified in section 142C.18. 135 29 n. Of the funds appropriated in this subsection, $50,000 135 30 shall be used for continuation of a grant to a nationally 135 31 affiliated volunteer eye organization that has an established 135 32 program for children and adults and that is solely dedicated to 135 33 preserving sight and preventing blindness through education, 135 34 nationally certified vision screening and training, and 135 35 community and patient service programs. The organization 136 1 shall submit a report to the individuals identified in this 136 2 Act for submission of reports regarding the use of funds 136 3 allocated under this paragraph "n". The report shall include 136 4 the objectives and results for the program year including 136 5 the target population and how the funds allocated assisted 136 6 the program in meeting the objectives; the number, age, and 136 7 location within the state of individuals served; the type of 136 8 services provided to the individuals served; the distribution 136 9 of funds based on services provided; and the continuing needs 136 10 of the program. 136 11 o. Of the funds appropriated in this subsection, $12,500 136 12 shall be used for the continuation of a wellness council under 136 13 the direction of the director of public health to increase 136 14 support for wellness activities in the state. 136 15 p. Of the funds appropriated in this subsection, $1,000,000 136 16 shall be deposited in the medical residency training account 136 17 created in section 135.175, subsection 5, paragraph "a", and 136 18 is appropriated from the account to the department of public 136 19 health to be used for the purposes of the medical residency 136 20 training state matching grants program as specified in section 136 21 135.176. However, notwithstanding any provision to the 136 22 contrary in section 135.176, priority in the awarding of grants 136 23 shall be given to sponsors that propose preference in the use 136 24 of the grant funds for psychiatric residency positions and 136 25 family practice residency positions. 136 26 5. HEALTHY AGING 136 27 To provide public health services that reduce risks and 136 28 invest in promoting and protecting good health over the 136 29 course of a lifetime with a priority given to older Iowans and 136 30 vulnerable populations: 136 31 .................................................. $ 3,648,571 136 32 6. INFECTIOUS DISEASES 136 33 For reducing the incidence and prevalence of communicable 136 34 diseases, and for not more than the following full=time 136 35 equivalent positions: 137 1 .................................................. $ 667,578 137 2 ............................................... FTEs 4.00 137 3 7. PUBLIC PROTECTION 137 4 For protecting the health and safety of the public through 137 5 establishing standards and enforcing regulations, and for not 137 6 more than the following full=time equivalent positions: 137 7 .................................................. $ 2,169,596 137 8 ............................................... FTEs 135.50 137 9 a. Of the funds appropriated in this subsection, not more 137 10 than $227,350 shall be credited to the emergency medical 137 11 services fund created in section 135.25. Moneys in the 137 12 emergency medical services fund are appropriated to the 137 13 department to be used for the purposes of the fund. 137 14 b. Of the funds appropriated in this subsection, $101,516 137 15 shall be used for sexual violence prevention programming 137 16 through a statewide organization representing programs 137 17 serving victims of sexual violence through the department's 137 18 sexual violence prevention program. The amount allocated 137 19 in this paragraph "b" shall not be used to supplant funding 137 20 administered for other sexual violence prevention or victims 137 21 assistance programs. 137 22 c. Of the funds appropriated in this subsection, $299,376 137 23 shall be used for the state poison control center. Pursuant 137 24 to the directive under 2014 Iowa Acts, chapter 1140, section 137 25 102, the federal matching funds available to the state poison 137 26 control center from the department of human services under the 137 27 federal Children's Health Insurance Program Reauthorization Act 137 28 allotment shall be subject to the federal administrative cap 137 29 rule of 10 percent applicable to funding provided under Tit. 137 30 XXI of the federal Social Security Act and included within the 137 31 department's calculations of the cap. 137 32 d. Of the funds appropriated in this subsection, $268,875 137 33 shall be used for childhood lead poisoning provisions. 137 34 8. RESOURCE MANAGEMENT 137 35 For establishing and sustaining the overall ability of the 138 1 department to deliver services to the public, and for not more 138 2 than the following full=time equivalent positions: 138 3 .................................................. $ 427,536 138 4 ............................................... FTEs 4.00 138 5 The university of Iowa hospitals and clinics under the 138 6 control of the state board of regents shall not receive 138 7 indirect costs from the funds appropriated in this section. 138 8 The university of Iowa hospitals and clinics billings to the 138 9 department shall be on at least a quarterly basis. 138 10 DIVISION XXXIV 138 11 DEPARTMENT OF VETERANS AFFAIRS ==== FY 2016=2017 138 12 Sec. 117. DEPARTMENT OF VETERANS AFFAIRS. There is 138 13 appropriated from the general fund of the state to the 138 14 department of veterans affairs for the fiscal year beginning 138 15 July 1, 2016, and ending June 30, 2017, the following amounts, 138 16 or so much thereof as is necessary, to be used for the purposes 138 17 designated: 138 18 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 138 19 For salaries, support, maintenance, and miscellaneous 138 20 purposes, and for not more than the following full=time 138 21 equivalent positions: 138 22 .................................................. $ 600,273 138 23 ............................................... FTEs 15.00 138 24 2. IOWA VETERANS HOME 138 25 For salaries, support, maintenance, and miscellaneous 138 26 purposes: 138 27 .................................................. $ 3,797,498 138 28 a. The Iowa veterans home billings involving the department 138 29 of human services shall be submitted to the department on at 138 30 least a monthly basis. 138 31 b. If there is a change in the employer of employees 138 32 providing services at the Iowa veterans home under a collective 138 33 bargaining agreement, such employees and the agreement shall 138 34 be continued by the successor employer as though there had not 138 35 been a change in employer. 139 1 c. Within available resources and in conformance with 139 2 associated state and federal program eligibility requirements, 139 3 the Iowa veterans home may implement measures to provide 139 4 financial assistance to or on behalf of veterans or their 139 5 spouses who are participating in the community reentry program. 139 6 d. The Iowa veterans home expenditure report shall be 139 7 submitted monthly to the legislative services agency. 139 8 3. HOME OWNERSHIP ASSISTANCE PROGRAM 139 9 For transfer to the Iowa finance authority for the 139 10 continuation of the home ownership assistance program for 139 11 persons who are or were eligible members of the armed forces of 139 12 the United States, pursuant to section 16.54: 139 13 .................................................. $ 1,250,000 139 14 Sec. 118. LIMITATION OF COUNTY COMMISSIONS OF VETERAN 139 15 AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the 139 16 standing appropriation in section 35A.16 for the fiscal year 139 17 beginning July 1, 2016, and ending June 30, 2017, the amount 139 18 appropriated from the general fund of the state pursuant to 139 19 that section for the following designated purposes shall not 139 20 exceed the following amount: 139 21 For the county commissions of veteran affairs fund under 139 22 section 35A.16: 139 23 .................................................. $ 495,000 139 24 DIVISION XXXV 139 25 DEPARTMENT OF HUMAN SERVICES ==== FY 2016=2017 139 26 Sec. 119. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 139 27 GRANT. There is appropriated from the fund created in section 139 28 8.41 to the department of human services for the fiscal year 139 29 beginning July 1, 2016, and ending June 30, 2017, from moneys 139 30 received under the federal temporary assistance for needy 139 31 families (TANF) block grant pursuant to the federal Personal 139 32 Responsibility and Work Opportunity Reconciliation Act of 1996, 139 33 Pub. L. No. 104=193, and successor legislation, the following 139 34 amounts, or so much thereof as is necessary, to be used for the 139 35 purposes designated: 140 1 1. To be credited to the family investment program account 140 2 and used for assistance under the family investment program 140 3 under chapter 239B: 140 4 .................................................. $ 2,568,498 140 5 2. To be credited to the family investment program account 140 6 and used for the job opportunities and basic skills (JOBS) 140 7 program and implementing family investment agreements in 140 8 accordance with chapter 239B: 140 9 .................................................. $ 5,069,089 140 10 3. To be used for the family development and 140 11 self=sufficiency grant program in accordance with section 140 12 216A.107: 140 13 .................................................. $ 1,449,490 140 14 Notwithstanding section 8.33, moneys appropriated in this 140 15 subsection that remain unencumbered or unobligated at the close 140 16 of the fiscal year shall not revert but shall remain available 140 17 for expenditure for the purposes designated until the close of 140 18 the succeeding fiscal year. However, unless such moneys are 140 19 encumbered or obligated on or before September 30, 2016, the 140 20 moneys shall revert. 140 21 4. For field operations: 140 22 .................................................. $ 15,648,116 140 23 5. For general administration: 140 24 .................................................. $ 1,872,000 140 25 6. For state child care assistance: 140 26 .................................................. $ 17,523,555 140 27 a. Of the funds appropriated in this subsection, 140 28 $13,164,049 is transferred to the child care and development 140 29 block grant appropriation made by the Eighty=sixth General 140 30 Assembly, 2016 Session, for the federal fiscal year beginning 140 31 October 1, 2016, and ending September 30, 2017. Of this 140 32 amount, $100,000 shall be used for provision of educational 140 33 opportunities to registered child care home providers in order 140 34 to improve services and programs offered by this category 140 35 of providers and to increase the number of providers. The 141 1 department may contract with institutions of higher education 141 2 or child care resource and referral centers to provide 141 3 the educational opportunities. Allowable administrative 141 4 costs under the contracts shall not exceed 5 percent. The 141 5 application for a grant shall not exceed two pages in length. 141 6 b. Any funds appropriated in this subsection remaining 141 7 unallocated shall be used for state child care assistance 141 8 payments for families who are employed including but not 141 9 limited to individuals enrolled in the family investment 141 10 program. 141 11 7. For distribution to counties and regions through the 141 12 property tax relief fund for mental health and disability 141 13 services as provided in an appropriation made for this purpose: 141 14 .................................................. $ 2,447,026 141 15 8. For child and family services: 141 16 .................................................. $ 16,042,215 141 17 9. For child abuse prevention grants: 141 18 .................................................. $ 62,500 141 19 10. For pregnancy prevention grants on the condition that 141 20 family planning services are funded: 141 21 .................................................. $ 965,034 141 22 Pregnancy prevention grants shall be awarded to programs 141 23 in existence on or before July 1, 2016, if the programs have 141 24 demonstrated positive outcomes. Grants shall be awarded to 141 25 pregnancy prevention programs which are developed after July 141 26 1, 2016, if the programs are based on existing models that 141 27 have demonstrated positive outcomes. Grants shall comply with 141 28 the requirements provided in 1997 Iowa Acts, chapter 208, 141 29 section 14, subsections 1 and 2, including the requirement that 141 30 grant programs must emphasize sexual abstinence. Priority in 141 31 the awarding of grants shall be given to programs that serve 141 32 areas of the state which demonstrate the highest percentage of 141 33 unplanned pregnancies of females of childbearing age within the 141 34 geographic area to be served by the grant. 141 35 11. For technology needs and other resources necessary 142 1 to meet federal welfare reform reporting, tracking, and case 142 2 management requirements: 142 3 .................................................. $ 518,593 142 4 12. For the family investment program share of the costs to 142 5 continue to develop and maintain a new, integrated eligibility 142 6 determination system: 142 7 .................................................. $ 3,327,440 142 8 13. a. Notwithstanding any provision to the contrary, 142 9 including but not limited to requirements in section 8.41 or 142 10 provisions in 2015 or 2016 Iowa Acts regarding the receipt and 142 11 appropriation of federal block grants, federal funds from the 142 12 temporary assistance for needy families block grant received by 142 13 the state and not otherwise appropriated in this section and 142 14 remaining available for the fiscal year beginning July 1, 2016, 142 15 are appropriated to the department of human services to the 142 16 extent as may be necessary to be used in the following priority 142 17 order: the family investment program, for state child care 142 18 assistance program payments for families who are employed, and 142 19 for the family investment program share of costs to develop and 142 20 maintain a new, integrated eligibility determination system. 142 21 The federal funds appropriated in this paragraph "a" shall be 142 22 expended only after all other funds appropriated in subsection 142 23 1 for the assistance under the family investment program, 142 24 in subsection 6 for child care assistance, or in subsection 142 25 12 for the family investment program share of the costs to 142 26 continue to develop and maintain a new, integrated eligibility 142 27 determination system, as applicable, have been expended. For 142 28 the purposes of this subsection, the funds appropriated in 142 29 subsection 6, paragraph "a", for transfer to the child care 142 30 and development block grant appropriation are considered fully 142 31 expended when the full amount has been transferred. 142 32 b. The department shall, on a quarterly basis, advise the 142 33 legislative services agency and department of management of 142 34 the amount of funds appropriated in this subsection that was 142 35 expended in the prior quarter. 143 1 14. Of the amounts appropriated in this section, $6,481,004 143 2 for the fiscal year beginning July 1, 2016, is transferred to 143 3 the appropriation of the federal social services block grant 143 4 made to the department of human services for that fiscal year. 143 5 15. For continuation of the program providing categorical 143 6 eligibility for the food assistance program as specified for 143 7 the program in the section of this division of this 2016 Act 143 8 relating to the family investment program account: 143 9 .................................................. $ 12,500 143 10 16. The department may transfer funds allocated in this 143 11 section to the appropriations made in this division of this Act 143 12 for the same fiscal year for general administration and field 143 13 operations for resources necessary to implement and operate the 143 14 services referred to in this section and those funded in the 143 15 appropriation made in this division of this Act for the same 143 16 fiscal year for the family investment program from the general 143 17 fund of the state. 143 18 Sec. 120. FAMILY INVESTMENT PROGRAM ACCOUNT. 143 19 1. Moneys credited to the family investment program (FIP) 143 20 account for the fiscal year beginning July 1, 2016, and 143 21 ending June 30, 2017, shall be used to provide assistance in 143 22 accordance with chapter 239B. 143 23 2. The department may use a portion of the moneys credited 143 24 to the FIP account under this section as necessary for 143 25 salaries, support, maintenance, and miscellaneous purposes. 143 26 3. The department may transfer funds allocated in 143 27 subsection 4 to the appropriations made in this division of 143 28 this Act for the same fiscal year for general administration 143 29 and field operations for resources necessary to implement and 143 30 operate the family investment program services referred to in 143 31 this section and those funded in the appropriation made in this 143 32 division of this Act for the same fiscal year for the family 143 33 investment program from the general fund of the state. 143 34 4. Moneys appropriated in this division of this Act and 143 35 credited to the FIP account for the fiscal year beginning July 144 1 1, 2016, and ending June 30, 2017, are allocated as follows: 144 2 a. To be retained by the department of human services to 144 3 be used for coordinating with the department of human rights 144 4 to more effectively serve participants in FIP and other shared 144 5 clients and to meet federal reporting requirements under the 144 6 federal temporary assistance for needy families block grant: 144 7 .................................................. $ 10,000 144 8 b. To the department of human rights for staffing, 144 9 administration, and implementation of the family development 144 10 and self=sufficiency grant program in accordance with section 144 11 216A.107: 144 12 .................................................. $ 3,196,417 144 13 (1) Of the funds allocated for the family development 144 14 and self=sufficiency grant program in this paragraph "b", 144 15 not more than 5 percent of the funds shall be used for the 144 16 administration of the grant program. 144 17 (2) The department of human rights may continue to implement 144 18 the family development and self=sufficiency grant program 144 19 statewide during fiscal year 2016=2017. 144 20 (3) The department of human rights may engage in activities 144 21 to strengthen and improve family outcomes measures and 144 22 data collection systems under the family development and 144 23 self=sufficiency grant program. 144 24 c. For the diversion subaccount of the FIP account: 144 25 .................................................. $ 407,500 144 26 A portion of the moneys allocated for the subaccount may 144 27 be used for field operations, salaries, data management 144 28 system development, and implementation costs and support 144 29 deemed necessary by the director of human services in order 144 30 to administer the FIP diversion program. To the extent 144 31 moneys allocated in this paragraph "c" are not deemed by the 144 32 department to be necessary to support diversion activities, 144 33 such moneys may be used for other efforts intended to increase 144 34 engagement by family investment program participants in work, 144 35 education, or training activities. 145 1 d. For the food assistance employment and training program: 145 2 .................................................. $ 33,294 145 3 (1) The department shall apply the federal supplemental 145 4 nutrition assistance program (SNAP) employment and training 145 5 state plan in order to maximize to the fullest extent permitted 145 6 by federal law the use of the 50 percent federal reimbursement 145 7 provisions for the claiming of allowable federal reimbursement 145 8 funds from the United States department of agriculture 145 9 pursuant to the federal SNAP employment and training program 145 10 for providing education, employment, and training services 145 11 for eligible food assistance program participants, including 145 12 but not limited to related dependent care and transportation 145 13 expenses. 145 14 (2) The department shall continue the categorical federal 145 15 food assistance program eligibility at 160 percent of the 145 16 federal poverty level and continue to eliminate the asset test 145 17 from eligibility requirements, consistent with federal food 145 18 assistance program requirements. The department shall include 145 19 as many food assistance households as is allowed by federal 145 20 law. The eligibility provisions shall conform to all federal 145 21 requirements including requirements addressing individuals who 145 22 are incarcerated or otherwise ineligible. 145 23 e. For the JOBS program: 145 24 .................................................. $ 8,770,199 145 25 5. Of the child support collections assigned under FIP, 145 26 an amount equal to the federal share of support collections 145 27 shall be credited to the child support recovery appropriation 145 28 made in this division of this Act. Of the remainder of the 145 29 assigned child support collections received by the child 145 30 support recovery unit, a portion shall be credited to the FIP 145 31 account, a portion may be used to increase recoveries, and a 145 32 portion may be used to sustain cash flow in the child support 145 33 payments account. If as a consequence of the appropriations 145 34 and allocations made in this section the resulting amounts 145 35 are insufficient to sustain cash assistance payments and meet 146 1 federal maintenance of effort requirements, the department 146 2 shall seek supplemental funding. If child support collections 146 3 assigned under FIP are greater than estimated or are otherwise 146 4 determined not to be required for maintenance of effort, the 146 5 state share of either amount may be transferred to or retained 146 6 in the child support payments account. 146 7 6. The department may adopt emergency rules for the family 146 8 investment, JOBS, food assistance, and medical assistance 146 9 programs if necessary to comply with federal requirements. 146 10 Sec. 121. FAMILY INVESTMENT PROGRAM GENERAL FUND. There 146 11 is appropriated from the general fund of the state to the 146 12 department of human services for the fiscal year beginning July 146 13 1, 2016, and ending June 30, 2017, the following amount, or 146 14 so much thereof as is necessary, to be used for the purpose 146 15 designated: 146 16 To be credited to the family investment program (FIP) 146 17 account and used for family investment program assistance under 146 18 chapter 239B: 146 19 .................................................. $ 24,546,938 146 20 1. Of the funds appropriated in this section, $3,701,110 is 146 21 allocated for the JOBS program. 146 22 2. Of the funds appropriated in this section, $1,756,927 is 146 23 allocated for the family development and self=sufficiency grant 146 24 program. 146 25 3. Notwithstanding section 8.39, for the fiscal year 146 26 beginning July 1, 2016, if necessary to meet federal 146 27 maintenance of effort requirements or to transfer federal 146 28 temporary assistance for needy families block grant funding 146 29 to be used for purposes of the federal social services block 146 30 grant or to meet cash flow needs resulting from delays in 146 31 receiving federal funding or to implement, in accordance with 146 32 this division of this Act, activities currently funded with 146 33 juvenile court services, county, or community moneys and state 146 34 moneys used in combination with such moneys, the department 146 35 of human services may transfer funds within or between any 147 1 of the appropriations made in this division of this Act and 147 2 appropriations in law for the federal social services block 147 3 grant to the department for the following purposes, provided 147 4 that the combined amount of state and federal temporary 147 5 assistance for needy families block grant funding for each 147 6 appropriation remains the same before and after the transfer: 147 7 a. For the family investment program. 147 8 b. For child care assistance. 147 9 c. For child and family services. 147 10 d. For field operations. 147 11 e. For general administration. 147 12 f. For distribution to counties or regions through the 147 13 property tax relief fund for mental health and disability 147 14 services as provided in an appropriation for this purpose. 147 15 This subsection shall not be construed to prohibit the use 147 16 of existing state transfer authority for other purposes. The 147 17 department shall report any transfers made pursuant to this 147 18 subsection to the legislative services agency. 147 19 4. Of the funds appropriated in this section, $97,839 shall 147 20 be used for continuation of a grant to an Iowa=based nonprofit 147 21 organization with a history of providing tax preparation 147 22 assistance to low=income Iowans in order to expand the usage of 147 23 the earned income tax credit. The purpose of the grant is to 147 24 supply this assistance to underserved areas of the state. 147 25 5. Of the funds appropriated in this section, $40,000 shall 147 26 be used for the continuation of an unfunded pilot project, as 147 27 defined in 441 IAC 100.1, relating to parental obligations, 147 28 in which the child support recovery unit participates, to 147 29 support the efforts of a nonprofit organization committed to 147 30 strengthening the community through youth development, healthy 147 31 living, and social responsibility headquartered in a county 147 32 with a population over 350,000. The funds allocated in this 147 33 subsection shall be used by the recipient organization to 147 34 develop a larger community effort, through public and private 147 35 partnerships, to support a broad=based multi=county fatherhood 148 1 initiative that promotes payment of child support obligations, 148 2 improved family relationships, and full=time employment. 148 3 6. Of the funds appropriated in this section, $100,000 148 4 shall be used to continue a grant to a nonprofit organization 148 5 organized under section 501(c)(4) of the Internal Revenue Code 148 6 to continue a youth development strategy through after=school 148 7 programming that promotes academic success, healthy lifestyles, 148 8 good character, and citizenship. The organization shall meet 148 9 all of the following criteria: 148 10 a. Operate statewide and provide services through more than 148 11 one location. 148 12 b. Provide the after=school programming for students ages 148 13 five through eighteen years of age who are members of families 148 14 eligible for the federal temporary assistance for needy 148 15 families program. 148 16 c. Provide evidence, based on measurable outcomes, that the 148 17 after=school programming provided results in increased student 148 18 achievement. 148 19 7. The department may transfer funds appropriated in this 148 20 section to the appropriations made in this division of this Act 148 21 for general administration and field operations as necessary 148 22 to administer this section and the overall family investment 148 23 program. 148 24 Sec. 122. CHILD SUPPORT RECOVERY. There is appropriated 148 25 from the general fund of the state to the department of human 148 26 services for the fiscal year beginning July 1, 2016, and ending 148 27 June 30, 2017, the following amount, or so much thereof as is 148 28 necessary, to be used for the purposes designated: 148 29 For child support recovery, including salaries, support, 148 30 maintenance, and miscellaneous purposes, and for not more than 148 31 the following full=time equivalent positions: 148 32 .................................................. $ 7,331,687 148 33 ............................................... FTEs 464.00 148 34 1. The department shall expend up to $12,165, including 148 35 federal financial participation, for the fiscal year beginning 149 1 July 1, 2016, for a child support public awareness campaign. 149 2 The department and the office of the attorney general shall 149 3 cooperate in continuation of the campaign. The public 149 4 awareness campaign shall emphasize, through a variety of 149 5 media activities, the importance of maximum involvement of 149 6 both parents in the lives of their children as well as the 149 7 importance of payment of child support obligations. 149 8 2. Federal access and visitation grant moneys shall be 149 9 issued directly to private not=for=profit agencies that provide 149 10 services designed to increase compliance with the child access 149 11 provisions of court orders, including but not limited to 149 12 neutral visitation sites and mediation services. 149 13 3. The appropriation made to the department for child 149 14 support recovery may be used throughout the fiscal year in the 149 15 manner necessary for purposes of cash flow management, and for 149 16 cash flow management purposes the department may temporarily 149 17 draw more than the amount appropriated, provided the amount 149 18 appropriated is not exceeded at the close of the fiscal year. 149 19 4. With the exception of the funding amount specified, the 149 20 requirements established under 2001 Iowa Acts, chapter 191, 149 21 section 3, subsection 5, paragraph "c", subparagraph (3), shall 149 22 be applicable to parental obligation pilot projects for the 149 23 fiscal year beginning July 1, 2016, and ending June 30, 2017. 149 24 Notwithstanding 441 IAC 100.8, providing for termination of 149 25 rules relating to the pilot projects, the rules shall remain 149 26 in effect until June 30, 2017. 149 27 Sec. 123. HEALTH CARE TRUST FUND ==== MEDICAL ASSISTANCE ==== 149 28 FY 2016=2017. Any funds remaining in the health care trust 149 29 fund created in section 453A.35A for the fiscal year beginning 149 30 July 1, 2016, and ending June 30, 2017, are appropriated to 149 31 the department of human services to supplement the medical 149 32 assistance program appropriations made in this division of this 149 33 Act, for medical assistance reimbursement and associated costs, 149 34 including program administration and costs associated with 149 35 program implementation. 150 1 Sec. 124. MEDICAID FRAUD FUND ==== MEDICAL ASSISTANCE ==== FY 150 2 2016=2017. Any funds remaining in the Medicaid fraud fund 150 3 created in section 249A.50 for the fiscal year beginning 150 4 July 1, 2016, and ending June 30, 2017, are appropriated to 150 5 the department of human services to supplement the medical 150 6 assistance appropriations made in this division of this Act, 150 7 for medical assistance reimbursement and associated costs, 150 8 including program administration and costs associated with 150 9 program implementation. 150 10 Sec. 125. MEDICAL ASSISTANCE. 150 11 1. There is appropriated from the general fund of the 150 12 state to the department of human services for the fiscal year 150 13 beginning July 1, 2016, and ending June 30, 2017, the following 150 14 amount, or so much thereof as is necessary, to be used for the 150 15 purpose designated: 150 16 For medical assistance program reimbursement and associated 150 17 costs as specifically provided in the reimbursement 150 18 methodologies in effect on June 30, 2016, except as otherwise 150 19 expressly authorized by law, including reimbursement for 150 20 abortion services which shall be available under the medical 150 21 assistance program only for those abortions which are medically 150 22 necessary: 150 23 .................................................. $673,176,820 150 24 2. Medically necessary abortions are those performed under 150 25 any of the following conditions: 150 26 a. The attending physician certifies that continuing the 150 27 pregnancy would endanger the life of the pregnant woman. 150 28 b. The attending physician certifies that the fetus is 150 29 physically deformed, mentally deficient, or afflicted with a 150 30 congenital illness. 150 31 c. The pregnancy is the result of a rape which is reported 150 32 within 45 days of the incident to a law enforcement agency or 150 33 public or private health agency which may include a family 150 34 physician. 150 35 d. The pregnancy is the result of incest which is reported 151 1 within 150 days of the incident to a law enforcement agency 151 2 or public or private health agency which may include a family 151 3 physician. 151 4 e. Any spontaneous abortion, commonly known as a 151 5 miscarriage, if not all of the products of conception are 151 6 expelled. 151 7 3. a. Iowans support reducing the number of abortions 151 8 performed in our state. For an abortion covered under the 151 9 program, except in the case of a medical emergency, as defined 151 10 in section 135L.1, for any woman, the physician shall certify 151 11 both of the following: 151 12 (1) That the woman has been given the opportunity to view an 151 13 ultrasound image of the fetus as part of the standard of care 151 14 before an abortion is performed. 151 15 (2) That the woman has been provided information regarding 151 16 the options relative to a pregnancy, including continuing the 151 17 pregnancy to term and retaining parental rights following the 151 18 child's birth, continuing the pregnancy to term and placing the 151 19 child for adoption, and terminating the pregnancy. 151 20 b. The provisions of this section relating to abortions 151 21 shall also apply to the Iowa health and wellness plan created 151 22 pursuant to chapter 249N. 151 23 4. The department shall utilize not more than $30,000 of 151 24 the funds appropriated in this section to continue the AIDS/HIV 151 25 health insurance premium payment program as established in 1992 151 26 Iowa Acts, Second Extraordinary Session, chapter 1001, section 151 27 409, subsection 6. Of the funds allocated in this subsection, 151 28 not more than $2,500 may be expended for administrative 151 29 purposes. 151 30 5. Of the funds appropriated in this Act to the department 151 31 of public health for addictive disorders, $475,000 for 151 32 the fiscal year beginning July 1, 2016, is transferred 151 33 to the department of human services for an integrated 151 34 substance=related disorder managed care system. The department 151 35 shall not assume management of the substance=related disorder 152 1 system in place of the managed care contractor unless such 152 2 a change in approach is specifically authorized in law. 152 3 The departments of human services and public health shall 152 4 work together to maintain the level of mental health and 152 5 substance=related disorder treatment services provided by the 152 6 managed care contractor through the Iowa plan for behavioral 152 7 health. Each department shall take the steps necessary to 152 8 continue the federal waivers as necessary to maintain the level 152 9 of services. 152 10 6. a. The department shall aggressively pursue options for 152 11 providing medical assistance or other assistance to individuals 152 12 with special needs who become ineligible to continue receiving 152 13 services under the early and periodic screening, diagnostic, 152 14 and treatment program under the medical assistance program 152 15 due to becoming 21 years of age who have been approved for 152 16 additional assistance through the department's exception to 152 17 policy provisions, but who have health care needs in excess 152 18 of the funding available through the exception to policy 152 19 provisions. 152 20 b. Of the funds appropriated in this section, $50,000 152 21 shall be used for participation in one or more pilot projects 152 22 operated by a private provider to allow the individual or 152 23 individuals to receive service in the community in accordance 152 24 with principles established in Olmstead v. L.C., 527 U.S. 581 152 25 (1999), for the purpose of providing medical assistance or 152 26 other assistance to individuals with special needs who become 152 27 ineligible to continue receiving services under the early and 152 28 periodic screening, diagnostic, and treatment program under 152 29 the medical assistance program due to becoming 21 years of 152 30 age who have been approved for additional assistance through 152 31 the department's exception to policy provisions, but who have 152 32 health care needs in excess of the funding available through 152 33 the exception to the policy provisions. 152 34 7. Of the funds appropriated in this section, up to 152 35 $1,525,041 may be transferred to the field operations or 153 1 general administration appropriations in this division of this 153 2 Act for operational costs associated with Part D of the federal 153 3 Medicare Prescription Drug Improvement and Modernization Act 153 4 of 2003, Pub. L. No. 108=173. 153 5 8. Of the funds appropriated in this section, up to $221,050 153 6 may be transferred to the appropriation in this division 153 7 of this Act for medical contracts to be used for clinical 153 8 assessment services and prior authorization of services. 153 9 9. A portion of the funds appropriated in this section 153 10 may be transferred to the appropriations in this division of 153 11 this Act for general administration, medical contracts, the 153 12 children's health insurance program, or field operations to be 153 13 used for the state match cost to comply with the payment error 153 14 rate measurement (PERM) program for both the medical assistance 153 15 and children's health insurance programs as developed by the 153 16 centers for Medicare and Medicaid services of the United States 153 17 department of health and human services to comply with the 153 18 federal Improper Payments Information Act of 2002, Pub. L. No. 153 19 107=300. 153 20 10. The department shall continue to implement the 153 21 recommendations of the assuring better child health and 153 22 development initiative II (ABCDII) clinical panel to the 153 23 Iowa early and periodic screening, diagnostic, and treatment 153 24 services healthy mental development collaborative board 153 25 regarding changes to billing procedures, codes, and eligible 153 26 service providers. 153 27 11. Of the funds appropriated in this section, a sufficient 153 28 amount is allocated to supplement the incomes of residents of 153 29 nursing facilities, intermediate care facilities for persons 153 30 with mental illness, and intermediate care facilities for 153 31 persons with an intellectual disability, with incomes of less 153 32 than $50 in the amount necessary for the residents to receive a 153 33 personal needs allowance of $50 per month pursuant to section 153 34 249A.30A. 153 35 12. Of the funds appropriated in this section, the following 154 1 amounts are transferred to the appropriations made in this 154 2 division of this Act for the state mental health institutes: 154 3 a. Cherokee mental health institute ................. $ 4,549,213 154 4 b. Clarinda mental health institute ................. $ 988,653 154 5 c. Independence mental health institute ............. $ 4,522,947 154 6 13. a. Of the funds appropriated in this section, 154 7 $4,298,325 is allocated for the state match for a 154 8 disproportionate share hospital payment of $9,566,715 to 154 9 hospitals that meet both of the conditions specified in 154 10 subparagraphs (1) and (2). In addition, the hospitals that 154 11 meet the conditions specified shall either certify public 154 12 expenditures or transfer to the medical assistance program 154 13 an amount equal to provide the nonfederal share for a 154 14 disproportionate share hospital payment of $3,750,000. The 154 15 hospitals that meet the conditions specified shall receive and 154 16 retain 100 percent of the total disproportionate share hospital 154 17 payment of $13,316,715. 154 18 (1) The hospital qualifies for disproportionate share and 154 19 graduate medical education payments. 154 20 (2) The hospital is an Iowa state=owned hospital with more 154 21 than 500 beds and eight or more distinct residency specialty 154 22 or subspecialty programs recognized by the American college of 154 23 graduate medical education. 154 24 b. Distribution of the disproportionate share payments 154 25 shall be made on a monthly basis. The total amount of 154 26 disproportionate share payments including graduate medical 154 27 education, enhanced disproportionate share, and Iowa 154 28 state=owned teaching hospital payments shall not exceed the 154 29 amount of the state's allotment under Pub. L. No. 102=234. 154 30 In addition, the total amount of all disproportionate 154 31 share payments shall not exceed the hospital=specific 154 32 disproportionate share limits under Pub. L. No. 103=66. 154 33 c. The university of Iowa hospitals and clinics shall either 154 34 certify public expenditures or transfer to the appropriations 154 35 made in this division of this Act for medical assistance an 155 1 amount equal to provide the nonfederal share for increased 155 2 medical assistance payments for inpatient and outpatient 155 3 hospital services of $4,950,000. The university of Iowa 155 4 hospitals and clinics shall receive and retain 100 percent of 155 5 the total increase in medical assistance payments. 155 6 d. Program payments for disproportionate share hospitals 155 7 and graduate medical education, and the upper payment limits 155 8 applicable to these programs shall be held harmless from the 155 9 impacts of Medicaid managed care and the governor's Medicaid 155 10 modernization initiative. Payment methodologies utilized 155 11 for these programs may be adjusted or converted to other 155 12 methodologies or payment types in order to comply with this 155 13 hold harmless requirement. 155 14 14. One hundred percent of the nonfederal share of payments 155 15 to area education agencies that are medical assistance 155 16 providers for medical assistance=covered services provided to 155 17 medical assistance=covered children, shall be made from the 155 18 appropriation made in this section. 155 19 15. Any new or renewed contract entered into by the 155 20 department with a third party to administer behavioral health 155 21 services under the medical assistance program shall provide 155 22 that any interest earned on payments from the state during 155 23 the state fiscal year shall be remitted to the department 155 24 and treated as recoveries to offset the costs of the medical 155 25 assistance program. 155 26 16. A portion of the funds appropriated in this section 155 27 may be transferred to the appropriation in this division of 155 28 this Act for medical contracts to be used for administrative 155 29 activities associated with the money follows the person 155 30 demonstration project. 155 31 17. Of the funds appropriated in this section, $174,506 155 32 shall be used for the administration of the health insurance 155 33 premium payment program, including salaries, support, 155 34 maintenance, and miscellaneous purposes. 155 35 18. a. The department may increase the amounts allocated 156 1 for salaries, support, maintenance, and miscellaneous purposes 156 2 associated with the medical assistance program, as necessary, 156 3 to implement cost containment strategies. The department shall 156 4 report any such increase to the legislative services agency and 156 5 the department of management. 156 6 b. If the savings to the medical assistance program from 156 7 cost containment efforts exceed the cost for the fiscal 156 8 year beginning July 1, 2016, the department may transfer any 156 9 savings generated for the fiscal year due to medical assistance 156 10 program cost containment efforts to the appropriation 156 11 made in this division of this Act for medical contracts or 156 12 general administration to defray the increased contract costs 156 13 associated with implementing such efforts. 156 14 c. The department of human services shall not implement 156 15 the following cost containment measures as recommended by the 156 16 governor for the fiscal year beginning July 1, 2016: 156 17 (1) A measure to provide uniform rates of $.575 per mile 156 18 based on the 2015 Internal Revenue Service mileage rate and 156 19 of $9.29, the current statewide average, per one=way trip for 156 20 Medicaid program home and community=based services waivers. 156 21 (2) A measure to cap the total costs of all services 156 22 received by a recipient of the home and community=based 156 23 services waiver for individuals with an intellectual disability 156 24 at the daily intermediate care facility for persons with an 156 25 intellectual disability (ICF/ID) per diem rate of $346.39 per 156 26 day based on the 80th percentile of all ICF/ID rates. 156 27 (3) A measure to align individual requests for exceptions to 156 28 policy with the capped total cost of services for a recipient 156 29 of the home and community=based services waiver for individuals 156 30 with an intellectual disability as computed under subparagraph 156 31 (2). 156 32 (4) A measure to utilize the supports intensity scale 156 33 to determine payment amounts and a tiered payment system 156 34 for the services provided to adults served under the home 156 35 and community=based services waiver for individuals with an 157 1 intellectual disability. 157 2 (5) A measure to reallocate funding for community=based 157 3 systems of care to instead support integrated health homes. 157 4 (6) A measure to increase the university of Iowa hospitals 157 5 and clinics state share responsibility for the supplemental 157 6 disproportionate share hospital payment to the university of 157 7 Iowa hospitals and clinics for the fiscal year beginning July 157 8 1, 2016. 157 9 d. The department shall report the implementation of 157 10 any cost containment strategies under this subsection to 157 11 the individuals specified in this division of this Act for 157 12 submission of reports on a quarterly basis. 157 13 19. For the fiscal year beginning July 1, 2016, and ending 157 14 June 30, 2017, the replacement generation tax revenues required 157 15 to be deposited in the property tax relief fund pursuant to 157 16 section 437A.8, subsection 4, paragraph "d", and section 157 17 437A.15, subsection 3, paragraph "f", shall instead be credited 157 18 to and supplement the appropriation made in this section and 157 19 used for the allocations made in this section. 157 20 20. The department shall continue to administer the state 157 21 balancing incentive payments program as specified in 2012 Iowa 157 22 Acts, chapter 1133, section 14. 157 23 21. a. Of the funds appropriated in this section, $450,000 157 24 shall be used for continued implementation of the children's 157 25 mental health home project proposed by the department of human 157 26 services and reported to the general assembly's mental health 157 27 and disability services study committee in December 2011. Of 157 28 this amount, up to $25,000 may be transferred by the department 157 29 to the appropriation made in this division of this Act to the 157 30 department for the same fiscal year for general administration 157 31 to be used for associated administrative expenses and for not 157 32 more than one full=time equivalent position, in addition to 157 33 those authorized for the same fiscal year, to be assigned to 157 34 implementing the project. 157 35 b. Of the funds appropriated in this section, up to $200,000 158 1 may be transferred by the department to the appropriation made 158 2 to the department in this division of this Act for the same 158 3 fiscal year for Medicaid program=related general administration 158 4 planning and implementation activities. The funds may be used 158 5 for contracts or for personnel in addition to the amounts 158 6 appropriated for and the positions authorized for general 158 7 administration for the fiscal year. 158 8 c. Of the funds appropriated in this section, up to 158 9 $1,500,000 may be transferred by the department to the 158 10 appropriations made in this division of this Act for the same 158 11 fiscal year for general administration or medical contracts 158 12 to be used to support the development and implementation of 158 13 standardized assessment tools for persons with mental illness, 158 14 an intellectual disability, a developmental disability, or a 158 15 brain injury. 158 16 22. Of the funds appropriated in this section, $125,000 158 17 shall be used for lodging expenses associated with care 158 18 provided at the university of Iowa hospitals and clinics for 158 19 patients with cancer whose travel distance is 30 miles or more 158 20 and whose income is at or below 200 percent of the federal 158 21 poverty level as defined by the most recently revised poverty 158 22 income guidelines published by the United States department of 158 23 health and human services. The department of human services 158 24 shall establish the maximum number of overnight stays and the 158 25 maximum rate reimbursed for overnight lodging, which may be 158 26 based on the state employee rate established by the department 158 27 of administrative services. The funds allocated in this 158 28 subsection shall not be used as nonfederal share matching 158 29 funds. 158 30 23. a. For inpatient and outpatient services provided by 158 31 hospitals on or after July 1, 2016, the department of human 158 32 services shall continue to recalculate and prospectively 158 33 apply an updated cost=to=charge ratio upon the request of a 158 34 hospital to implement price or charge reductions, if all of the 158 35 following criteria are met: 159 1 (1) The recalculation of an updated cost=to=charge ratio is 159 2 budget neutral to the state funding amount appropriated for the 159 3 respective fiscal year and maintains budget neutral payments or 159 4 revenue to all hospitals. 159 5 (2) The hospital requesting the price or charge reduction 159 6 submits a proforma cost report and charge master that reflects 159 7 the anticipated cost=to=charge reduction. 159 8 b. Based upon the proforma cost report submitted by the 159 9 requesting hospital, the department of human services shall 159 10 prospectively apply the recalculated cost=to=charge ratio as 159 11 appropriate to submitted claims for health care services. 159 12 24. The department of human services shall not adopt 159 13 emergency rules to implement Medicaid managed care or the 159 14 governor's Medicaid modernization initiative. 159 15 25. The number of home and community=based services waiver 159 16 slots available during the fiscal year beginning July 1, 2016, 159 17 shall not be reduced below the number of such slots available 159 18 on January 1, 2015. 159 19 Sec. 126. MEDICAL CONTRACTS. There is appropriated from the 159 20 general fund of the state to the department of human services 159 21 for the fiscal year beginning July 1, 2016, and ending June 30, 159 22 2017, the following amount, or so much thereof as is necessary, 159 23 to be used for the purpose designated: 159 24 For medical contracts: 159 25 .................................................. $ 11,076,792 159 26 1. The department of inspections and appeals shall 159 27 provide all state matching funds for survey and certification 159 28 activities performed by the department of inspections 159 29 and appeals. The department of human services is solely 159 30 responsible for distributing the federal matching funds for 159 31 such activities. 159 32 2. Of the funds appropriated in this section, $25,000 shall 159 33 be used for continuation of home and community=based services 159 34 waiver quality assurance programs, including the review and 159 35 streamlining of processes and policies related to oversight and 160 1 quality management to meet state and federal requirements. 160 2 3. Of the amount appropriated in this section, up to 160 3 $100,000 may be transferred to the appropriation for general 160 4 administration in this division of this Act to be used for 160 5 additional full=time equivalent positions in the development of 160 6 key health initiatives such as cost containment, development 160 7 and oversight of managed care programs, and development of 160 8 health strategies targeted toward improved quality and reduced 160 9 costs in the Medicaid program. 160 10 4. Of the funds appropriated in this section, $500,000 shall 160 11 be used for planning and development, in cooperation with the 160 12 department of public health, of a phased=in program to provide 160 13 a dental home for children. 160 14 5. Of the funds appropriated in this section, $1,000,000 160 15 shall be used for the autism support program created in chapter 160 16 225D. 160 17 Sec. 127. STATE SUPPLEMENTARY ASSISTANCE. 160 18 1. There is appropriated from the general fund of the 160 19 state to the department of human services for the fiscal year 160 20 beginning July 1, 2016, and ending June 30, 2017, the following 160 21 amount, or so much thereof as is necessary, to be used for the 160 22 purpose designated: 160 23 For the state supplementary assistance program: 160 24 .................................................. $ 6,498,594 160 25 2. The department shall increase the personal needs 160 26 allowance for residents of residential care facilities by the 160 27 same percentage and at the same time as federal supplemental 160 28 security income and federal social security benefits are 160 29 increased due to a recognized increase in the cost of living. 160 30 The department may adopt emergency rules to implement this 160 31 subsection. 160 32 3. If during the fiscal year beginning July 1, 2016, 160 33 the department projects that state supplementary assistance 160 34 expenditures for a calendar year will not meet the federal 160 35 pass=through requirement specified in Tit. XVI of the federal 161 1 Social Security Act, section 1618, as codified in 42 U.S.C. 161 2 {1382g, the department may take actions including but not 161 3 limited to increasing the personal needs allowance for 161 4 residential care facility residents and making programmatic 161 5 adjustments or upward adjustments of the residential care 161 6 facility or in=home health=related care reimbursement rates 161 7 prescribed in this division of this Act to ensure that federal 161 8 requirements are met. In addition, the department may make 161 9 other programmatic and rate adjustments necessary to remain 161 10 within the amount appropriated in this section while ensuring 161 11 compliance with federal requirements. The department may adopt 161 12 emergency rules to implement the provisions of this subsection. 161 13 Sec. 128. CHILDREN'S HEALTH INSURANCE PROGRAM. 161 14 1. There is appropriated from the general fund of the 161 15 state to the department of human services for the fiscal year 161 16 beginning July 1, 2016, and ending June 30, 2017, the following 161 17 amount, or so much thereof as is necessary, to be used for the 161 18 purpose designated: 161 19 For maintenance of the healthy and well kids in Iowa (hawk=i) 161 20 program pursuant to chapter 514I, including supplemental dental 161 21 services, for receipt of federal financial participation under 161 22 Tit. XXI of the federal Social Security Act, which creates the 161 23 children's health insurance program: 161 24 .................................................. $ 10,581,922 161 25 2. Of the funds appropriated in this section, $21,400 is 161 26 allocated for continuation of the contract for outreach with 161 27 the department of public health. 161 28 Sec. 129. CHILD CARE ASSISTANCE. There is appropriated 161 29 from the general fund of the state to the department of human 161 30 services for the fiscal year beginning July 1, 2016, and ending 161 31 June 30, 2017, the following amount, or so much thereof as is 161 32 necessary, to be used for the purpose designated: 161 33 For child care programs: 161 34 .................................................. $ 28,319,015 161 35 1. Of the funds appropriated in this section, $24,409,301 162 1 shall be used for state child care assistance in accordance 162 2 with section 237A.13. 162 3 2. Nothing in this section shall be construed or is 162 4 intended as or shall imply a grant of entitlement for services 162 5 to persons who are eligible for assistance due to an income 162 6 level consistent with the waiting list requirements of section 162 7 237A.13. Any state obligation to provide services pursuant to 162 8 this section is limited to the extent of the funds appropriated 162 9 in this section. 162 10 3. Of the funds appropriated in this section, $216,227 162 11 is allocated for the statewide grant program for child care 162 12 resource and referral services under section 237A.26. A list 162 13 of the registered and licensed child care facilities operating 162 14 in the area served by a child care resource and referral 162 15 service shall be made available to the families receiving state 162 16 child care assistance in that area. 162 17 4. Of the funds appropriated in this section, $468,487 162 18 is allocated for child care quality improvement initiatives 162 19 including but not limited to the voluntary quality rating 162 20 system in accordance with section 237A.30. 162 21 5. Of the funds appropriated in this section, $3,175,000 162 22 shall be credited to the early childhood programs grants 162 23 account in the early childhood Iowa fund created in section 162 24 256I.11. The moneys shall be distributed for funding of 162 25 community=based early childhood programs targeted to children 162 26 from birth through five years of age developed by early 162 27 childhood Iowa areas in accordance with approved community 162 28 plans as provided in section 256I.8. 162 29 6. The department may use any of the funds appropriated 162 30 in this section as a match to obtain federal funds for use in 162 31 expanding child care assistance and related programs. For 162 32 the purpose of expenditures of state and federal child care 162 33 funding, funds shall be considered obligated at the time 162 34 expenditures are projected or are allocated to the department's 162 35 service areas. Projections shall be based on current and 163 1 projected caseload growth, current and projected provider 163 2 rates, staffing requirements for eligibility determination 163 3 and management of program requirements including data systems 163 4 management, staffing requirements for administration of the 163 5 program, contractual and grant obligations and any transfers 163 6 to other state agencies, and obligations for decategorization 163 7 or innovation projects. 163 8 7. A portion of the state match for the federal child care 163 9 and development block grant shall be provided as necessary to 163 10 meet federal matching funds requirements through the state 163 11 general fund appropriation made for child development grants 163 12 and other programs for at=risk children in section 279.51. 163 13 8. If a uniform reduction ordered by the governor under 163 14 section 8.31 or other operation of law, transfer, or federal 163 15 funding reduction reduces the appropriation made in this 163 16 section for the fiscal year, the percentage reduction in the 163 17 amount paid out to or on behalf of the families participating 163 18 in the state child care assistance program shall be equal to or 163 19 less than the percentage reduction made for any other purpose 163 20 payable from the appropriation made in this section and the 163 21 federal funding relating to it. The percentage reduction to 163 22 the other allocations made in this section shall be the same as 163 23 the uniform reduction ordered by the governor or the percentage 163 24 change of the federal funding reduction, as applicable. 163 25 If there is an unanticipated increase in federal funding 163 26 provided for state child care assistance, the entire amount 163 27 of the increase shall be used for state child care assistance 163 28 payments. If the appropriations made for purposes of the 163 29 state child care assistance program for the fiscal year are 163 30 determined to be insufficient, it is the intent of the general 163 31 assembly to appropriate sufficient funding for the fiscal year 163 32 in order to avoid establishment of waiting list requirements. 163 33 9. Notwithstanding section 8.33, moneys advanced for 163 34 purposes of the programs developed by early childhood Iowa 163 35 areas, advanced for purposes of wraparound child care, or 164 1 received from the federal appropriations made for the purposes 164 2 of this section that remain unencumbered or unobligated at the 164 3 close of the fiscal year shall not revert to any fund but shall 164 4 remain available for expenditure for the purposes designated 164 5 until the close of the succeeding fiscal year. 164 6 10. Of the funds appropriated in this section, $50,000 164 7 is transferred to the department of public health to be used 164 8 to continue a program to assist parents in this state with 164 9 costs resulting from the death of a child in accordance with 164 10 this subsection. If it is less costly than administering the 164 11 program directly, the department shall issue a request for 164 12 proposals and issue a grant to an appropriate organization to 164 13 administer the program. 164 14 a. The program funding shall be used to assist parents who 164 15 reside in this state with costs incurred for a funeral, burial 164 16 or cremation, cemetery costs, or grave marker costs associated 164 17 with the unintended death of a child of the parent or a child 164 18 under the care of a guardian or custodian. The department 164 19 shall consider the following eligibility factors in developing 164 20 program requirements: 164 21 (1) The child was a stillborn infant or was less than age 164 22 eighteen at the time of death. 164 23 (2) The request for assistance was approved by the local 164 24 board or department of health or the county general assistance 164 25 director and may have been referred by a local funeral home. 164 26 (3) To be eligible, the parent, guardian, or custodian must 164 27 have an annual household income that is less than 145 percent 164 28 of the federal poverty level based on the number of people 164 29 in the applicant's household as defined by the most recently 164 30 revised poverty income guidelines published by the United 164 31 States department of health and human services. 164 32 (4) The maximum amount of grant assistance provided to a 164 33 parent, guardian, or custodian associated with the death of 164 34 a child is $2,000. If the death is a multiple death and the 164 35 infants or children are being cremated, or buried together, the 165 1 same limitation applies. 165 2 (5) To the extent the overall amount of assistance received 165 3 by a recipient for the costs addressed under this subsection 165 4 does not exceed the overall total of the costs, the recipient 165 5 may receive other public or private assistance in addition to 165 6 grant assistance under this section. 165 7 b. Notwithstanding section 8.33, moneys transferred by this 165 8 subsection that remain unencumbered or unobligated at the close 165 9 of the fiscal year shall not revert but shall remain available 165 10 for expenditure for the purposes designated until expended. 165 11 Sec. 130. JUVENILE INSTITUTIONS. There is appropriated 165 12 from the general fund of the state to the department of human 165 13 services for the fiscal year beginning July 1, 2016, and ending 165 14 June 30, 2017, the following amounts, or so much thereof as is 165 15 necessary, to be used for the purposes designated: 165 16 1. For the costs of security, building and grounds 165 17 maintenance, utilities, salary, and support for the facilities 165 18 located at the Iowa juvenile home at Toledo and for salaries, 165 19 support, maintenance, and miscellaneous purposes, and for not 165 20 more than the following full=time equivalent positions: 165 21 .................................................. $ 186,383 165 22 ............................................... FTEs 2.00 165 23 2. For operation of the state training school at Eldora and 165 24 for salaries, support, maintenance, and miscellaneous purposes, 165 25 and for not more than the following full=time equivalent 165 26 positions: 165 27 .................................................. $ 6,222,776 165 28 ............................................... FTEs 169.30 165 29 Of the funds appropriated in this subsection, $45,575 shall 165 30 be used for distribution to licensed classroom teachers at this 165 31 and other institutions under the control of the department of 165 32 human services based upon the average student yearly enrollment 165 33 at each institution as determined by the department. 165 34 Sec. 131. CHILD AND FAMILY SERVICES. 165 35 1. There is appropriated from the general fund of the 166 1 state to the department of human services for the fiscal year 166 2 beginning July 1, 2016, and ending June 30, 2017, the following 166 3 amount, or so much thereof as is necessary, to be used for the 166 4 purpose designated: 166 5 For child and family services: 166 6 .................................................. $ 49,091,090 166 7 2. Up to $2,600,000 of the amount of federal temporary 166 8 assistance for needy families block grant funding appropriated 166 9 in this division of this Act for child and family services 166 10 shall be made available for purposes of juvenile delinquent 166 11 graduated sanction services. 166 12 3. The department may transfer funds appropriated in this 166 13 section as necessary to pay the nonfederal costs of services 166 14 reimbursed under the medical assistance program, state child 166 15 care assistance program, or the family investment program which 166 16 are provided to children who would otherwise receive services 166 17 paid under the appropriation in this section. The department 166 18 may transfer funds appropriated in this section to the 166 19 appropriations made in this division of this Act for general 166 20 administration and for field operations for resources necessary 166 21 to implement and operate the services funded in this section. 166 22 4. a. Of the funds appropriated in this section, up to 166 23 $17,910,893 is allocated as the statewide expenditure target 166 24 under section 232.143 for group foster care maintenance and 166 25 services. If the department projects that such expenditures 166 26 for the fiscal year will be less than the target amount 166 27 allocated in this paragraph "a", the department may reallocate 166 28 the excess to provide additional funding for shelter care 166 29 or the child welfare emergency services addressed with the 166 30 allocation for shelter care. 166 31 b. If at any time after September 30, 2016, annualization 166 32 of a service area's current expenditures indicates a service 166 33 area is at risk of exceeding its group foster care expenditure 166 34 target under section 232.143 by more than 5 percent, the 166 35 department and juvenile court services shall examine all 167 1 group foster care placements in that service area in order to 167 2 identify those which might be appropriate for termination. 167 3 In addition, any aftercare services believed to be needed 167 4 for the children whose placements may be terminated shall be 167 5 identified. The department and juvenile court services shall 167 6 initiate action to set dispositional review hearings for the 167 7 placements identified. In such a dispositional review hearing, 167 8 the juvenile court shall determine whether needed aftercare 167 9 services are available and whether termination of the placement 167 10 is in the best interest of the child and the community. 167 11 5. In accordance with the provisions of section 232.188, 167 12 the department shall continue the child welfare and juvenile 167 13 justice funding initiative during fiscal year 2016=2017. Of 167 14 the funds appropriated in this section, $858,877 is allocated 167 15 specifically for expenditure for fiscal year 2016=2017 through 167 16 the decategorization services funding pools and governance 167 17 boards established pursuant to section 232.188. 167 18 6. A portion of the funds appropriated in this section 167 19 may be used for emergency family assistance to provide other 167 20 resources required for a family participating in a family 167 21 preservation or reunification project or successor project to 167 22 stay together or to be reunified. 167 23 7. Notwithstanding section 234.35 or any other provision 167 24 of law to the contrary, state funding for shelter care and 167 25 the child welfare emergency services contracting implemented 167 26 to provide for or prevent the need for shelter care shall be 167 27 limited to $4,034,237. 167 28 8. Federal funds received by the state during the fiscal 167 29 year beginning July 1, 2016, as the result of the expenditure 167 30 of state funds appropriated during a previous state fiscal 167 31 year for a service or activity funded under this section are 167 32 appropriated to the department to be used as additional funding 167 33 for services and purposes provided for under this section. 167 34 Notwithstanding section 8.33, moneys received in accordance 167 35 with this subsection that remain unencumbered or unobligated at 168 1 the close of the fiscal year shall not revert to any fund but 168 2 shall remain available for the purposes designated until the 168 3 close of the succeeding fiscal year. 168 4 9. a. Of the funds appropriated in this section, up to 168 5 $1,645,000 is allocated for the payment of the expenses of 168 6 court=ordered services provided to juveniles who are under 168 7 the supervision of juvenile court services, which expenses 168 8 are a charge upon the state pursuant to section 232.141, 168 9 subsection 4. Of the amount allocated in this paragraph "a", 168 10 up to $778,144 shall be made available to provide school=based 168 11 supervision of children adjudicated under chapter 232, of which 168 12 not more than $7,500 may be used for the purpose of training. 168 13 A portion of the cost of each school=based liaison officer 168 14 shall be paid by the school district or other funding source as 168 15 approved by the chief juvenile court officer. 168 16 b. Of the funds appropriated in this section, up to $374,493 168 17 is allocated for the payment of the expenses of court=ordered 168 18 services provided to children who are under the supervision 168 19 of the department, which expenses are a charge upon the state 168 20 pursuant to section 232.141, subsection 4. 168 21 c. Notwithstanding section 232.141 or any other provision 168 22 of law to the contrary, the amounts allocated in this 168 23 subsection shall be distributed to the judicial districts 168 24 as determined by the state court administrator and to the 168 25 department's service areas as determined by the administrator 168 26 of the department of human services' division of child and 168 27 family services. The state court administrator and the 168 28 division administrator shall make the determination of the 168 29 distribution amounts on or before June 15, 2016. 168 30 d. Notwithstanding chapter 232 or any other provision of 168 31 law to the contrary, a district or juvenile court shall not 168 32 order any service which is a charge upon the state pursuant 168 33 to section 232.141 if there are insufficient court=ordered 168 34 services funds available in the district court or departmental 168 35 service area distribution amounts to pay for the service. The 169 1 chief juvenile court officer and the departmental service area 169 2 manager shall encourage use of the funds allocated in this 169 3 subsection such that there are sufficient funds to pay for 169 4 all court=related services during the entire year. The chief 169 5 juvenile court officers and departmental service area managers 169 6 shall attempt to anticipate potential surpluses and shortfalls 169 7 in the distribution amounts and shall cooperatively request the 169 8 state court administrator or division administrator to transfer 169 9 funds between the judicial districts' or departmental service 169 10 areas' distribution amounts as prudent. 169 11 e. Notwithstanding any provision of law to the contrary, 169 12 a district or juvenile court shall not order a county to pay 169 13 for any service provided to a juvenile pursuant to an order 169 14 entered under chapter 232 which is a charge upon the state 169 15 under section 232.141, subsection 4. 169 16 f. Of the funds allocated in this subsection, not more than 169 17 $41,500 may be used by the judicial branch for administration 169 18 of the requirements under this subsection. 169 19 g. Of the funds allocated in this subsection, $8,500 169 20 shall be used by the department of human services to support 169 21 the interstate commission for juveniles in accordance with 169 22 the interstate compact for juveniles as provided in section 169 23 232.173. 169 24 10. Of the funds appropriated in this section, $4,026,614 is 169 25 allocated for juvenile delinquent graduated sanctions services. 169 26 Any state funds saved as a result of efforts by juvenile court 169 27 services to earn a federal Tit. IV=E match for juvenile court 169 28 services administration may be used for the juvenile delinquent 169 29 graduated sanctions services. 169 30 11. Of the funds appropriated in this section, $804,143 is 169 31 transferred to the department of public health to be used for 169 32 the child protection center grant program for child protection 169 33 centers located in Iowa in accordance with section 135.118. 169 34 The grant amounts under the program shall be equalized so that 169 35 each center receives a uniform base amount of $122,500, and 170 1 the remaining funds shall be awarded through a funding formula 170 2 based upon the volume of children served. 170 3 12. If the department receives federal approval to 170 4 implement a waiver under Tit. IV=E of the federal Social 170 5 Security Act to enable providers to serve children who remain 170 6 in the children's families and communities, for purposes of 170 7 eligibility under the medical assistance program through 25 170 8 years of age, children who participate in the waiver shall be 170 9 considered to be placed in foster care. 170 10 13. Of the funds appropriated in this section, $2,012,584 is 170 11 allocated for the preparation for adult living program pursuant 170 12 to section 234.46. 170 13 14. Of the funds appropriated in this section, $260,075 170 14 shall be used for juvenile drug courts. The amount allocated 170 15 in this subsection shall be distributed as follows: 170 16 To the judicial branch for salaries to assist with the 170 17 operation of juvenile drug court programs operated in the 170 18 following jurisdictions: 170 19 a. Marshall county: 170 20 .................................................. $ 31,354 170 21 b. Woodbury county: 170 22 .................................................. $ 62,841 170 23 c. Polk county: 170 24 .................................................. $ 97,946 170 25 d. The third judicial district: 170 26 .................................................. $ 33,967 170 27 e. The eighth judicial district: 170 28 .................................................. $ 33,967 170 29 15. Of the funds appropriated in this section, $113,669 170 30 shall be used for the public purpose of continuing a grant to 170 31 a nonprofit human services organization providing services to 170 32 individuals and families in multiple locations in southwest 170 33 Iowa and Nebraska for support of a project providing immediate, 170 34 sensitive support and forensic interviews, medical exams, needs 170 35 assessments, and referrals for victims of child abuse and their 171 1 nonoffending family members. 171 2 16. Of the funds appropriated in this section, $150,310 171 3 is allocated for the foster care youth council approach of 171 4 providing a support network to children placed in foster care. 171 5 17. Of the funds appropriated in this section, $101,000 is 171 6 allocated for use pursuant to section 235A.1 for continuation 171 7 of the initiative to address child sexual abuse implemented 171 8 pursuant to 2007 Iowa Acts, chapter 218, section 18, subsection 171 9 21. 171 10 18. Of the funds appropriated in this section, $315,120 is 171 11 allocated for the community partnership for child protection 171 12 sites. 171 13 19. Of the funds appropriated in this section, $185,625 171 14 is allocated for the department's minority youth and family 171 15 projects under the redesign of the child welfare system. 171 16 20. Of the funds appropriated in this section, $593,298 171 17 is allocated for funding of the community circle of care 171 18 collaboration for children and youth in northeast Iowa. 171 19 21. Of the funds appropriated in this section, at least 171 20 $73,579 shall be used for the continuation of the child 171 21 welfare provider training academy, a collaboration between the 171 22 coalition for family and children's services in Iowa and the 171 23 department. 171 24 22. Of the funds appropriated in this section, $12,500 171 25 shall be used for the public purpose of continuation of a 171 26 grant to a child welfare services provider headquartered in a 171 27 county with a population between 205,000 and 215,000 in the 171 28 latest certified federal census that provides multiple services 171 29 including but not limited to a psychiatric medical institution 171 30 for children, shelter, residential treatment, after school 171 31 programs, school=based programming, and an Asperger's syndrome 171 32 program, to be used for support services for children with 171 33 autism spectrum disorder and their families. 171 34 23. Of the funds appropriated in this section, $12,500 171 35 shall be used for the public purpose of continuing a grant to 172 1 a hospital=based provider headquartered in a county with a 172 2 population between 90,000 and 95,000 in the latest certified 172 3 federal census that provides multiple services including 172 4 but not limited to diagnostic, therapeutic, and behavioral 172 5 services to individuals with autism spectrum disorder across 172 6 one's lifespan. The grant recipient shall utilize the funds 172 7 to continue the pilot project to determine the necessary 172 8 support services for children with autism spectrum disorder and 172 9 their families to be included in the children's disabilities 172 10 services system. The grant recipient shall submit findings and 172 11 recommendations based upon the results of the pilot project 172 12 to the individuals specified in this division of this Act for 172 13 submission of reports by December 31, 2016. 172 14 24. Of the funds appropriated in this section, $105,936 172 15 shall be used for continuation of the central Iowa system of 172 16 care program grant through June 30, 2017. 172 17 25. Of the funds appropriated in this section, $125,000 172 18 shall be used for the public purpose of the continuation 172 19 and expansion of a system of care program grant implemented 172 20 in Cerro Gordo and Linn counties to utilize a comprehensive 172 21 and long=term approach for helping children and families by 172 22 addressing the key areas in a child's life of childhood basic 172 23 needs, education and work, family, and community. 172 24 26. Of the funds appropriated in this section, at least 172 25 $12,500 shall be used to continue and to expand the foster 172 26 care respite pilot program in which postsecondary students in 172 27 social work and other human services=related programs receive 172 28 experience by assisting family foster care providers with 172 29 respite and other support. 172 30 27. Of the funds appropriated in this section, $55,000 172 31 shall be used for the public purpose of funding community=based 172 32 services and other supports with a system of care approach 172 33 for children with a serious emotional disturbance and their 172 34 families through a nonprofit provider of child welfare services 172 35 that has been in existence for more than 115 years, is located 173 1 in a county with a population of more than 200,000 but less 173 2 than 220,000 according to the latest census information 173 3 issued by the United States census bureau, is licensed as a 173 4 psychiatric medical institution for children, and was a system 173 5 of care grantee prior to July 1, 2016. 173 6 Sec. 132. ADOPTION SUBSIDY. 173 7 1. There is appropriated from the general fund of the 173 8 state to the department of human services for the fiscal year 173 9 beginning July 1, 2016, and ending June 30, 2017, the following 173 10 amount, or so much thereof as is necessary, to be used for the 173 11 purpose designated: 173 12 For adoption subsidy payments and services: 173 13 .................................................. $ 21,499,143 173 14 2. The department may transfer funds appropriated in 173 15 this section to the appropriation made in this division of 173 16 this Act for general administration for costs paid from the 173 17 appropriation relating to adoption subsidy. 173 18 3. Federal funds received by the state during the 173 19 fiscal year beginning July 1, 2016, as the result of the 173 20 expenditure of state funds during a previous state fiscal 173 21 year for a service or activity funded under this section are 173 22 appropriated to the department to be used as additional funding 173 23 for the services and activities funded under this section. 173 24 Notwithstanding section 8.33, moneys received in accordance 173 25 with this subsection that remain unencumbered or unobligated 173 26 at the close of the fiscal year shall not revert to any fund 173 27 but shall remain available for expenditure for the purposes 173 28 designated until the close of the succeeding fiscal year. 173 29 Sec. 133. JUVENILE DETENTION HOME FUND. Moneys deposited 173 30 in the juvenile detention home fund created in section 232.142 173 31 during the fiscal year beginning July 1, 2016, and ending June 173 32 30, 2017, are appropriated to the department of human services 173 33 for the fiscal year beginning July 1, 2016, and ending June 30, 173 34 2017, for distribution of an amount equal to a percentage of 173 35 the costs of the establishment, improvement, operation, and 174 1 maintenance of county or multicounty juvenile detention homes 174 2 in the fiscal year beginning July 1, 2015. Moneys appropriated 174 3 for distribution in accordance with this section shall be 174 4 allocated among eligible detention homes, prorated on the basis 174 5 of an eligible detention home's proportion of the costs of all 174 6 eligible detention homes in the fiscal year beginning July 174 7 1, 2015. The percentage figure shall be determined by the 174 8 department based on the amount available for distribution for 174 9 the fund. Notwithstanding section 232.142, subsection 3, the 174 10 financial aid payable by the state under that provision for the 174 11 fiscal year beginning July 1, 2016, shall be limited to the 174 12 amount appropriated for the purposes of this section. 174 13 Sec. 134. FAMILY SUPPORT SUBSIDY PROGRAM. 174 14 1. There is appropriated from the general fund of the 174 15 state to the department of human services for the fiscal year 174 16 beginning July 1, 2016, and ending June 30, 2017, the following 174 17 amount, or so much thereof as is necessary, to be used for the 174 18 purpose designated: 174 19 For the family support subsidy program subject to the 174 20 enrollment restrictions in section 225C.37, subsection 3: 174 21 .................................................. $ 536,966 174 22 2. The department shall use at least $320,750 of the moneys 174 23 appropriated in this section for the family support center 174 24 component of the comprehensive family support program under 174 25 section 225C.47. Not more than $12,500 of the amount allocated 174 26 in this subsection shall be used for administrative costs. 174 27 3. If at any time during the fiscal year, the amount of 174 28 funding available for the family support subsidy program 174 29 is reduced from the amount initially used to establish the 174 30 figure for the number of family members for whom a subsidy 174 31 is to be provided at any one time during the fiscal year, 174 32 notwithstanding section 225C.38, subsection 2, the department 174 33 shall revise the figure as necessary to conform to the amount 174 34 of funding available. 174 35 Sec. 135. CONNER DECREE. There is appropriated from the 175 1 general fund of the state to the department of human services 175 2 for the fiscal year beginning July 1, 2016, and ending June 30, 175 3 2017, the following amount, or so much thereof as is necessary, 175 4 to be used for the purpose designated: 175 5 For building community capacity through the coordination 175 6 and provision of training opportunities in accordance with the 175 7 consent decree of Conner v. Branstad, No. 4=86=CV=30871(S.D. 175 8 Iowa, July 14, 1994): 175 9 .................................................. $ 16,816 175 10 Sec. 136. MENTAL HEALTH INSTITUTES. There is appropriated 175 11 from the general fund of the state to the department of human 175 12 services for the fiscal year beginning July 1, 2016, and ending 175 13 June 30, 2017, the following amounts, or so much thereof as is 175 14 necessary, to be used for the purposes designated: 175 15 1. For the state mental health institute at Cherokee for 175 16 salaries, support, maintenance, and miscellaneous purposes, and 175 17 for not more than the following full=time equivalent positions: 175 18 .................................................. $ 2,772,808 175 19 ............................................... FTEs 169.20 175 20 2. For the state mental health institute at Clarinda for 175 21 salaries, support, maintenance, and miscellaneous purposes, and 175 22 for not more than the following full=time equivalent positions: 175 23 .................................................. $ 906,450 175 24 ............................................... FTEs 86.10 175 25 3. For the state mental health institute at Independence for 175 26 salaries, support, maintenance, and miscellaneous purposes, and 175 27 for not more than the following full=time equivalent positions: 175 28 .................................................. $ 5,195,387 175 29 ............................................... FTEs 233.00 175 30 Sec. 137. STATE RESOURCE CENTERS. 175 31 1. There is appropriated from the general fund of the 175 32 state to the department of human services for the fiscal year 175 33 beginning July 1, 2016, and ending June 30, 2017, the following 175 34 amounts, or so much thereof as is necessary, to be used for the 175 35 purposes designated: 176 1 a. For the state resource center at Glenwood for salaries, 176 2 support, maintenance, and miscellaneous purposes: 176 3 .................................................. $ 11,012,241 176 4 b. For the state resource center at Woodward for salaries, 176 5 support, maintenance, and miscellaneous purposes: 176 6 .................................................. $ 7,466,903 176 7 2. The department may continue to bill for state resource 176 8 center services utilizing a scope of services approach used for 176 9 private providers of intermediate care facilities for persons 176 10 with an intellectual disability services, in a manner which 176 11 does not shift costs between the medical assistance program, 176 12 counties, or other sources of funding for the state resource 176 13 centers. 176 14 3. The state resource centers may expand the time=limited 176 15 assessment and respite services during the fiscal year. 176 16 4. If the department's administration and the department 176 17 of management concur with a finding by a state resource 176 18 center's superintendent that projected revenues can reasonably 176 19 be expected to pay the salary and support costs for a new 176 20 employee position, or that such costs for adding a particular 176 21 number of new positions for the fiscal year would be less 176 22 than the overtime costs if new positions would not be added, 176 23 the superintendent may add the new position or positions. If 176 24 the vacant positions available to a resource center do not 176 25 include the position classification desired to be filled, the 176 26 state resource center's superintendent may reclassify any 176 27 vacant position as necessary to fill the desired position. The 176 28 superintendents of the state resource centers may, by mutual 176 29 agreement, pool vacant positions and position classifications 176 30 during the course of the fiscal year in order to assist one 176 31 another in filling necessary positions. 176 32 5. If existing capacity limitations are reached in 176 33 operating units, a waiting list is in effect for a service or 176 34 a special need for which a payment source or other funding 176 35 is available for the service or to address the special need, 177 1 and facilities for the service or to address the special need 177 2 can be provided within the available payment source or other 177 3 funding, the superintendent of a state resource center may 177 4 authorize opening not more than two units or other facilities 177 5 and begin implementing the service or addressing the special 177 6 need during fiscal year 2016=2017. 177 7 Sec. 138. SEXUALLY VIOLENT PREDATORS. 177 8 1. There is appropriated from the general fund of the 177 9 state to the department of human services for the fiscal year 177 10 beginning July 1, 2016, and ending June 30, 2017, the following 177 11 amount, or so much thereof as is necessary, to be used for the 177 12 purpose designated: 177 13 For costs associated with the commitment and treatment of 177 14 sexually violent predators in the unit located at the state 177 15 mental health institute at Cherokee, including costs of legal 177 16 services and other associated costs, including salaries, 177 17 support, maintenance, and miscellaneous purposes, and for not 177 18 more than the following full=time equivalent positions: 177 19 .................................................. $ 4,946,540 177 20 ............................................... FTEs 132.50 177 21 2. Unless specifically prohibited by law, if the amount 177 22 charged provides for recoupment of at least the entire amount 177 23 of direct and indirect costs, the department of human services 177 24 may contract with other states to provide care and treatment 177 25 of persons placed by the other states at the unit for sexually 177 26 violent predators at Cherokee. The moneys received under 177 27 such a contract shall be considered to be repayment receipts 177 28 and used for the purposes of the appropriation made in this 177 29 section. 177 30 Sec. 139. FIELD OPERATIONS. There is appropriated from the 177 31 general fund of the state to the department of human services 177 32 for the fiscal year beginning July 1, 2016, and ending June 30, 177 33 2017, the following amount, or so much thereof as is necessary, 177 34 to be used for the purposes designated: 177 35 For field operations, including salaries, support, 178 1 maintenance, and miscellaneous purposes, and for not more than 178 2 the following full=time equivalent positions: 178 3 .................................................. $ 29,460,488 178 4 ............................................... FTEs 1,837.00 178 5 1. As a condition of this appropriation, the department 178 6 shall make every possible effort to fill the entire number of 178 7 positions authorized by this section and, unless specifically 178 8 provided otherwise by an applicable collective bargaining 178 9 agreement, the department is not subject to any approval 178 10 requirement external to the department to fill a field 178 11 operations vacancy within the number of full=time equivalent 178 12 positions authorized by this section. The department shall 178 13 report on the first of each month to the chairpersons and 178 14 ranking members of the appropriations committees of the senate 178 15 and house of representatives, and the persons designated by 178 16 this Act for submission of reports concerning the status of 178 17 filling the positions. 178 18 2. Priority in filling full=time equivalent positions 178 19 shall be given to those positions related to child protection 178 20 services and eligibility determination for low=income families. 178 21 Sec. 140. GENERAL ADMINISTRATION. There is appropriated 178 22 from the general fund of the state to the department of human 178 23 services for the fiscal year beginning July 1, 2016, and ending 178 24 June 30, 2017, the following amount, or so much thereof as is 178 25 necessary, to be used for the purpose designated: 178 26 For general administration, including salaries, support, 178 27 maintenance, and miscellaneous purposes, and for not more than 178 28 the following full=time equivalent positions: 178 29 .................................................. $ 7,580,871 178 30 ............................................... FTEs 309.00 178 31 1. Of the funds appropriated in this section, $19,272 is 178 32 allocated for the prevention of disabilities policy council 178 33 created in section 225B.103, if enacted in this or any other 178 34 Act. 178 35 2. The department shall report at least monthly to the 179 1 legislative services agency concerning the department's 179 2 operational and program expenditures. 179 3 3. Of the funds appropriated in this section, $75,000 shall 179 4 be used to continue the contract for the provision of a program 179 5 to provide technical assistance, support, and consultation to 179 6 providers of habilitation services and home and community=based 179 7 services waiver services for adults with disabilities under the 179 8 medical assistance program. 179 9 4. Of the funds appropriated in this section, $25,000 179 10 is transferred to the Iowa finance authority to be used 179 11 for administrative support of the council on homelessness 179 12 established in section 16.2D and for the council to fulfill its 179 13 duties in addressing and reducing homelessness in the state. 179 14 5. Of the funds appropriated in this section, $125,000 179 15 is allocated to an Iowa food bank association selected by 179 16 the department for the purchase of food on behalf of an Iowa 179 17 emergency feeding organization or for the distribution of 179 18 moneys to the Iowa emergency feeding organization for the 179 19 purchase of food. The moneys allocated in this subsection 179 20 shall be allocated only to the extent that the allocated moneys 179 21 are matched on a dollar=for=dollar basis. Notwithstanding 179 22 section 8.33, moneys allocated in this subsection that remain 179 23 unencumbered or unobligated at the close of the fiscal year 179 24 shall not revert but shall remain available for expenditure for 179 25 the purposes designated until the close of the following fiscal 179 26 year. 179 27 6. Of the funds appropriated in this section, $125,000 shall 179 28 be transferred to and deposited in the administrative fund of 179 29 the Iowa ABLE savings plan trust created in section 12I.4, if 179 30 enacted in this or any other Act, to be used for implementation 179 31 and administration activities of the Iowa ABLE savings plan 179 32 trust. 179 33 Sec. 141. VOLUNTEERS. There is appropriated from the 179 34 general fund of the state to the department of human services 179 35 for the fiscal year beginning July 1, 2016, and ending June 30, 180 1 2017, the following amount, or so much thereof as is necessary, 180 2 to be used for the purpose designated: 180 3 For development and coordination of volunteer services: 180 4 .................................................. $ 42,343 180 5 Sec. 142. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY 180 6 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE 180 7 DEPARTMENT OF HUMAN SERVICES. 180 8 1. a. (1) For the fiscal year beginning July 1, 2016, 180 9 the total state funding amount for the nursing facility budget 180 10 shall not exceed $160,950,003. 180 11 (2) The department, in cooperation with nursing facility 180 12 representatives, shall review projections for state funding 180 13 expenditures for reimbursement of nursing facilities on a 180 14 quarterly basis and the department shall determine if an 180 15 adjustment to the medical assistance reimbursement rate is 180 16 necessary in order to provide reimbursement within the state 180 17 funding amount for the fiscal year. Notwithstanding 2001 180 18 Iowa Acts, chapter 192, section 4, subsection 2, paragraph 180 19 "c", and subsection 3, paragraph "a", subparagraph (2), 180 20 if the state funding expenditures for the nursing facility 180 21 budget for the fiscal year are projected to exceed the amount 180 22 specified in subparagraph (1), the department shall adjust 180 23 the reimbursement for nursing facilities reimbursed under the 180 24 case=mix reimbursement system to maintain expenditures of the 180 25 nursing facility budget within the specified amount for the 180 26 fiscal year. 180 27 (3) For the fiscal year beginning July 1, 2016, special 180 28 population nursing facilities shall be reimbursed in accordance 180 29 with the methodology in effect on June 30, 2016. 180 30 (4) For any open or unsettled nursing facility cost report 180 31 for a fiscal year prior to and including the fiscal year 180 32 beginning July 1, 2015, including any cost report remanded on 180 33 judicial review for inclusion of prescription drug, laboratory, 180 34 or x=ray costs, the department shall offset all reported 180 35 prescription drug, laboratory, and x=ray costs with any revenue 181 1 received from Medicare or other revenue source for any purpose. 181 2 For purposes of this subparagraph, a nursing facility cost 181 3 report is not considered open or unsettled if the facility did 181 4 not initiate an administrative appeal under chapter 17A or if 181 5 any appeal rights initiated have been exhausted. 181 6 b. (1) For the fiscal year beginning July 1, 2016, 181 7 the department shall establish the pharmacy dispensing fee 181 8 reimbursement at $11.73 per prescription, until a cost of 181 9 dispensing survey is completed. The actual dispensing fee 181 10 shall be determined by a cost of dispensing survey performed 181 11 by the department and required to be completed by all medical 181 12 assistance program participating pharmacies every two years, 181 13 adjusted as necessary to maintain expenditures within the 181 14 amount appropriated to the department for this purpose for the 181 15 fiscal year. 181 16 (2) The department shall utilize an average acquisition 181 17 cost reimbursement methodology for all drugs covered under the 181 18 medical assistance program in accordance with 2012 Iowa Acts, 181 19 chapter 1133, section 33. 181 20 (3) Notwithstanding subparagraph (2), if the centers for 181 21 Medicare and Medicaid services of the United States department 181 22 of health and human services (CMS) requires, as a condition 181 23 of federal Medicaid funding, that the department implement an 181 24 aggregate federal upper limit (FUL) for drug reimbursement 181 25 based on the average manufacturer's price (AMP), the department 181 26 may utilize a reimbursement methodology for all drugs covered 181 27 under the Medicaid program based on the national average drug 181 28 acquisition cost (NADAC) methodology published by CMS, in order 181 29 to assure compliance with the aggregate FUL, minimize outcomes 181 30 of drug reimbursements below pharmacy acquisition costs, limit 181 31 administrative costs, and minimize any change in the aggregate 181 32 reimbursement for drugs. The department may adopt emergency 181 33 rules to implement this subparagraph. 181 34 c. (1) For the fiscal year beginning July 1, 2016, 181 35 reimbursement rates for outpatient hospital services shall 182 1 remain at the rates in effect on June 30, 2016, subject 182 2 to Medicaid program upper payment limit rules and adjusted 182 3 as necessary to maintain expenditures within the amount 182 4 appropriated to the department for this purpose for the fiscal 182 5 year. 182 6 (2) For the fiscal year beginning July 1, 2016, 182 7 reimbursement rates for inpatient hospital services shall 182 8 remain at the rates in effect on June 30, 2016, subject 182 9 to Medicaid program upper payment limit rules and adjusted 182 10 as necessary to maintain expenditures within the amount 182 11 appropriated to the department for this purpose for the fiscal 182 12 year. 182 13 (3) For the fiscal year beginning July 1, 2016, the graduate 182 14 medical education and disproportionate share hospital fund 182 15 shall remain at the amount in effect on June 30, 2016, except 182 16 that the portion of the fund attributable to graduate medical 182 17 education shall be reduced in an amount that reflects the 182 18 elimination of graduate medical education payments made to 182 19 out=of=state hospitals. 182 20 (4) In order to ensure the efficient use of limited state 182 21 funds in procuring health care services for low=income Iowans, 182 22 funds appropriated in this Act for hospital services shall 182 23 not be used for activities which would be excluded from a 182 24 determination of reasonable costs under the federal Medicare 182 25 program pursuant to 42 U.S.C. {1395x(v)(1)(N). 182 26 d. For the fiscal year beginning July 1, 2016, reimbursement 182 27 rates for rural health clinics, hospices, and acute mental 182 28 hospitals shall be increased in accordance with increases under 182 29 the federal Medicare program or as supported by their Medicare 182 30 audited costs. 182 31 e. For the fiscal year beginning July 1, 2016, independent 182 32 laboratories and rehabilitation agencies shall be reimbursed 182 33 using the same methodology in effect on June 30, 2016. 182 34 f. (1) For the fiscal year beginning July 1, 2016, 182 35 reimbursement rates for home health agencies shall continue to 183 1 be based on the Medicare low utilization payment adjustment 183 2 (LUPA) methodology with state geographic wage adjustments, and 183 3 updated to reflect the most recent Medicare LUPA rates. 183 4 (2) For the fiscal year beginning July 1, 2016, rates for 183 5 private duty nursing and personal care services under the early 183 6 and periodic screening, diagnostic, and treatment program 183 7 benefit shall be calculated based on the methodology in effect 183 8 on June 30, 2016. 183 9 g. For the fiscal year beginning July 1, 2016, federally 183 10 qualified health centers shall receive cost=based reimbursement 183 11 for 100 percent of the reasonable costs for the provision of 183 12 services to recipients of medical assistance. 183 13 h. For the fiscal year beginning July 1, 2016, the 183 14 reimbursement rates for dental services shall remain at the 183 15 rates in effect on June 30, 2016. 183 16 i. (1) For the fiscal year beginning July 1, 2016, 183 17 state=owned psychiatric medical institutions for children shall 183 18 receive cost=based reimbursement for 100 percent of the actual 183 19 and allowable costs for the provision of services to recipients 183 20 of medical assistance. 183 21 (2) For the nonstate=owned psychiatric medical institutions 183 22 for children, reimbursement rates shall be based on the 183 23 reimbursement methodology developed by the department as 183 24 required for federal compliance. 183 25 (3) As a condition of participation in the medical 183 26 assistance program, enrolled providers shall accept the medical 183 27 assistance reimbursement rate for any covered goods or services 183 28 provided to recipients of medical assistance who are children 183 29 under the custody of a psychiatric medical institution for 183 30 children. 183 31 j. For the fiscal year beginning July 1, 2016, unless 183 32 otherwise specified in this Act, all noninstitutional medical 183 33 assistance provider reimbursement rates shall remain at the 183 34 rates in effect on June 30, 2016, except for area education 183 35 agencies, local education agencies, infant and toddler 184 1 services providers, home and community=based services providers 184 2 including consumer=directed attendant care providers under a 184 3 section 1915(c) or 1915(i) waiver, targeted case management 184 4 providers, and those providers whose rates are required to be 184 5 determined pursuant to section 249A.20. 184 6 k. Notwithstanding any provision to the contrary, for the 184 7 fiscal year beginning July 1, 2016, the reimbursement rate for 184 8 anesthesiologists shall remain at the rate in effect on June 184 9 30, 2016. 184 10 l. Notwithstanding section 249A.20, for the fiscal year 184 11 beginning July 1, 2016, the average reimbursement rate for 184 12 health care providers eligible for use of the federal Medicare 184 13 resource=based relative value scale reimbursement methodology 184 14 under section 249A.20 shall remain at the rate in effect on 184 15 June 30, 2016; however, this rate shall not exceed the maximum 184 16 level authorized by the federal government. 184 17 m. For the fiscal year beginning July 1, 2016, the 184 18 reimbursement rate for residential care facilities shall not 184 19 be less than the minimum payment level as established by the 184 20 federal government to meet the federally mandated maintenance 184 21 of effort requirement. The flat reimbursement rate for 184 22 facilities electing not to file annual cost reports shall not 184 23 be less than the minimum payment level as established by the 184 24 federal government to meet the federally mandated maintenance 184 25 of effort requirement. 184 26 n. For the fiscal year beginning July 1, 2016, the 184 27 reimbursement rates for inpatient mental health services 184 28 provided at hospitals shall remain at the rates in effect on 184 29 June 30, 2016, subject to Medicaid program upper payment limit 184 30 rules; and psychiatrists shall be reimbursed at the medical 184 31 assistance program fee=for=service rate in effect on June 30, 184 32 2016. 184 33 o. For the fiscal year beginning July 1, 2016, community 184 34 mental health centers may choose to be reimbursed for the 184 35 services provided to recipients of medical assistance through 185 1 either of the following options: 185 2 (1) For 100 percent of the reasonable costs of the services. 185 3 (2) In accordance with the alternative reimbursement rate 185 4 methodology established by the medical assistance program's 185 5 managed care contractor for mental health services and approved 185 6 by the department of human services. 185 7 p. For the fiscal year beginning July 1, 2016, the 185 8 reimbursement rate for providers of family planning services 185 9 that are eligible to receive a 90 percent federal match shall 185 10 remain at the rates in effect on June 30, 2016. 185 11 q. For the fiscal year beginning July 1, 2016, the upper 185 12 limits on reimbursement rates for providers of home and 185 13 community=based services waiver services shall remain at the 185 14 limits in effect on June 30, 2016. 185 15 r. For the fiscal year beginning July 1, 2016, the 185 16 reimbursement rates for emergency medical service providers 185 17 shall remain at the rates in effect on June 30, 2016. 185 18 s. For the fiscal year beginning July 1, 2016, reimbursement 185 19 rates for substance=related disorder treatment programs 185 20 licensed under section 125.13 shall remain at the rates in 185 21 effect on June 30, 2016. 185 22 2. For the fiscal year beginning July 1, 2016, the 185 23 reimbursement rate for providers reimbursed under the 185 24 in=home=related care program shall not be less than the minimum 185 25 payment level as established by the federal government to meet 185 26 the federally mandated maintenance of effort requirement. 185 27 3. Unless otherwise directed in this section, when the 185 28 department's reimbursement methodology for any provider 185 29 reimbursed in accordance with this section includes an 185 30 inflation factor, this factor shall not exceed the amount 185 31 by which the consumer price index for all urban consumers 185 32 increased during the calendar year ending December 31, 2002. 185 33 4. For the fiscal year beginning July 1, 2016, the foster 185 34 family basic daily maintenance rate and the maximum adoption 185 35 subsidy rate for children ages 0 through 5 years shall be 186 1 $16.78, the rate for children ages 6 through 11 years shall be 186 2 $17.45, the rate for children ages 12 through 15 years shall 186 3 be $19.10, and the rate for children and young adults ages 16 186 4 and older shall be $19.35. For youth ages 18 to 21 who have 186 5 exited foster care, the preparation for adult living program 186 6 maintenance rate shall be $602.70 per month. The maximum 186 7 payment for adoption subsidy nonrecurring expenses shall be 186 8 limited to $500 and the disallowance of additional amounts 186 9 for court costs and other related legal expenses implemented 186 10 pursuant to 2010 Iowa Acts, chapter 1031, section 408, shall 186 11 be continued. 186 12 5. For the fiscal year beginning July 1, 2016, the maximum 186 13 reimbursement rates for social services providers under 186 14 contract shall remain at the rates in effect on June 30, 2016, 186 15 or the provider's actual and allowable cost plus inflation for 186 16 each service, whichever is less. However, if a new service 186 17 or service provider is added after June 30, 2016, the initial 186 18 reimbursement rate for the service or provider shall be based 186 19 upon a weighted average of provider rates for similar services. 186 20 6. For the fiscal year beginning July 1, 2016, the 186 21 reimbursement rates for resource family recruitment and 186 22 retention contractors, child welfare emergency services 186 23 contractors, and supervised apartment living foster care 186 24 providers shall remain at the rates in effect on June 30, 2016. 186 25 7. For the fiscal year beginning July 1, 2016, the 186 26 reimbursement rate for safety plan services and family safety, 186 27 risk, and permanency services (family=centered) shall be as 186 28 follows: 186 29 a. The statewide base monthly payment amount for all 186 30 family safety, risk, and permanency services (family=centered) 186 31 contractors shall be the rate in effect on June 30, 2016. 186 32 (1) Family safety, risk, and permanency services 186 33 Performance Measure 1 payments shall be the rate in effect on 186 34 June 30, 2016. 186 35 (2) Family safety, risk, and permanency services 187 1 Performance Measure 2 payments shall be the rate in effect on 187 2 June 30, 2016. 187 3 (3) Family safety, risk, and permanency services 187 4 Performance Measure 3 payments shall be the rate in effect on 187 5 June 30, 2016. 187 6 (4) Family safety, risk, and permanency services 187 7 Performance Measure 4 payments shall be the rate in effect on 187 8 June 30, 2016. 187 9 b. The maximum reimbursement unit rate for safety plan 187 10 services shall be the rate in effect on June 30, 2016. 187 11 (1) Safety plan services Performance Measure 1 payments 187 12 shall be the rate in effect on June 30, 2016. 187 13 (2) Safety plan services Performance Measure 2 payments 187 14 shall be the rate in effect on June 30, 2016. 187 15 8. a. For the purposes of this subsection, "combined 187 16 reimbursement rate" means the combined service and maintenance 187 17 reimbursement rate for a service level under the department's 187 18 reimbursement methodology. Effective July 1, 2016, the 187 19 combined reimbursement rate for a group foster care service 187 20 level shall be the amount designated in this subsection. 187 21 However, if a group foster care provider's reimbursement rate 187 22 for a service level as of June 30, 2016, is more than the rate 187 23 designated in this subsection, the provider's reimbursement 187 24 shall remain at the higher rate. 187 25 b. Unless a group foster care provider is subject to the 187 26 exception provided in paragraph "a", effective July 1, 2016, 187 27 the combined reimbursement rates for the service levels under 187 28 the department's reimbursement methodology shall be as follows: 187 29 (1) For service level, community = D1, the daily rate shall 187 30 be at least $84.17. 187 31 (2) For service level, comprehensive = D2, the daily rate 187 32 shall be at least $119.09. 187 33 (3) For service level, enhanced = D3, the daily rate shall 187 34 be at least $131.09. 187 35 9. The group foster care reimbursement rates paid for 188 1 placement of children out of state shall be calculated 188 2 according to the same rate=setting principles as those used for 188 3 in=state providers, unless the director of human services or 188 4 the director's designee determines that appropriate care cannot 188 5 be provided within the state. The payment of the daily rate 188 6 shall be based on the number of days in the calendar month in 188 7 which service is provided. 188 8 10. a. For the fiscal year beginning July 1, 2016, the 188 9 reimbursement rate paid for shelter care and the child welfare 188 10 emergency services implemented to provide or prevent the need 188 11 for shelter care shall be established by contract. 188 12 b. For the fiscal year beginning July 1, 2016, the combined 188 13 service and maintenance components of the reimbursement rate 188 14 paid for shelter care services shall be based on the financial 188 15 and statistical report submitted to the department. The 188 16 maximum reimbursement rate shall be $101.83 per day. The 188 17 department shall reimburse a shelter care provider at the 188 18 provider's actual and allowable unit cost, plus inflation, not 188 19 to exceed the maximum reimbursement rate. 188 20 c. Notwithstanding section 232.141, subsection 8, for the 188 21 fiscal year beginning July 1, 2016, the amount of the statewide 188 22 average of the actual and allowable rates for reimbursement of 188 23 juvenile shelter care homes that is utilized for the limitation 188 24 on recovery of unpaid costs shall remain at the amount in 188 25 effect for this purpose in the fiscal year beginning July 1, 188 26 2015. 188 27 11. For the fiscal year beginning July 1, 2016, the 188 28 department shall calculate reimbursement rates for intermediate 188 29 care facilities for persons with an intellectual disability 188 30 at the 80th percentile. Beginning July 1, 2016, the rate 188 31 calculation methodology shall utilize the consumer price index 188 32 inflation factor applicable to the fiscal year beginning July 188 33 1, 2016. 188 34 12. For the fiscal year beginning July 1, 2016, for child 188 35 care providers reimbursed under the state child care assistance 189 1 program, the department shall set provider reimbursement 189 2 rates based on the rate reimbursement survey completed in 189 3 December 2004. Effective July 1, 2016, the child care provider 189 4 reimbursement rates shall remain at the rates in effect on June 189 5 30, 2016. The department shall set rates in a manner so as 189 6 to provide incentives for a nonregistered provider to become 189 7 registered by applying the increase only to registered and 189 8 licensed providers. 189 9 13. For the fiscal year beginning July 1, 2016, if the 189 10 centers for Medicare and Medicaid services of the United 189 11 States department of health and human services approves the 189 12 waivers necessary to implement medical assistance program 189 13 managed care applicable to any providers or services subject to 189 14 reimbursement under this section, notwithstanding any provision 189 15 to the contrary under this section, affected providers or 189 16 services shall instead be reimbursed as follows: 189 17 a. For fee=for=service claims, reimbursement rates shall 189 18 be calculated based on the methodology otherwise specified in 189 19 this section for the fiscal year beginning July 1, 2016, for 189 20 the respective provider or service. 189 21 b. For claims subject to a managed care contract, 189 22 reimbursement shall be based on the actuarially sound 189 23 capitation rates established under the contract. However, 189 24 any reimbursement established under such contract shall not 189 25 be lower than the reimbursement otherwise specified in this 189 26 section for the fiscal year beginning July 1, 2016, for the 189 27 respective provider or service. 189 28 14. The department may adopt emergency rules to implement 189 29 this section. 189 30 Sec. 143. EMERGENCY RULES. 189 31 1. If specifically authorized by a provision of this 189 32 division of this Act, the department of human services or 189 33 the mental health and disability services commission may 189 34 adopt administrative rules under section 17A.4, subsection 189 35 3, and section 17A.5, subsection 2, paragraph "b", to 190 1 implement the provisions of this division of this Act and 190 2 the rules shall become effective immediately upon filing or 190 3 on a later effective date specified in the rules, unless the 190 4 effective date of the rules is delayed or the applicability 190 5 of the rules is suspended by the administrative rules review 190 6 committee. Any rules adopted in accordance with this section 190 7 shall not take effect before the rules are reviewed by the 190 8 administrative rules review committee. The delay authority 190 9 provided to the administrative rules review committee under 190 10 section 17A.4, subsection 7, and section 17A.8, subsection 9, 190 11 shall be applicable to a delay imposed under this section, 190 12 notwithstanding a provision in those sections making them 190 13 inapplicable to section 17A.5, subsection 2, paragraph "b". 190 14 Any rules adopted in accordance with the provisions of this 190 15 section shall also be published as a notice of intended action 190 16 as provided in section 17A.4. 190 17 2. If during a fiscal year, the department of human 190 18 services is adopting rules in accordance with this section 190 19 or as otherwise directed or authorized by state law, and the 190 20 rules will result in an expenditure increase beyond the amount 190 21 anticipated in the budget process or if the expenditure was 190 22 not addressed in the budget process for the fiscal year, the 190 23 department shall notify the persons designated by this division 190 24 of this Act for submission of reports, the chairpersons and 190 25 ranking members of the committees on appropriations, and 190 26 the department of management concerning the rules and the 190 27 expenditure increase. The notification shall be provided at 190 28 least 30 calendar days prior to the date notice of the rules 190 29 is submitted to the administrative rules coordinator and the 190 30 administrative code editor. 190 31 Sec. 144. REPORTS. Any reports or other information 190 32 required to be compiled and submitted under this Act during the 190 33 fiscal year beginning July 1, 2016, shall be submitted to the 190 34 chairpersons and ranking members of the joint appropriations 190 35 subcommittee on health and human services, the legislative 191 1 services agency, and the legislative caucus staffs on or 191 2 before the dates specified for submission of the reports or 191 3 information. 191 4 Sec. 145. EFFECTIVE UPON ENACTMENT. The following 191 5 provisions of this division of this Act, being deemed of 191 6 immediate importance, take effect upon enactment: 191 7 1. The provision relating to section 232.141 and directing 191 8 the state court administrator and the division administrator of 191 9 the department of human services division of child and family 191 10 services to make the determination, by June 15, 2016, of the 191 11 distribution of funds allocated for the payment of the expenses 191 12 of court=ordered services provided to juveniles which are a 191 13 charge upon the state. 191 14 DIVISION XXXVI 191 15 HEALTH CARE ACCOUNTS AND FUNDS ==== FY 2016=2017 191 16 Sec. 146. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is 191 17 appropriated from the pharmaceutical settlement account created 191 18 in section 249A.33 to the department of human services for the 191 19 fiscal year beginning July 1, 2016, and ending June 30, 2017, 191 20 the following amount, or so much thereof as is necessary, to be 191 21 used for the purpose designated: 191 22 Notwithstanding any provision of law to the contrary, to 191 23 supplement the appropriations made in this Act for medical 191 24 contracts under the medical assistance program for the fiscal 191 25 year beginning July 1, 2016, and ending June 30, 2017: 191 26 .................................................. $ 250,000 191 27 Sec. 147. QUALITY ASSURANCE TRUST FUND ==== DEPARTMENT OF 191 28 HUMAN SERVICES. Notwithstanding any provision to the contrary 191 29 and subject to the availability of funds, there is appropriated 191 30 from the quality assurance trust fund created in section 191 31 249L.4 to the department of human services for the fiscal year 191 32 beginning July 1, 2016, and ending June 30, 2017, the following 191 33 amounts, or so much thereof as is necessary, for the purposes 191 34 designated: 191 35 To supplement the appropriation made in this Act from the 192 1 general fund of the state to the department of human services 192 2 for medical assistance for the same fiscal year: 192 3 .................................................. $ 18,352,604 192 4 Sec. 148. HOSPITAL HEALTH CARE ACCESS TRUST FUND ==== 192 5 DEPARTMENT OF HUMAN SERVICES. Notwithstanding any provision to 192 6 the contrary and subject to the availability of funds, there is 192 7 appropriated from the hospital health care access trust fund 192 8 created in section 249M.4 to the department of human services 192 9 for the fiscal year beginning July 1, 2016, and ending June 192 10 30, 2017, the following amounts, or so much thereof as is 192 11 necessary, for the purposes designated: 192 12 To supplement the appropriation made in this Act from the 192 13 general fund of the state to the department of human services 192 14 for medical assistance for the same fiscal year: 192 15 .................................................. $ 17,350,000 192 16 Sec. 149. MEDICAL ASSISTANCE PROGRAM ==== NONREVERSION 192 17 FOR FY 2016=2017. Notwithstanding section 8.33, if moneys 192 18 appropriated for purposes of the medical assistance program for 192 19 the fiscal year beginning July 1, 2016, and ending June 30, 192 20 2017, from the general fund of the state, the quality assurance 192 21 trust fund and the hospital health care access trust fund, are 192 22 in excess of actual expenditures for the medical assistance 192 23 program and remain unencumbered or unobligated at the close 192 24 of the fiscal year, the excess moneys shall not revert but 192 25 shall remain available for expenditure for the purposes of the 192 26 medical assistance program until the close of the succeeding 192 27 fiscal year. 192 28 DIVISION XXXVII 192 29 PROPERTY TAX RELIEF FUND ==== BLOCK GRANT MONEYS ==== MENTAL HEALTH 192 30 INSTITUTES 192 31 Sec. 150. MENTAL HEALTH INSTITUTES. The moneys transferred 192 32 to the property tax relief fund for the fiscal year beginning 192 33 July 1, 2016, from the federal social services block grant 192 34 pursuant to 2015 Iowa Acts, House File 630, if enacted, and 192 35 from the federal temporary assistance for needy families block 193 1 grant, totaling at least $11,774,275, are appropriated to the 193 2 department of human services for the fiscal year beginning July 193 3 1, 2016, and ending June 30, 2017, to be used for the purposes 193 4 designated: 193 5 1. For the state mental health institute at Clarinda for 193 6 salaries, support, maintenance, and miscellaneous purposes: 193 7 .................................................. $ 2,418,254 193 8 2. For the state mental health institute at Mount Pleasant 193 9 for salaries, support, maintenance, and miscellaneous purposes, 193 10 and for not more than the following full=time equivalent 193 11 positions: 193 12 .................................................. $ 3,468,884 193 13 ............................................... FTEs 97.68 193 14 DIVISION XXXVIII 193 15 PERSONNEL SETTLEMENT AGREEMENT PAYMENTS 193 16 Sec. 151. PERSONNEL SETTLEMENT AGREEMENT PAYMENTS. As a 193 17 condition of the appropriations in this 2016 Act, the moneys 193 18 appropriated and any other moneys available shall not be used 193 19 for payment of a personnel settlement agreement that contains a 193 20 confidentiality provision intended to prevent public disclosure 193 21 of the agreement or any terms of the agreement. 193 22 EXPLANATION 193 23 The inclusion of this explanation does not constitute agreement with 193 24 the explanation's substance by the members of the general assembly. 193 25 This bill relates to appropriations for health and human 193 26 services made in fiscal years 2015=2016 and 2016=2017 to the 193 27 department of veterans affairs, Iowa veterans home, department 193 28 on aging (IDA), office of long=term care ombudsman, department 193 29 of public health (DPH), Iowa finance authority, department of 193 30 human rights, and department of human services (DHS). 193 31 The bill is organized into divisions. 193 32 DEPARTMENT ON AGING. These divisions make appropriations 193 33 from the general fund of the state for the department on aging 193 34 for FY 2015=2016 and FY 2016=2017. 193 35 OFFICE OF LONG=TERM CARE OMBUDSMAN. These divisions make 194 1 appropriations from the general fund of the state for the 194 2 office of long=term care ombudsman for FY 2015=2016 and FY 194 3 2016=2017. 194 4 DEPARTMENT OF PUBLIC HEALTH. These divisions make 194 5 appropriations from the general fund of the state for the 194 6 department of public health for FY 2015=2016 and FY 2016=2017. 194 7 DEPARTMENT OF VETERANS AFFAIRS AND IOWA VETERANS HOME. 194 8 These divisions make appropriations from the general fund 194 9 of the state for the department of veterans affairs for 194 10 FY 2015=2016 and FY 2016=2017 for administration, the Iowa 194 11 veterans home, for transfer to the Iowa finance authority for 194 12 the home ownership assistance program, and for the county 194 13 commissions of veterans affairs. 194 14 DEPARTMENT OF HUMAN SERVICES. These divisions make 194 15 appropriations from the general fund of the state and the 194 16 federal temporary assistance for needy families block grant to 194 17 DHS for FY 2015=2016 and FY 2016=2017. The allocation for the 194 18 family development and self=sufficiency grant program is made 194 19 directly to the department of human rights. The reimbursement 194 20 section addresses reimbursement for providers reimbursed by the 194 21 department of human services. The bill provides for separate 194 22 appropriations for medical assistance program costs and other 194 23 departmental expenditures associated with the redesign of 194 24 mental health and disability services and for Iowa health and 194 25 wellness plan expenditures. 194 26 HEALTH CARE ACCOUNTS AND FUND. These divisions make 194 27 certain health=related appropriations for FY 2015=2016 and 194 28 FY 2016=2017. A number of the appropriations are made for 194 29 purposes of the medical assistance (Medicaid) program in 194 30 addition to the general fund appropriations made for this 194 31 purpose for the same fiscal year. 194 32 MEDICAL ASSISTANCE PROGRAM NONREVERSION. These divisions 194 33 provide that if the total amounts appropriated from all sources 194 34 for the Medicaid program for FY 2015=2016 or FY 2016=2017 194 35 exceed the amount needed, the excess remains available to be 195 1 used for the program in the succeeding fiscal year. 195 2 MEDICAL HOME SYSTEM ADVISORY COUNCIL. This division amends 195 3 the Code to rename the medical home system advisory council the 195 4 patient=centered health advisory council. 195 5 PRIOR YEAR APPROPRIATIONS AND OTHER PRIOR PROVISIONS. This 195 6 division includes amendments to appropriations and other 195 7 provisions made in prior years. The division is effective upon 195 8 enactment and is retroactively applicable to July 1, 2014, and 195 9 includes: 195 10 DECATEGORIZATION CARRYOVER FUNDING. This division directs 195 11 that moneys remaining in the funding pool that are unencumbered 195 12 or unobligated at the close of FY 2012=2013 and were deemed 195 13 carryover funds do not revert to the general fund of the state 195 14 but are transferred to the Medicaid program for FY 2014=2015. 195 15 ADJUSTMENT OF AMOUNTS OF PRIOR APPROPRIATIONS AND 195 16 ALLOCATIONS. The division adjusts amounts appropriated 195 17 and allocated for FY 2014=2015 for community mental health 195 18 services, the temporary assistance for needy families program, 195 19 the child support recovery unit, Medicaid, medical contracts, 195 20 state supplementary assistance, the children's health insurance 195 21 program/healthy and well kids in Iowa program, child care 195 22 assistance, juvenile child in need of assistance placements, 195 23 child and family services, adoption subsidy, family support 195 24 subsidy, field operations, general administration, the 195 25 pharmaceutical settlement account, and the quality assurance 195 26 trust fund. 195 27 MENTAL HEALTH AND DISABILITY SERVICES REGIONAL FUNDING 195 28 APPROPRIATION. This division provides that for FFY 2014=2015, 195 29 FFY 2015=2016, and FFY 2016=2017, from the federal social 195 30 services block grant, if allocated, moneys in an amount 195 31 totaling at least $11,774,275 annually, are appropriated to DHS 195 32 for each of the state fiscal years beginning July 1, 2015, and 195 33 July 1, 2016, to be distributed to mental health and disability 195 34 service regions through the property tax relief fund for mental 195 35 health and disability services in accordance with Code section 196 1 426B.3. 196 2 QUALITY ASSURANCE ASSESSMENT. This division establishes 196 3 the aggregate quality assurance assessments imposed on nursing 196 4 facilities at 3 percent of the aggregate non=Medicare revenues 196 5 of a nursing facility. Current law provides for a range in 196 6 establishing the amount. 196 7 HEALTH OVERSIGHT. This division establishes a committee 196 8 comprised of legislators to provide oversight for health 196 9 policy in the state. The division also specifies limitations 196 10 on the use of capitated payments to Medicaid managed care 196 11 organizations. The division provides for an interagency study 196 12 to develop a proposal for a health consumer ombudsman alliance, 196 13 for third=party assessment of consumer service plans, and for 196 14 assistance and advocacy relating to long=term services and 196 15 supports. 196 16 AUTISM. This division amends provisions of the autism 196 17 support program (Code chapter 225D). The division amends 196 18 the definition of "autism service provider" to include a 196 19 board=certified assistant behavior analyst who performs duties 196 20 under the supervision of a board=certified behavior analyst 196 21 and eliminates the inclusion of a health professional licensed 196 22 under Code chapter 147 from the definition. The division also 196 23 increases the age limit for an eligible child from 9 to 15 196 24 years, and provides that proof of eligibility for the program 196 25 includes a written denial or a coverage of benefits summary 196 26 that indicates that applied behavioral analysis treatment is 196 27 not covered under the individual's coverage. 196 28 OFFICE OF SUBSTITUTE DECISION MAKER. This division extends 196 29 from July 1, 2015, to July 1, 2017, the date by which local 196 30 offices of the office of substitute decision maker are to be 196 31 established statewide. 196 32 DEMENTIA WORKFORCE. This division provides for the 196 33 establishment of an interagency dementia=proficient workforce 196 34 task force to review recommendations for a standard curriculum 196 35 model for dementia education, identify staff who should 197 1 have some level of dementia proficiency, and develop an 197 2 implementation plan to transition toward competency=based 197 3 dementia curricula and training to achieve dementia proficiency 197 4 across the care continuum. The task force is directed to 197 5 submit its recommendations to the governor and the general 197 6 assembly by December 15, 2015. 197 7 PHARMACEUTICAL COLLECTION AND DISPOSAL PROGRAM. This 197 8 division increases the codified limitation on the portion 197 9 of certain fees collected by the board of pharmacy that may 197 10 be used for administering the pharmaceutical collection and 197 11 disposal program from $125,000 to $175,000. 197 12 MEDICAID STATE PLAN ==== FAMILY PLANNING. This division 197 13 directs the department of human services to amend the Medicaid 197 14 state plan to include the eligibility provisions of the Iowa 197 15 family planning network section 1115 demonstration waiver in 197 16 effect on January 1, 2015. The state plan amendment would be 197 17 effective no later than January 1, 2016. DHS is to implement 197 18 the state plan amendment upon receipt of federal approval. 197 19 This division takes effect upon enactment. 197 20 IOWA ABLE SAVINGS PLAN TRUST. This division creates an 197 21 Iowa ABLE (Achieving A Better Life Experience) savings plan 197 22 trust and provides for various Iowa individual income tax and 197 23 inheritance tax benefits. 197 24 BACKGROUND. On December 19, 2014, the federal Achieving 197 25 A Better Life Experience Act of 2014 (ABLE Act) was enacted 197 26 as part of the federal Tax Increase Prevention Act of 2014 197 27 (Pub. L. No. 113=295). The ABLE Act allows states to create 197 28 programs to assist individuals in saving private funds for 197 29 the purpose of supporting individuals with disabilities. 197 30 Qualifying state programs will allow for the establishment 197 31 of accounts into which eligible disabled individuals or 197 32 others may make contributions for the payment of future 197 33 disability=related expenses of the eligible disabled 197 34 individual. Funds and earnings in accounts established 197 35 under qualifying state programs are afforded federal benefits 198 1 in certain circumstances, including federal tax exemption, 198 2 bankruptcy protection, and exclusion from consideration under 198 3 certain means=tested programs, such as Medicaid or supplemental 198 4 security income. 198 5 IOWA ABLE SAVINGS PLAN TRUST. The division creates the Iowa 198 6 ABLE savings plan trust (trust) under the treasurer of state 198 7 (state treasurer) that will meet the requirements of {529A of 198 8 the Internal Revenue Code (federal ABLE program). The state 198 9 treasurer is the trustee of the trust and has numerous powers, 198 10 as specified in the division, for the purpose of carrying out 198 11 the purpose of the trust. 198 12 The trust is authorized to enter into participation 198 13 agreements beginning July 1, 2016, with individuals for the 198 14 payment of future qualified disability expenses, and to enter 198 15 into contracts with other states (contracting state) to allow 198 16 these states' residents access to the Iowa ABLE program. 198 17 "Qualified disability expenses" means the same as defined 198 18 under the federal ABLE program, which generally defines the 198 19 term to include expenses related to a designated beneficiary's 198 20 education, housing, transportation, employment training and 198 21 support, assistive technology and personal support services, 198 22 health, prevention and wellness, financial management and 198 23 administrative services, legal fees, expenses for oversight and 198 24 monitoring, funeral and burial expenses, and other expenses 198 25 approved by the secretary of the United States treasury 198 26 (secretary). 198 27 Unless otherwise allowed under the federal ABLE program, 198 28 the person with whom the state treasurer enters into a 198 29 participation agreement must be both the account owner and 198 30 designated beneficiary. However, the division allows a trustee 198 31 or legal guardian to be designated as custodian of an account 198 32 for a designated beneficiary who is a minor or who lacks 198 33 capacity to enter into a participation agreement, provided 198 34 such designation would be allowed under the federal ABLE 198 35 program. "Designated beneficiary" is defined in the division 199 1 as a person who is a resident of Iowa or a contracting state 199 2 and who qualifies as an eligible individual under the federal 199 3 ABLE program, which includes individuals who are entitled 199 4 to benefits based on blindness or disability under Title II 199 5 (disability insurance) or Title XVI (supplemental security 199 6 income) of the federal Social Security Act if such blindness 199 7 or disability occurred before attaining 26 years of age, and 199 8 if such individual files a disability certification with the 199 9 secretary. 199 10 The division requires the state treasurer to maintain a 199 11 separate account in the trust for each designated beneficiary 199 12 of a participation agreement. Unless otherwise allowed under 199 13 the federal ABLE program, only one participation agreement 199 14 shall be allowed per designated beneficiary. Any person is 199 15 allowed to make contributions in the form of cash to an account 199 16 on behalf of a designated beneficiary. The trust is required 199 17 to maintain limits on the annual contributions to an account, 199 18 and the aggregate balance in an account, matching those set 199 19 forth in the federal ABLE program, which prohibits annual 199 20 contributions to an account from exceeding the annual gift tax 199 21 exclusion amount ($14,000 for 2015), and prohibits an aggregate 199 22 account balance from exceeding the limit set by a state under 199 23 its qualified tuition program (currently $320,000 for Iowa). 199 24 The division also permits the treasurer of state to defer 199 25 implementation of the Iowa ABLE program and alternatively enter 199 26 into an agreement with another state's qualified ABLE program 199 27 to provide Iowa residents access to that state's program, if 199 28 certain requirements specified in the division are satisfied. 199 29 The division provides other various terms and conditions for 199 30 participation agreements, use and segregation of trust funds, 199 31 cancellation of agreements and refund of account balances, and 199 32 ownership rights in the trust. The division provides that 199 33 an account may be claimed by the Iowa Medicaid program upon 199 34 the death of the designated beneficiary, in accordance with 199 35 the federal ABLE program. The division requires the state 200 1 treasurer to prepare and submit audited financial reports to 200 2 the governor and general assembly, and further requires the 200 3 state treasurer to comply with any reporting requirements of 200 4 the federal ABLE program. 200 5 IOWA TAX BENEFITS. The division provides several tax 200 6 benefits under the trust. First, the value of any interest 200 7 in the trust or other contracted state's qualified ABLE 200 8 program of a decedent who was an Iowa resident dying on or 200 9 after January 1, 2016, is excluded from the Iowa inheritance 200 10 tax. Second, contributions to the trust or other contracted 200 11 state's qualified ABLE program made on or after January 1, 200 12 2016, on behalf of a designated beneficiary who is an Iowa 200 13 resident are deductible from the Iowa individual income tax 200 14 up to the maximum amount allowed per beneficiary per year for 200 15 purposes of the Iowa educational savings plan trust in Code 200 16 chapter 12D. For 2015, that amount is set at $3,163. Any 200 17 amounts refunded to a taxpayer from the cancellation of a 200 18 participation agreement or that are withdrawn for purposes 200 19 other than the payment of qualified disability expenses of the 200 20 designated beneficiary must be included in Iowa net income to 200 21 the extent they were previously deducted by the taxpayer or any 200 22 other person as a contribution. Third, income and earnings 200 23 from the trust or received by resident account owners from a 200 24 contracted state's qualified ABLE program are exempt from the 200 25 Iowa individual income tax. The individual income tax benefits 200 26 apply to tax years beginning on or after January 1, 2016. 200 27 CONTINGENT IMPLEMENTATION. The implementation of the 200 28 division is subject to an appropriation with the purpose of the 200 29 trust stated. 200 30 CHILD CARE ASSISTANCE. The division requires the department 200 31 of human services to amend its administrative rules relating to 200 32 income eligibility for state child care assistance, according 200 33 to family size for children needing basic care, to families 200 34 whose nonexempt gross monthly income does not exceed 160 200 35 percent of the federal poverty level. The division makes a 201 1 conforming Code change to Code section 237A.13 relating to 201 2 waiting lists for state child care assistance. 201 3 COUNTY MENTAL HEALTH AND DISABILITIES SERVICES FUNDING 201 4 ==== EQUALIZATION AND MEDICAID OFFSET. The mental health and 201 5 disability services (MH/DS) levy limitations and equalization 201 6 payment provisions based on general population funding of 201 7 $47.28 per capita are currently in effect through FY 2015=2016. 201 8 This division amends Code sections 331.424A, relating to 201 9 the MH/DS levy, and 426B.3, relating to per capita funding, 201 10 equalization, and Medicaid offset, to extend these provisions 201 11 by one year to FY 2016=2017. The division eliminates the 201 12 county repayment of Medicaid offset amounts in Code section 201 13 426B.3, subsection 5, to the state effective July 1, 2015. 201 14 MEDICAID OFFSET PAYMENTS ==== PROPERTY TAX RELIEF FUND 201 15 APPROPRIATIONS. This division makes appropriations from the 201 16 moneys credited to the property tax relief fund in the form 201 17 of county Medicaid offset payments for the FY 2015=2016. The 201 18 moneys are appropriated to DHS for reductions in the waiting 201 19 lists of all Medicaid home and community=based services 201 20 waivers; for a grant for a public awareness campaign regarding 201 21 the signs of Alzheimer's disease and other related dementias 201 22 and the resources available to people living with Alzheimer's 201 23 disease and other related dementias; for development of an 201 24 application for a planning grant through the substance abuse 201 25 and mental health services administration of the United States 201 26 department of health and human services to participate in 201 27 a two=year pilot for certified community behavioral health 201 28 clinics. The division provides that moneys credited to 201 29 the property tax relief fund in the form of county Medicaid 201 30 offset payments for FY 2015=2016 shall be distributed to a 201 31 mental health and disability services region if 25 percent of 201 32 the region's FY 2015=2016 projected expenditures exceed the 201 33 region's FY 2015=2016 projected fund balance. 201 34 PROPERTY TAX RELIEF FUND ==== BLOCK GRANT FUNDS ==== MENTAL 201 35 HEALTH INSTITUTES APPROPRIATIONS. This division provides for 202 1 the appropriation of moneys transferred to the property tax 202 2 relief fund from the federal social services block grant for 202 3 FY 2015=2016 to the mental health institutes at Mount Pleasant 202 4 and Clarinda. 202 5 CHILD WELFARE ADVISORY COMMITTEE. This division requires 202 6 the child welfare advisory committee of the council on human 202 7 services to study procedures in the department of human 202 8 services for receiving complaints from families involved 202 9 in guardianship, placement, and custody proceedings, the 202 10 specificity and clarity of court orders issued in foster care 202 11 placement cases, caseload trends of social workers including 202 12 an analysis of how Iowa compares nationally and with best 202 13 practices as defined by national associations, and immunity 202 14 provisions for social workers employed by the department of 202 15 human services and basic qualifications of social workers 202 16 employed by the department of human services. The committee is 202 17 required to submit a report with findings and recommendations 202 18 to the governor and general assembly on or before December 15, 202 19 2015. 202 20 COVERAGE OF SERVICES PROVIDED BY A PHYSICAL THERAPIST, 202 21 OCCUPATIONAL THERAPIST, OR SPEECH PATHOLOGIST. This division 202 22 provides that a policy, contract, or plan providing for 202 23 third=party payment or prepayment of health or medical 202 24 expenses shall not impose a copayment or coinsurance amount 202 25 on an insured for services provided by a physical therapist, 202 26 occupational therapist, or speech pathologist that is greater 202 27 than the copayment or coinsurance amount imposed on the insured 202 28 for services rendered by a person engaged in the practice of 202 29 medicine and surgery or osteopathic medicine and surgery for 202 30 the same or a similar diagnosed condition even if a different 202 31 nomenclature is used to describe the condition for which the 202 32 services are provided. 202 33 The division applies to specified individual and group 202 34 policies, contracts, and plans that are issued for delivery, 202 35 continued, or renewed in this state on or after July 1, 2015. 203 1 CHILDREN'S MENTAL HEALTH AND WELL=BEING WORKGROUP. This 203 2 division directs the department of human services, in 203 3 cooperation with the departments of education and public 203 4 health, to facilitate a workgroup of stakeholders to study 203 5 and make recommendations relating to children's mental health 203 6 and well=being in the state. The division specifies the 203 7 issues that may be considered by the workgroup, including a 203 8 strategic plan for data systems; a comprehensive system of 203 9 care for children that incorporates a coordinated response to 203 10 mental health issues across many disciplines, and specifically 203 11 addresses the effects of adverse childhood experiences 203 12 and extreme child poverty and homelessness; and increasing 203 13 awareness of and creating strategies to address child mental 203 14 health and well=being. The workgroup is directed to review 203 15 the 2014 report of the children's defense fund on the state 203 16 of America's children and the most complex issues affecting 203 17 children's health and well=being and to develop and recommend 203 18 proactive strategies to address the information presented. The 203 19 workgroup is directed to submit a report to the governor and 203 20 the general assembly by December 15, 2015. 203 21 PREVENTION OF DISABILITIES POLICY COUNCIL. This division 203 22 relates to the prevention of disabilities policy council. 203 23 In 1991, the general assembly established the prevention 203 24 of disabilities council (council) in Code chapter 225B. The 203 25 council was created to establish a system to coordinate 203 26 prevention of disability activities among state departments and 203 27 to assist the governor and the general assembly in determining 203 28 priorities and establishing policies for the prevention of 203 29 disabilities. 203 30 The division amends provisions in Code chapter 225B relating 203 31 to prevention activities of the council, council membership, 203 32 duties, and coordination efforts with state agencies and 203 33 disability groups, and related definitions. 203 34 The division defines prevention activities of the council 203 35 to include policies, programs, and practices that prevent a 204 1 disability or a condition that leads to a disability from 204 2 occurring; that identify a disability or a condition that leads 204 3 to a disability early on so that the intervention can eliminate 204 4 the risk of a disability or minimize the disability's effect; 204 5 or that reduce the effects of a disability on an individual's 204 6 health and independence. The division amends the definition of 204 7 a disability to be the same as the federal definition under the 204 8 federal Americans with Disabilities Act (42 U.S.C. {12102). 204 9 The division provides that the council replaces the current 204 10 Iowa developmental disabilities council, to be abolished by 204 11 law July 1, 2015, in providing recommendations for individual 204 12 appointments of voting members to the council and council 204 13 membership is expanded to include ex officio representatives 204 14 from the department on aging, and the departments of education, 204 15 public health, and human services. 204 16 The duties of the council are expanded to include reviewing 204 17 the prevention of disabilities activities of public and 204 18 private entities and providing recommendations to optimize 204 19 the planning, implementation, and evaluation of prevention of 204 20 disabilities efforts; promoting cooperative and complementary 204 21 planning among the public, nonpublic, and volunteer sectors 204 22 involved in prevention of disabilities activities; facilitating 204 23 coordination of prevention of disabilities activities 204 24 among state departments to develop an integrated system of 204 25 care; providing support and technical assistance to public 204 26 or nonpublic entities to identify, seek, implement, and 204 27 evaluate state, federal, and private grants for prevention 204 28 of disabilities activities; encouraging research into the 204 29 causes and prevention of disabilities, including methods to 204 30 evaluate the effectiveness of prevention efforts; and promoting 204 31 professional and provider training in evidence=based prevention 204 32 of disabilities measures and assure adequate dissemination of 204 33 such to appropriate entities. 204 34 The division provides that the directors or deputy directors 204 35 of the state department on aging, and the departments of 205 1 education, human services, and public health shall meet at 205 2 least annually with the council to provide updates to the 205 3 council regarding the status of prevention of disabilities 205 4 policies and receive new policy and program recommendations 205 5 from the council regarding the prevention of disabilities. 205 6 Chairpersons and staff of public and private state disability 205 7 groups are encouraged to meet with the council annually 205 8 to identify ways to incorporate prevention of disabilities 205 9 activities within Iowa's disabilities services system and 205 10 to assist in developing a policy agenda for prevention of 205 11 disabilities system improvements. 205 12 The division directs the department of human services to 205 13 adopt rules to implement the division, subject to council 205 14 approval. 205 15 FACILITY FOR PERSONS WITH AGGRESSIVE OR PSYCHIATRIC 205 16 BEHAVIORS ==== INTERIM COMMITTEE ==== REPORT. This division 205 17 relates to the housing of persons who are sexually aggressive 205 18 or combative or who have unmet geropsychiatric needs. The 205 19 division requests the legislative council to establish 205 20 an interim legislative study committee relating to the 205 21 establishment of one or more facilities to provide care and 205 22 treatment for persons who are sexually aggressive, combative, 205 23 or who have unmet geropsychiatric needs. The study committee 205 24 shall receive testimony from certain stakeholders with 205 25 interests or expertise in the resident population identified 205 26 for care and treatment, and shall specifically address and 205 27 make recommendations relating to the characteristics of the 205 28 residents for such a facility and the size of the resident 205 29 population to be served; options for creating a new facility 205 30 or expanding an existing facility; workforce recruitment, 205 31 training, and compensation issues; Medicaid reimbursement 205 32 qualifications; and any other information deemed appropriate 205 33 by the committee. 205 34 The committee must provide a report of findings and 205 35 recommendations to the governor and general assembly by January 206 1 1, 2016. 206 2 ANATOMICAL GIFT PUBLIC AWARENESS AND TRANSPLANTATION FUND. 206 3 This division provides that instead of a limitation of not 206 4 more than 50 percent, any unobligated moneys in the anatomical 206 5 gift public awareness and transplantation fund, annually, may 206 6 be expended in the form of grants to transplant recipients, 206 7 transplant candidates, or living organ donors, or to legal 206 8 representatives on behalf of transplant recipients, transplant 206 9 candidates, or living organ donors. Such grants are based on 206 10 grant applications submitted with supporting documentation 206 11 provided by a hospital that performs transplants, verifying 206 12 that the person by or for whom the application is submitted 206 13 requires a transplant or is a living organ donor and specifying 206 14 the amount of the costs associated with the costs of the organ 206 15 transplantation procedure, the costs of post=transplantation 206 16 drug or other therapy, and other transplantation costs 206 17 including but not limited to food, lodging, and transportation, 206 18 if funds are not available from any other third=party payor. 206 19 Under current law, not more than 5 percent of the moneys in 206 20 the fund may be used by the Iowa department of public health 206 21 for administrative costs and of the remaining moneys in the 206 22 fund, not more than 20 percent annually may be expended in 206 23 the form of grants to state agencies or to nonprofit legal 206 24 entities with an interest in anatomical gift public awareness 206 25 and transplantation to conduct public awareness projects; and 206 26 not more than 30 percent annually may be expended in the form 206 27 of grants to hospitals for reimbursement for costs directly 206 28 related to the development of in=hospital anatomical gift 206 29 public awareness projects, anatomical gift referral protocols, 206 30 and associated administrative expenses. 206 31 HOSPITAL AND LONG=TERM CARE PHARMACY PRACTICE ==== 206 32 PNEUMOCOCCAL VACCINES. This division directs the board of 206 33 pharmacy to adopt rules pursuant to chapter 17A relating to 206 34 hospital and long=term care pharmacy practice that allow, 206 35 as authorized by federal law, in addition to influenza and 207 1 pneumococcal polysaccharide vaccines, that a written or verbal 207 2 patient=specific medication administration order shall not 207 3 be required prior to administration to an adult patient of 207 4 pneumococcal conjugate vaccine pursuant to physician=approved 207 5 hospital or facility policy and after the patient has been 207 6 assessed for contraindications. 207 7 HEALTHY AND WELL KIDS IN IOWA PROGRAM ==== CONTINUED 207 8 ENROLLMENT. This division provides that at the end of the 207 9 12=month eligibility period when a child's family circumstances 207 10 are subject to review to determine continued eligibility, 207 11 pending such review, the child shall continue to be eligible 207 12 for and remain enrolled in the same plan if the family complies 207 13 with requirements to provide information and verification of 207 14 income, otherwise cooperates in the annual review process, 207 15 and submits the completed review form and any information 207 16 necessary to establish continued eligibility in a timely manner 207 17 in accordance with administrative rules. 207 18 PERSONNEL SETTLEMENT AGREEMENT PAYMENTS. This division 207 19 provides that as a condition of the appropriations in the 207 20 Act, the moneys appropriated and any other moneys available 207 21 shall not be used for payment of a personnel settlement 207 22 agreement that contains a confidentiality provision intended to 207 23 prevent public disclosure of the agreement or any terms of the 207 24 agreement. 207 25 MEDICAID REIMBURSEMENT == PSYCHOLOGISTS. The division 207 26 provides that in addition to psychologists who are licensed 207 27 in the state where the services are provided and meet other 207 28 specifications, psychologists who are licensed under Code 207 29 chapter 154B (psychologists) are entitled to payment for 207 30 services provided to recipients of Medicaid, subject to 207 31 limitations and exclusions the department of human services 207 32 finds necessary based on federal law and funds available. LSB 2653SV (2) 86 pf/rj
