Bill Text: IA SF505 | 2015-2016 | 86th General Assembly | Amended
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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-Amended.html
Bill Title: A bill for an act relating to appropriations for health and human services and veterans and including other related provisions and appropriations, 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-Amended.html
Senate File 505 - Reprinted SENATE FILE BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO SSB 1288) (As Amended and Passed by the Senate May 6, 2015) 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: SF 505 (4) 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 division 14 13 (a), not less than $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), not less than $348,322 shall be distributed to free 14 19 clinics and free clinics of Iowa for necessary infrastructure, 14 20 statewide coordination, provider recruitment, service delivery, 14 21 and provision of assistance to patients in securing a medical 14 22 home inclusive of oral health care. 14 23 (iii) Of the amount allocated in this subparagraph division 14 24 (a), not less than $50,000 shall be distributed to the Iowa 14 25 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), not less than $213,748 shall be distributed to the Polk 14 31 county medical society for continuation of the safety net 14 32 provider patient access to a specialty health care initiative 14 33 as 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 85 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 DECISION MAKER 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 and caseload trends of social workers, including an analysis 109 22 of how Iowa compares nationally and with best practices as 109 23 utilized by other states. The study shall also identify 109 24 methods for decreasing social worker caseloads. The committee 109 25 shall submit a report with findings and recommendations to the 109 26 governor and general assembly on or before December 15, 2015. 109 27 DIVISION XXII 109 28 COVERAGE OF SERVICES PROVIDED BY A PHYSICAL THERAPIST, 109 29 OCCUPATIONAL THERAPIST, OR SPEECH PATHOLOGIST 109 30 Sec. 99. NEW SECTION. 514C.30 Services provided by 109 31 a physical therapist, occupational therapist, or speech 109 32 pathologist. 109 33 1. Notwithstanding the uniformity of treatment requirements 109 34 of section 514C.6, a policy, contract, or plan providing 109 35 for third=party payment or prepayment of health or medical 110 1 expenses shall not impose a copayment or coinsurance amount 110 2 on an insured for services provided by a physical therapist 110 3 licensed pursuant to chapter 148A, by an occupational therapist 110 4 licensed pursuant to chapter 148B, or by a speech pathologist 110 5 licensed pursuant to 154F that is greater than the copayment or 110 6 coinsurance amount imposed on the insured for services provided 110 7 by a person engaged in the practice of medicine and surgery 110 8 or osteopathic medicine and surgery under chapter 148 for the 110 9 same or a similar diagnosed condition even if a different 110 10 nomenclature is used to describe the condition for which the 110 11 services are provided. 110 12 2. This section applies to the following classes of 110 13 third=party payment provider policies, contracts, or plans 110 14 delivered, issued for delivery, continued, or renewed in this 110 15 state on or after July 1, 2015: 110 16 a. Individual or group accident and sickness insurance 110 17 providing coverage on an expense=incurred basis. 110 18 b. An individual or group hospital or medical service 110 19 contract issued pursuant to chapter 509, 514, or 514A. 110 20 c. An individual or group health maintenance organization 110 21 contract regulated under chapter 514B. 110 22 d. A plan established pursuant to chapter 509A for public 110 23 employees. 110 24 e. An organized delivery system licensed by the director of 110 25 public health. 110 26 3. This section shall not apply to accident=only, 110 27 specified disease, short=term hospital or medical, hospital 110 28 confinement indemnity, credit, dental, vision, Medicare 110 29 supplement, long=term care, basic hospital and medical=surgical 110 30 expense coverage as defined by the commissioner, disability 110 31 income insurance coverage, coverage issued as a supplement 110 32 to liability insurance, workers' compensation or similar 110 33 insurance, or automobile medical payment insurance. 110 34 DIVISION XXIII 110 35 CHILDREN'S MENTAL HEALTH AND WELL=BEING WORKGROUP 111 1 Sec. 100. CHILDREN'S MENTAL HEALTH AND WELL=BEING 111 2 WORKGROUP. The department of human services, in cooperation 111 3 with the departments of education and public health, shall 111 4 facilitate a workgroup of stakeholders to study and make 111 5 recommendations relating to children's mental health and 111 6 well=being in this state. The issues that may be considered 111 7 by the workgroup include developing a strategic plan for 111 8 data systems to provide for a comprehensive analysis of 111 9 the mental health and well=being of children in this state; 111 10 creating a comprehensive system of care for children that 111 11 incorporates a coordinated response to mental health issues 111 12 across many disciplines including education, public health, 111 13 mental health, child welfare, and child welfare systems 111 14 and services and that specifically addresses the effects of 111 15 adverse childhood experiences and extreme child poverty and 111 16 homelessness; and building interdepartmental awareness of 111 17 issues relating to child mental health and well=being and 111 18 creating interdepartmental strategies for helping improve 111 19 child mental health and well=being and understanding impacts 111 20 on education and employment outcomes; examining child care 111 21 quality and affordability; and determining how government can 111 22 create community partnerships to help address issues of child 111 23 mental health and well=being. In carrying out the charge 111 24 of the workgroup, the workgroup shall review a 2014 report 111 25 by the children's defense fund on the state of America's 111 26 children containing the most recent and reliable national and 111 27 state=by=state data on many complex issues affecting children's 111 28 health and well=being, including data on more than 7,000 111 29 homeless public school students in Iowa. The workgroup shall 111 30 develop and recommend proactive strategies across state systems 111 31 to address these most complex needs impacting children's mental 111 32 health and well=being which will also aid different populations 111 33 of children with fewer challenges. The workgroup shall submit 111 34 a report on the study and make recommendations to the governor 111 35 and the general assembly on or before December 15, 2015. 112 1 DIVISION XXIV 112 2 PREVENTION OF DISABILITIES POLICY COUNCIL 112 3 Sec. 101. NEW SECTION. 225B.101 Findings and intent. 112 4 1. The general assembly finds that: 112 5 a. Between ten and twenty percent of Iowans have a 112 6 disability that affects their ability to learn, work, 112 7 communicate, perform activities of daily living, and 112 8 participate in everyday community life. These disabilities 112 9 are the result of genetics, environmental factors, injury, or 112 10 illness; may occur at any point in life; may be mild, severe, 112 11 or intermittent; and are often very costly for the individuals 112 12 affected, their families, and government both in terms of 112 13 quality of life and financial expenditures. 112 14 b. Most disabilities are due to conditions that can be 112 15 prevented, can be minimized if recognized and treated early, or 112 16 can be reduced through appropriate accommodation. 112 17 c. A need exists to optimize the use of cost=effective 112 18 prevention of disability strategies in state policies and 112 19 programs in order to reduce the cost of disabilities to Iowa's 112 20 citizens and government. 112 21 2. It is the intent of the general assembly to establish 112 22 a structure and process to identify opportunities to enhance 112 23 prevention of disability efforts in Iowa, design cross=agency 112 24 strategies to address the prevention of disabilities, integrate 112 25 and coordinate proven prevention of disability strategies 112 26 within state programs, and inform the general assembly about 112 27 priority prevention of disability policies and programs. 112 28 Sec. 102. NEW SECTION. 225B.102 Definitions. 112 29 As used in this chapter, unless the context otherwise 112 30 requires: 112 31 1. "Council" means the prevention of disabilities policy 112 32 council. 112 33 2. "Disability" means an individual who meets the definition 112 34 in 42 U.S.C. {12102. 112 35 3. "Prevention" activities include policies, programs, and 113 1 practices that do any of the following: 113 2 a. Prevent a disability or a condition that leads to a 113 3 disability from occurring. 113 4 b. Identify a disability or a condition that leads to a 113 5 disability early on so that intervention can eliminate the risk 113 6 of a disability or minimize the disability's effect. 113 7 c. Reduce the effects of a disability on an individual's 113 8 health and independence. 113 9 Sec. 103. NEW SECTION. 225B.103 Prevention of disabilities 113 10 policy council established ==== membership ==== duties. 113 11 1. A prevention of disabilities policy council is 113 12 established to focus state prevention of disability efforts 113 13 and provide oversight in the development and operation of a 113 14 coordinated prevention of disabilities system. The council 113 15 shall consist of the following members: 113 16 a. Three providers of disability prevention services 113 17 appointed by the governor and confirmed by the senate. The 113 18 governor may consider recommendations from the prevention of 113 19 disabilities policy council in making appointments. 113 20 b. Three persons with expertise in priority prevention areas 113 21 appointed by the governor and confirmed by the senate. The 113 22 governor may consider recommendations from the prevention of 113 23 disabilities policy council in making appointments. 113 24 c. Three persons with disabilities or family members 113 25 of a person with disabilities appointed by the governor, 113 26 and confirmed by the senate. The governor may consider 113 27 recommendations from the prevention of disabilities policy 113 28 council in making appointments. 113 29 d. One representative each from the department on aging, 113 30 department of education, department of human services, and 113 31 department of public health appointed by the directors of the 113 32 respective agencies. 113 33 e. Two members of the senate appointed by the senate 113 34 majority leader and minority leader and two members of the 113 35 house of representatives appointed by the speaker of the house 114 1 and the house minority leader. 114 2 2. Members of the council appointed by the governor shall 114 3 serve three=year staggered terms for terms beginning and ending 114 4 as provided in section 69.19. Members representing the state 114 5 departments shall serve one=year terms and shall serve as ex 114 6 officio, nonvoting members. Members of the general assembly 114 7 appointed to the council shall serve two=year terms as provided 114 8 in section 69.16B and shall serve as ex officio, nonvoting 114 9 members. Vacancies on the council shall be filled in the same 114 10 manner as original appointments. Members are entitled to 114 11 reimbursement of actual expenses incurred in performance of 114 12 their official duties. 114 13 3. The council shall do all of the following: 114 14 a. Review the prevention of disabilities activities of 114 15 public and private entities and provide recommendations to 114 16 optimize the planning, implementation, and evaluation of 114 17 prevention of disabilities efforts. 114 18 b. Promote cooperative and complementary planning among the 114 19 public, nonpublic, and volunteer sectors involved in prevention 114 20 of disabilities activities. 114 21 c. Facilitate coordination of prevention of disabilities 114 22 activities among state departments to develop an integrated 114 23 system of care. 114 24 d. Provide support and technical assistance to public 114 25 or nonpublic entities to identify, seek, implement, and 114 26 evaluate state, federal, and private grants for prevention of 114 27 disabilities activities. 114 28 e. Encourage research into the causes and prevention of 114 29 disabilities, including methods to evaluate the effectiveness 114 30 of prevention efforts. 114 31 f. Promote professional and provider training in 114 32 evidence=based prevention of disabilities measures and assure 114 33 adequate dissemination of such to appropriate entities. 114 34 g. Submit to the governor and general assembly annually by 114 35 November 1 a report that includes all of the following: 115 1 (1) A summary of all disabilities prevention activities 115 2 conducted since the preceding annual report. 115 3 (2) Recommendations for policy and priorities for the 115 4 prevention of disabilities. 115 5 4. The council shall meet at least six times during the 115 6 year. A majority of the members of the council constitutes a 115 7 quorum and a quorum is necessary to act on matters within the 115 8 purview of the council. 115 9 Sec. 104. NEW SECTION. 225B.104 Rules. 115 10 The department of human services shall adopt and update 115 11 administrative rules as necessary to implement the provisions 115 12 of this chapter. All rules adopted by the department of human 115 13 services pursuant to this section are subject to approval by 115 14 the council. 115 15 Sec. 105. NEW SECTION. 225B.105 Coordination with state 115 16 agencies. 115 17 1. The directors or deputy directors of the state 115 18 departments on aging, and of education, human services, and 115 19 public health shall meet at least annually with the council and 115 20 shall do all of the following: 115 21 a. Provide an update to the council regarding the status 115 22 of prevention of disabilities policies and programs with 115 23 each respective department and provide recommendations about 115 24 priorities the council should consider in the next year. 115 25 b. Receive new policy and program recommendations from the 115 26 council regarding the prevention of disabilities. 115 27 2. The council may seek and receive data from state 115 28 departments that will aid in developing, implementing, and 115 29 evaluating prevention of disabilities efforts and systems in 115 30 Iowa. 115 31 Sec. 106. NEW SECTION. 225B.106 Coordination with 115 32 disability groups. 115 33 The chairpersons and designated staff of chairpersons of 115 34 public and private state disabilities prevention groups shall 115 35 meet with the council at least annually to do all of the 116 1 following: 116 2 1. Identify ways to incorporate prevention of disabilities 116 3 activities within Iowa's disabilities services system. 116 4 2. Assist in developing a policy agenda for prevention of 116 5 disabilities services system improvements. 116 6 Sec. 107. NEW SECTION. 225B.107 Evaluation. 116 7 The state's prevention of disability effort and the council 116 8 are subject to review and evaluation by the governor and the 116 9 general assembly. 116 10 DIVISION XXV 116 11 FACILITY FOR PERSONS WITH AGGRESSIVE OR PSYCHIATRIC BEHAVIORS 116 12 ==== INTERIM COMMITTEE 116 13 Sec. 108. FACILITY FOR PERSONS WITH AGGRESSIVE OR 116 14 PSYCHIATRIC BEHAVIORS ==== INTERIM COMMITTEE ==== REPORT. 116 15 1. The legislative council is requested to establish an 116 16 interim study committee relating to the establishment of one 116 17 or more facilities to provide care and treatment for persons 116 18 who are sexually aggressive, combative, or who have unmet 116 19 geropsychiatric needs. 116 20 2. The study committee shall be composed of ten members 116 21 of the general assembly. Five members shall be members of 116 22 the senate, three of whom shall be appointed by the majority 116 23 leader of the senate, and two of whom shall be appointed by 116 24 the minority leader of the senate. Five members shall be 116 25 members of the house of representatives, three of whom shall 116 26 be appointed by the speaker of the house of representatives, 116 27 and two of whom shall be appointed by the minority leader of 116 28 the house of representatives. 116 29 3. The study committee shall receive testimony from 116 30 stakeholders with an interest or expertise relating to the 116 31 care and treatment of persons who are sexually aggressive, 116 32 combative, or who have unmet geropsychiatric needs including 116 33 health care providers, long=term care facilities, hospitals, 116 34 health systems, and other entities; consumers and families of 116 35 consumers; individuals involved in the delivery and financing 117 1 of related services and supports; and representatives of 117 2 agencies responsible for oversight, funding, and regulation of 117 3 such services and supports. 117 4 4. The study committee shall specifically address and 117 5 make recommendations relating to the characteristics of the 117 6 residents for such a facility and the size of the resident 117 7 populations to be served; options for creating a new facility 117 8 or expanding an existing facility; workforce recruitment, 117 9 training, and compensation issues; requirements that the 117 10 facility or facilities must meet in order to qualify for 117 11 Medicaid reimbursement; and any other information deemed 117 12 appropriate by the committee. 117 13 5. The study committee shall meet during the 2015 117 14 legislative interim and shall submit a report and 117 15 recommendations to the general assembly by January 1, 2016. 117 16 DIVISION XXVI 117 17 ANATOMICAL GIFT PUBLIC AWARENESS AND TRANSPLANTATION FUND 117 18 Sec. 109. Section 142C.15, subsection 4, paragraph c, 117 19 unnumbered paragraph 1, Code 2015, is amended to read as 117 20 follows: 117 21Not more than fifty percent of theAny unobligated moneys 117 22 in the fund annually may be expended in the form of grants to 117 23 transplant recipients, transplant candidates, living organ 117 24 donors, or to legal representatives on behalf of transplant 117 25 recipients, transplant candidates, or living organ donors. 117 26 Transplant recipients, transplant candidates, living organ 117 27 donors, or the legal representatives of transplant recipients, 117 28 transplant candidates, or living organ donors shall submit 117 29 grant applications with supporting documentation provided 117 30 by a hospital that performs transplants, verifying that the 117 31 person by or for whom the application is submitted requires a 117 32 transplant or is a living organ donor and specifying the amount 117 33 of the costs associated with the following, if funds are not 117 34 available from any other third=party payor: 117 35 DIVISION XXVII 118 1 HOSPITAL AND LONG=TERM CARE PHARMACY PRACTICE ==== 118 2 PNEUMOCOCCAL VACCINES ==== BOARD OF PHARMACY RULES 118 3 Sec. 110. HOSPITAL AND LONG=TERM CARE PHARMACY PRACTICE ==== 118 4 PNEUMOCOCCAL VACCINES ==== BOARD OF PHARMACY RULES. The board 118 5 of pharmacy shall adopt rules pursuant to chapter 17A relating 118 6 to hospital and long=term care pharmacy practices that allow, 118 7 as authorized by federal law, in addition to influenza and 118 8 pneumococcal polysaccharide vaccines, that a written or verbal 118 9 patient=specific medication administration order shall not 118 10 be required prior to administration to an adult patient of 118 11 pneumococcal conjugate vaccine pursuant to physician=approved 118 12 hospital or facility policy and after the patient has been 118 13 assessed for contraindications. 118 14 DIVISION XXVIII 118 15 HEALTHY AND WELL KIDS IN IOWA PROGRAM ==== CONTINUED ENROLLMENT 118 16 Sec. 111. Section 514I.8, subsection 3, Code 2015, is 118 17 amended to read as follows: 118 18 3. In accordance with the rules adopted by the board, a 118 19 child may be determined to be presumptively eligible for the 118 20 program pending a final eligibility determination. Following 118 21 final determination of eligibility, a child shall be eligible 118 22 for a twelve=month period. At the end of the twelve=month 118 23 period, a review of the circumstances of the child's family 118 24 shall be conducted to establish eligibility and cost sharing 118 25 for the subsequent twelve=month period. Pending such review 118 26 of the circumstances of the child's family, the child shall 118 27 continue to be eligible for and remain enrolled in the same 118 28 plan if the family complies with requirements to provide 118 29 information and verification of income, otherwise cooperates 118 30 in the annual review process, and submits the completed 118 31 review form and any information necessary to establish 118 32 continued eligibility in a timely manner in accordance with 118 33 administrative rules. 118 34 DIVISION XXIX 118 35 PERSONNEL SETTLEMENT AGREEMENT PAYMENTS 119 1 Sec. 112. PERSONNEL SETTLEMENT AGREEMENT PAYMENTS. As a 119 2 condition of the appropriations in this 2015 Act, the moneys 119 3 appropriated and any other moneys available shall not be used 119 4 for payment of a personnel settlement agreement that contains a 119 5 confidentiality provision intended to prevent public disclosure 119 6 of the agreement or any terms of the agreement. 119 7 DIVISION XXX 119 8 MEDICAID REIMBURSEMENT == PSYCHOLOGISTS 119 9 Sec. 113. Section 249A.15, Code 2015, is amended to read as 119 10 follows: 119 11 249A.15 Licensed psychologists eligible for payment. 119 12 The department shall adopt rules pursuant to chapter 17A 119 13 entitling psychologists who are licensed pursuant to chapter 119 14 154B and psychologists who are licensed in the state where 119 15 the services are provided and have a doctorate degree in 119 16 psychology, have had at least two years of clinical experience 119 17 in a recognized health setting, or have met the standards of a 119 18 national register of health service providers in psychology, 119 19 to payment for services provided to recipients of medical 119 20 assistance, subject to limitations and exclusions the 119 21 department finds necessary on the basis of federal laws and 119 22 regulations and of funds available for the medical assistance 119 23 program. 119 24 DIVISION XXXI 119 25 HOME MODIFICATION ASSISTANCE PROGRAM PLAN 119 26 Sec. 114. HOME MODIFICATION ASSISTANCE PROGRAM PLAN. 119 27 1. The aging and disability resource center and the mental 119 28 health and disability services commission shall jointly 119 29 develop a plan for a home modification assistance program to 119 30 provide grants and individual income tax credits to assist with 119 31 expenses related to the making of permanent home modifications 119 32 that permit individuals with a disability in this state to 119 33 remain in their homes and age in place. The plan shall include 119 34 the following components: 119 35 a. The plan shall develop criteria and procedures for 120 1 establishing eligibility of individuals with a disability 120 2 under the program, and in doing so the plan shall utilize the 120 3 definition of disability found in 42 U.S.C. {12102 and shall 120 4 require appropriate certifications from the primary health care 120 5 providers of individuals with a disability. 120 6 b. The plan shall establish criteria for determining the 120 7 type of home modification expenses that will be eligible for a 120 8 grant or tax credit award under the program. 120 9 c. The plan shall develop criteria and procedures for 120 10 receiving grants and tax credits under the program, and shall 120 11 determine the maximum amount of grants and tax credits that 120 12 may be provided to an individual with a disability under the 120 13 program. 120 14 d. The plan shall provide that individuals with a disability 120 15 shall utilize any funding for home modification under the 120 16 Medicaid program to the fullest extent possible before becoming 120 17 eligible to participate in the home modification assistance 120 18 program to ensure that the program's grants and tax credits do 120 19 not supplant available Medicaid program resources. 120 20 e. The plan shall provide that grants under the program 120 21 shall be available to individuals with a disability with annual 120 22 incomes that do not exceed 250 percent of the federal poverty 120 23 level, and that individual income tax credits under the program 120 24 shall be available to individuals with a disability with annual 120 25 incomes exceeding 250 percent but not exceeding 450 percent of 120 26 the federal poverty level. 120 27 f. The plan shall avoid placing unrealistic expectations 120 28 and overly burdensome requirements on individuals with a 120 29 disability and their families, particularly those living in 120 30 rural areas. 120 31 2. In developing the plan for the home modification 120 32 assistance program, the aging and disability resource center 120 33 and the mental health and disability services commission shall 120 34 seek input from and consult with the department on aging, the 120 35 department of human services, the department of revenue, and 121 1 other interested public and private stakeholders. 121 2 3. The aging and disability resource center and the mental 121 3 health and disability services commission shall submit the plan 121 4 on or before December 15, 2015, to the chairpersons and ranking 121 5 members of the joint appropriations subcommittee on health and 121 6 human services, to the chairpersons and ranking members of the 121 7 senate and house standing committees on human resources, to 121 8 the chairpersons and ranking members of the senate and house 121 9 standing committees on ways and means, and to the governor. 121 10 DIVISION XXXII 121 11 MEDICAID PROGRAM ELIGIBILITY VERIFICATION 121 12 Sec. 115. MEDICAID PROGRAM=ELIGIBILITY VERIFICATION. The 121 13 department of human services shall establish an electronic 121 14 asset, income, and identity eligibility verification system 121 15 for the purposes of compliance with 42 U.S.C. {1396w requiring 121 16 determination or redetermination of the eligibility of an 121 17 individual who is an applicant for or recipient of medical 121 18 assistance under the Medicaid state plan on the basis of 121 19 being aged, blind, or disabled in accordance with 42 U.S.C. 121 20 {1396w. The department may issue a request for proposals to 121 21 select a third=party vendor to administer such an eligibility 121 22 verification system. If a third=party vendor is selected, 121 23 such vendor must be able to demonstrate in writing its current 121 24 relationships or contracts with financial institutions in the 121 25 state and nationally. Participation by financial institutions 121 26 in providing account balances for asset verification 121 27 shall remain voluntary. This section shall not result in 121 28 the displacement of existing asset, income, or identity 121 29 verification workers. 121 30 Sec. 116. EFFECTIVE UPON ENACTMENT. This division of this 121 31 Act, being deemed of immediate importance, takes effect upon 121 32 enactment. 121 33 DIVISION XXXIII 121 34 DEPARTMENT ON AGING ==== FY 2016=2017 121 35 Sec. 117. DEPARTMENT ON AGING. There is appropriated from 122 1 the general fund of the state to the department on aging for 122 2 the fiscal year beginning July 1, 2016, and ending June 30, 122 3 2017, the following amount, or so much thereof as is necessary, 122 4 to be used for the purposes designated: 122 5 For aging programs for the department on aging and area 122 6 agencies on aging to provide citizens of Iowa who are 60 years 122 7 of age and older with case management for frail elders, Iowa's 122 8 aging and disabilities resource center, and other services 122 9 which may include but are not limited to adult day services, 122 10 respite care, chore services, information and assistance, 122 11 and material aid, for information and options counseling for 122 12 persons with disabilities who are 18 years of age or older, 122 13 and for salaries, support, administration, maintenance, and 122 14 miscellaneous purposes, and for not more than the following 122 15 full=time equivalent positions: 122 16 .................................................. $ 5,718,033 122 17 ............................................... FTEs 31.00 122 18 1. Funds appropriated in this section may be used to 122 19 supplement federal funds under federal regulations. To 122 20 receive funds appropriated in this section, a local area 122 21 agency on aging shall match the funds with moneys from other 122 22 sources according to rules adopted by the department. Funds 122 23 appropriated in this section may be used for elderly services 122 24 not specifically enumerated in this section only if approved 122 25 by an area agency on aging for provision of the service within 122 26 the area. 122 27 2. Of the funds appropriated in this section, $139,973 is 122 28 transferred to the economic development authority for the Iowa 122 29 commission on volunteer services to be used for the retired and 122 30 senior volunteer program. 122 31 3. a. The department on aging shall establish and enforce 122 32 procedures relating to expenditure of state and federal funds 122 33 by area agencies on aging that require compliance with both 122 34 state and federal laws, rules, and regulations, including but 122 35 not limited to all of the following: 123 1 (1) Requiring that expenditures are incurred only for goods 123 2 or services received or performed prior to the end of the 123 3 fiscal period designated for use of the funds. 123 4 (2) Prohibiting prepayment for goods or services not 123 5 received or performed prior to the end of the fiscal period 123 6 designated for use of the funds. 123 7 (3) Prohibiting the prepayment for goods or services 123 8 not defined specifically by good or service, time period, or 123 9 recipient. 123 10 (4) Prohibiting the establishment of accounts from which 123 11 future goods or services which are not defined specifically by 123 12 good or service, time period, or recipient, may be purchased. 123 13 b. The procedures shall provide that if any funds are 123 14 expended in a manner that is not in compliance with the 123 15 procedures and applicable federal and state laws, rules, and 123 16 regulations, and are subsequently subject to repayment, the 123 17 area agency on aging expending such funds in contravention of 123 18 such procedures, laws, rules and regulations, not the state, 123 19 shall be liable for such repayment. 123 20 4. Of the funds appropriated in this section, at least 123 21 $125,000 shall be used to fund the unmet needs identified 123 22 through Iowa's aging and disability resource center network. 123 23 5. Of the funds appropriated in this section, at least 123 24 $300,000 shall be used to fund home and community=based 123 25 services through the area agencies on aging that enable older 123 26 individuals to avoid more costly utilization of residential or 123 27 institutional services and remain in their own homes. 123 28 6. Of the funds appropriated in this section, $425,000 123 29 shall be used for the purposes of chapter 231E and section 123 30 231.56A, of which $162,500 shall be used for the office of 123 31 substitute decision maker pursuant to chapter 231E, and the 123 32 remainder shall be distributed equally to the area agencies on 123 33 aging to administer the prevention of elder abuse, neglect, and 123 34 exploitation program pursuant to section 231.56A, in accordance 123 35 with the requirements of the federal Older Americans Act of 124 1 1965, 42 U.S.C. {3001 et seq., as amended. 124 2 DIVISION XXXIV 124 3 OFFICE OF LONG=TERM CARE OMBUDSMAN ==== FY 2016=2017 124 4 Sec. 118. OFFICE OF LONG=TERM CARE OMBUDSMAN. 124 5 1. There is appropriated from the general fund of the state 124 6 to the office of long=term care ombudsman for the fiscal year 124 7 beginning July 1, 2016, and ending June 30, 2017, the following 124 8 amount, or so much thereof as is necessary, to be used for the 124 9 purposes designated: 124 10 For salaries, support, administration, maintenance, and 124 11 miscellaneous purposes, and for not more than the following 124 12 full=time equivalent positions: 124 13 .................................................. $ 753,392 124 14 ............................................... FTEs 21.00 124 15 2. Of the funds appropriated in this section, $225,000 shall 124 16 be used to continue to provide for additional local long=term 124 17 care ombudsmen. 124 18 DIVISION XXXV 124 19 DEPARTMENT OF PUBLIC HEALTH ==== FY 2016=2017 124 20 Sec. 119. DEPARTMENT OF PUBLIC HEALTH. There is 124 21 appropriated from the general fund of the state to the 124 22 department of public health for the fiscal year beginning July 124 23 1, 2016, and ending June 30, 2017, the following amounts, or 124 24 so much thereof as is necessary, to be used for the purposes 124 25 designated: 124 26 1. ADDICTIVE DISORDERS 124 27 For reducing the prevalence of the use of tobacco, alcohol, 124 28 and other drugs, and treating individuals affected by addictive 124 29 behaviors, including gambling, and for not more than the 124 30 following full=time equivalent positions: 124 31 .................................................. $ 13,631,845 124 32 ............................................... FTEs 10.00 124 33 a. (1) Of the funds appropriated in this subsection, 124 34 $2,624,181 shall be used for the tobacco use prevention 124 35 and control initiative, including efforts at the state and 125 1 local levels, as provided in chapter 142A. The commission 125 2 on tobacco use prevention and control established pursuant 125 3 to section 142A.3 shall advise the director of public health 125 4 in prioritizing funding needs and the allocation of moneys 125 5 appropriated for the programs and initiatives. Activities 125 6 of the programs and initiatives shall be in alignment with 125 7 the United States centers for disease control and prevention 125 8 best practices for comprehensive tobacco control programs that 125 9 include the goals of preventing youth initiation of tobacco 125 10 usage, reducing exposure to secondhand smoke, and promotion of 125 11 tobacco cessation. 125 12 (2) (a) Of the funds allocated in this paragraph "a", 125 13 $226,534 is transferred to the alcoholic beverages division of 125 14 the department of commerce for enforcement of tobacco laws, 125 15 regulations, and ordinances and to engage in tobacco control 125 16 activities approved by the division of tobacco use prevention 125 17 and control of the department of public health as specified 125 18 in the memorandum of understanding entered into between the 125 19 divisions. 125 20 (b) For the fiscal year beginning July 1, 2016, and ending 125 21 June 30, 2017, the terms of the memorandum of understanding, 125 22 entered into between the division of tobacco use prevention 125 23 and control of the department of public health and the 125 24 alcoholic beverages division of the department of commerce, 125 25 governing compliance checks conducted to ensure licensed retail 125 26 tobacco outlet conformity with tobacco laws, regulations, and 125 27 ordinances relating to persons under eighteen years of age, 125 28 shall continue to restrict the number of such checks to one 125 29 check per retail outlet, and one additional check for any 125 30 retail outlet found to be in violation during the first check. 125 31 b. Of the funds appropriated in this subsection, 125 32 $11,007,664 shall be used for problem gambling and 125 33 substance=related disorder prevention, treatment, and recovery 125 34 services, including a 24=hour helpline, public information 125 35 resources, professional training, and program evaluation. 126 1 (1) Of the funds allocated in this paragraph "b", $9,451,857 126 2 shall be used for substance=related disorder prevention and 126 3 treatment. 126 4 (a) Of the funds allocated in this subparagraph (1), 126 5 $449,650 shall be used for the public purpose of a grant 126 6 program to provide substance=related disorder prevention 126 7 programming for children. 126 8 (i) Of the funds allocated in this subparagraph division 126 9 (a), $213,770 shall be used for grant funding for organizations 126 10 that provide programming for children by utilizing mentors. 126 11 Programs approved for such grants shall be certified or must 126 12 be certified within six months of receiving the grant award 126 13 by the Iowa commission on volunteer services as utilizing the 126 14 standards for effective practice for mentoring programs. 126 15 (ii) Of the funds allocated in this subparagraph division 126 16 (a), $213,420 shall be used for grant funding for organizations 126 17 providing programming that includes youth development and 126 18 leadership services. The programs shall also be recognized as 126 19 being programs that are scientifically based with evidence of 126 20 their effectiveness in reducing substance=related disorders in 126 21 children. 126 22 (iii) The department of public health shall utilize a 126 23 request for proposals process to implement the grant program. 126 24 (iv) All grant recipients shall participate in a program 126 25 evaluation as a requirement for receiving grant funds. 126 26 (v) Of the funds allocated in this subparagraph division 126 27 (a), up to $22,461 may be used to administer substance=related 126 28 disorder prevention grants and for program evaluations. 126 29 (b) Of the funds allocated in this subparagraph 126 30 (1), $136,302 shall be used for culturally competent 126 31 substance=related disorder treatment pilot projects. 126 32 (i) The department shall utilize the amount allocated 126 33 in this subparagraph division (b) for at least three pilot 126 34 projects to provide culturally competent substance=related 126 35 disorder treatment in various areas of the state. Each pilot 127 1 project shall target a particular ethnic minority population. 127 2 The populations targeted shall include but are not limited to 127 3 African American, Asian, and Latino. 127 4 (ii) The pilot project requirements shall provide for 127 5 documentation or other means to ensure access to the cultural 127 6 competence approach used by a pilot project so that such 127 7 approach can be replicated and improved upon in successor 127 8 programs. 127 9 (2) Of the funds allocated in this paragraph "b", up 127 10 to $1,555,807 may be used for problem gambling prevention, 127 11 treatment, and recovery services. 127 12 (a) Of the funds allocated in this subparagraph (2), 127 13 $1,286,881 shall be used for problem gambling prevention and 127 14 treatment. 127 15 (b) Of the funds allocated in this subparagraph (2), up to 127 16 $218,926 may be used for a 24=hour helpline, public information 127 17 resources, professional training, and program evaluation. 127 18 (c) Of the funds allocated in this subparagraph (2), up 127 19 to $50,000 may be used for the licensing of problem gambling 127 20 treatment programs. 127 21 (3) It is the intent of the general assembly that from the 127 22 moneys allocated in this paragraph "b", persons with a dual 127 23 diagnosis of substance=related disorder and gambling addiction 127 24 shall be given priority in treatment services. 127 25 c. Notwithstanding any provision of law to the contrary, 127 26 to standardize the availability, delivery, cost of delivery, 127 27 and accountability of problem gambling and substance=related 127 28 disorder treatment services statewide, the department shall 127 29 continue implementation of a process to create a system 127 30 for delivery of treatment services in accordance with the 127 31 requirements specified in 2008 Iowa Acts, chapter 1187, section 127 32 3, subsection 4. To ensure the system provides a continuum 127 33 of treatment services that best meets the needs of Iowans, 127 34 the problem gambling and substance=related disorder treatment 127 35 services in any area may be provided either by a single agency 128 1 or by separate agencies submitting a joint proposal. 128 2 (1) The system for delivery of substance=related disorder 128 3 and problem gambling treatment shall include problem gambling 128 4 prevention. 128 5 (2) The system for delivery of substance=related disorder 128 6 and problem gambling treatment shall include substance=related 128 7 disorder prevention by July 1, 2017. 128 8 (3) Of the funds allocated in paragraph "b", the department 128 9 may use up to $50,000 for administrative costs to continue 128 10 developing and implementing the process in accordance with this 128 11 paragraph "c". 128 12 d. The requirement of section 123.53, subsection 5, is met 128 13 by the appropriations and allocations made in this division of 128 14 this Act for purposes of substance=related disorder treatment 128 15 and addictive disorders for the fiscal year beginning July 1, 128 16 2016. 128 17 e. The department of public health shall work with all 128 18 other departments that fund substance=related disorder 128 19 prevention and treatment services and all such departments 128 20 shall, to the extent necessary, collectively meet the state 128 21 maintenance of effort requirements for expenditures for 128 22 substance=related disorder services as required under the 128 23 federal substance=related disorder prevention and treatment 128 24 block grant. 128 25 2. HEALTHY CHILDREN AND FAMILIES 128 26 For promoting the optimum health status for children, 128 27 adolescents from birth through 21 years of age, and families, 128 28 and for not more than the following full=time equivalent 128 29 positions: 128 30 .................................................. $ 3,665,801 128 31 ............................................... FTEs 13.00 128 32 a. Of the funds appropriated in this subsection, not more 128 33 than $367,421 shall be used for the healthy opportunities for 128 34 parents to experience success (HOPES)=healthy families Iowa 128 35 (HFI) program established pursuant to section 135.106. The 129 1 funding shall be distributed to renew the grants that were 129 2 provided to the grantees that operated the program during the 129 3 fiscal year ending June 30, 2016. 129 4 b. In order to implement the legislative intent stated in 129 5 sections 135.106 and 256I.9, that priority for home visitation 129 6 program funding be given to programs using evidence=based or 129 7 promising models for home visitation, it is the intent of the 129 8 general assembly to phase in the funding priority in accordance 129 9 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2, 129 10 paragraph 0b. 129 11 c. Of the funds appropriated in this subsection, $2,456,444 129 12 shall be used to continue to expand statewide the department's 129 13 initiative to provide for adequate developmental surveillance 129 14 and screening during a child's first five years. The funds 129 15 shall be used first to fully fund the current sites to ensure 129 16 that the sites are fully operational, with the remaining 129 17 funds to be used for expansion to additional sites. The full 129 18 implementation and expansion shall include enhancing the scope 129 19 of the program through collaboration with the child health 129 20 specialty clinics to promote healthy child development through 129 21 early identification and response to both biomedical and social 129 22 determinants of healthy development; by monitoring child 129 23 health metrics to inform practice, document long=term health 129 24 impacts and savings, and provide for continuous improvement 129 25 through training, education, and evaluation; and by providing 129 26 for practitioner consultation particularly for children with 129 27 behavioral conditions and needs. The department of public 129 28 health shall also collaborate with the Iowa Medicaid enterprise 129 29 and the child health specialty clinics to integrate the 129 30 activities of the first five initiative into the establishment 129 31 of patient=centered medical homes, community utilities, 129 32 accountable care organizations, and other integrated care 129 33 models developed to improve health quality and population 129 34 health while reducing health care costs. To the maximum extent 129 35 possible, funding allocated in this paragraph shall be utilized 130 1 as matching funds for medical assistance program reimbursement. 130 2 d. Of the funds appropriated in this subsection, $37,320 130 3 shall be distributed to a statewide dental carrier to provide 130 4 funds to continue the donated dental services program patterned 130 5 after the projects developed by the lifeline network to provide 130 6 dental services to indigent individuals who are elderly or with 130 7 disabilities. 130 8 e. Of the funds appropriated in this subsection, $55,998 130 9 shall be used for childhood obesity prevention. 130 10 f. Of the funds appropriated in this subsection, $81,384 130 11 shall be used to provide audiological services and hearing 130 12 aids for children. The department may enter into a contract 130 13 to administer this paragraph. 130 14 g. Of the funds appropriated in this subsection, $12,500 is 130 15 transferred to the university of Iowa college of dentistry for 130 16 provision of primary dental services to children. State funds 130 17 shall be matched on a dollar=for=dollar basis. The university 130 18 of Iowa college of dentistry shall coordinate efforts with the 130 19 department of public health, bureau of oral and health delivery 130 20 systems, to provide dental care to underserved populations 130 21 throughout the state. 130 22 h. Of the funds appropriated in this subsection, $25,000 130 23 shall be used to address youth suicide prevention. 130 24 i. Of the funds appropriated in this subsection, $25,000 130 25 shall be used to support the Iowa effort to address the survey 130 26 of children who experience adverse childhood experiences known 130 27 as ACEs. 130 28 3. CHRONIC CONDITIONS 130 29 For serving individuals identified as having chronic 130 30 conditions or special health care needs, and for not more than 130 31 the following full=time equivalent positions: 130 32 .................................................. $ 2,552,931 130 33 ............................................... FTEs 5.00 130 34 a. Of the funds appropriated in this subsection, $79,966 130 35 shall be used for grants to individual patients who have an 131 1 inherited metabolic disorder to assist with the costs of 131 2 medically necessary foods and formula. 131 3 b. Of the funds appropriated in this subsection, $445,822 131 4 shall be used for the brain injury services program pursuant to 131 5 section 135.22B, including for continuation of the contracts 131 6 for resource facilitator services in accordance with section 131 7 135.22B, subsection 9, and to enhance brain injury training and 131 8 recruitment of service providers on a statewide basis. Of the 131 9 amount allocated in this paragraph, $47,500 shall be used to 131 10 fund one full=time equivalent position to serve as the state 131 11 brain injury services program manager. 131 12 c. Of the funds appropriated in this subsection, $273,991 131 13 shall be used as additional funding to leverage federal funding 131 14 through the federal Ryan White Care Act, Tit. II, AIDS drug 131 15 assistance program supplemental drug treatment grants. 131 16 d. Of the funds appropriated in this subsection, $74,912 131 17 shall be used for the public purpose of continuing to contract 131 18 with an existing national=affiliated organization to provide 131 19 education, client=centered programs, and client and family 131 20 support for people living with epilepsy and their families. 131 21 The amount allocated in this paragraph in excess of $50,000 131 22 shall be matched dollar=for=dollar by the organization 131 23 specified. 131 24 e. Of the funds appropriated in this subsection, $392,557 131 25 shall be used for child health specialty clinics. 131 26 f. Of the funds appropriated in this subsection, $200,000 131 27 shall be used by the regional autism assistance program 131 28 established pursuant to section 256.35, and administered by 131 29 the child health specialty clinic located at the university of 131 30 Iowa hospitals and clinics. The funds shall be used to enhance 131 31 interagency collaboration and coordination of educational, 131 32 medical, and other human services for persons with autism, 131 33 their families, and providers of services, including delivering 131 34 regionalized services of care coordination, family navigation, 131 35 and integration of services through the statewide system of 132 1 regional child health specialty clinics and fulfilling other 132 2 requirements as specified in chapter 225D. The university of 132 3 Iowa shall not receive funds allocated under this paragraph for 132 4 indirect costs associated with the regional autism assistance 132 5 program. 132 6 g. Of the funds appropriated in this subsection, $285,497 132 7 shall be used for the comprehensive cancer control program to 132 8 reduce the burden of cancer in Iowa through prevention, early 132 9 detection, effective treatment, and ensuring quality of life. 132 10 Of the funds allocated in this paragraph "g", $75,000 shall 132 11 be used to support a melanoma research symposium, a melanoma 132 12 biorepository and registry, basic and translational melanoma 132 13 research, and clinical trials. 132 14 h. Of the funds appropriated in this subsection, $63,225 132 15 shall be used for cervical and colon cancer screening, and 132 16 $150,000 shall be used to enhance the capacity of the cervical 132 17 cancer screening program to include provision of recommended 132 18 prevention and early detection measures to a broader range of 132 19 low=income women. 132 20 i. Of the funds appropriated in this subsection, $338,432 132 21 shall be used for the center for congenital and inherited 132 22 disorders including to provide for surveillance of stillbirths 132 23 as defined in section 136A.2. 132 24 j. Of the funds appropriated in this subsection, $64,706 132 25 shall be used for the prescription drug donation repository 132 26 program created in chapter 135M. 132 27 k. Of the funds appropriated in this subsection, 132 28 $107,632 shall be used by the department of public health 132 29 for reform=related activities, including but not limited to 132 30 facilitation of communication to stakeholders at the state and 132 31 local level, administering the patient=centered health advisory 132 32 council pursuant to section 135.159, and involvement in health 132 33 care system innovation activities occurring across the state. 132 34 l. Of the funds appropriated in this subsection, $12,500 132 35 shall be used for administration of chapter 124D, the medical 133 1 cannabidiol Act, or other Code provisions authorizing the 133 2 compassionate medical use of cannabis, if enacted by the 2016 133 3 regular session of the Eighty=sixth General Assembly. 133 4 4. COMMUNITY CAPACITY 133 5 For strengthening the health care delivery system at the 133 6 local level, and for not more than the following full=time 133 7 equivalent positions: 133 8 .................................................. $ 4,359,858 133 9 ............................................... FTEs 11.00 133 10 a. Of the funds appropriated in this subsection, $49,707 133 11 is allocated for continuation of the child vision screening 133 12 program implemented through the university of Iowa hospitals 133 13 and clinics in collaboration with early childhood Iowa areas. 133 14 The program shall submit a report to the individuals identified 133 15 in this Act for submission of reports regarding the use of 133 16 funds allocated under this paragraph "a". The report shall 133 17 include the objectives and results for the program year 133 18 including the target population and how the funds allocated 133 19 assisted the program in meeting the objectives; the number, 133 20 age, and location within the state of individuals served; 133 21 the type of services provided to the individuals served; the 133 22 distribution of funds based on service provided; and the 133 23 continuing needs of the program. 133 24 b. Of the funds appropriated in this subsection, $55,328 is 133 25 allocated for continuation of an initiative implemented at the 133 26 university of Iowa and $49,952 is allocated for continuation of 133 27 an initiative at the state mental health institute at Cherokee 133 28 to expand and improve the workforce engaged in mental health 133 29 treatment and services. The initiatives shall receive input 133 30 from the university of Iowa, the department of human services, 133 31 the department of public health, and the mental health and 133 32 disability services commission to address the focus of the 133 33 initiatives. 133 34 c. Of the funds appropriated in this subsection, $582,314 133 35 shall be used for essential public health services that promote 134 1 healthy aging throughout one's lifespan, contracted through a 134 2 formula for local boards of health, to enhance health promotion 134 3 and disease prevention services. 134 4 d. Of the funds appropriated in this section, $49,643 shall 134 5 be deposited in the governmental public health system fund 134 6 created in section 135A.8 to be used for the purposes of the 134 7 fund. 134 8 e. Of the funds appropriated in this subsection, $52,724 134 9 shall be used to continue to address the shortage of mental 134 10 health professionals in the state. 134 11 f. Of the funds appropriated in this subsection, 134 12 $25,000 shall be used for a grant to a statewide association 134 13 of psychologists that is affiliated with the American 134 14 psychological association to be used for continuation of a 134 15 program to rotate intern psychologists in placements in urban 134 16 and rural mental health professional shortage areas, as defined 134 17 in section 135.180. 134 18 g. (1) Of the funds appropriated in this subsection, 134 19 $1,441,485 shall be allocated as a grant to the Iowa primary 134 20 care association to be used pursuant to section 135.153 for 134 21 the statewide coordination of the Iowa collaborative safety 134 22 net provider network. Coordination of the network shall 134 23 focus on increasing access by underserved populations to 134 24 health care services, increasing integration of the health 134 25 system and collaboration across the continuum of care with 134 26 a focus on safety net services, and enhancing the Iowa 134 27 collaborative safety net provider network's communication and 134 28 education efforts. The amount allocated as a grant under this 134 29 subparagraph (1) shall be used as follows to support the Iowa 134 30 collaborative safety net provider network goals of increased 134 31 access, health system integration, and engagement: 134 32 (a) For distribution to safety net partners in the state 134 33 that work to increase access of the underserved population to 134 34 health services: 134 35 .................................................. $ 512,743 135 1 (i) Of the amount allocated in this subparagraph 135 2 division (a), up to $206,708 shall be distributed to the 135 3 Iowa prescription drug corporation for continuation of the 135 4 pharmaceutical infrastructure for safety net providers as 135 5 described in 2007 Iowa Acts, chapter 218, section 108. 135 6 (ii) Of the amount allocated in this subparagraph division 135 7 (a), up to $174,161 shall be distributed to free clinics and 135 8 free clinics of Iowa for necessary infrastructure, statewide 135 9 coordination, provider recruitment, service delivery, and 135 10 provision of assistance to patients in securing a medical home 135 11 inclusive of oral health care. 135 12 (iii) Of the amount allocated in this subparagraph 135 13 division (a), up to $25,000 shall be distributed to the 135 14 Iowa coalition against sexual assault to continue a training 135 15 program for sexual assault response team (SART) members, 135 16 including representatives of law enforcement, victim advocates, 135 17 prosecutors, and certified medical personnel. 135 18 (iv) Of the amount allocated in this subparagraph division 135 19 (a), up to $106,874 shall be distributed to the Polk county 135 20 medical society for continuation of the safety net provider 135 21 patient access to a specialty health care initiative as 135 22 described in 2007 Iowa Acts, chapter 218, section 109. 135 23 (b) For distribution to safety net partners in the 135 24 state that work to increase health system integration, care 135 25 coordination, and collaboration across the continuum of care 135 26 with a focus on safety net services. Such efforts shall 135 27 include but not be limited to community care coordination team 135 28 development and integration of medical and behavioral health 135 29 services. Efforts shall also include working, in conjunction 135 30 with the department of human services and the department 135 31 of public health, to support Medicaid managed care efforts 135 32 inclusive of the state innovation model through the continued 135 33 development and implementation of community care coordination 135 34 teams. Implementation of the community care coordination 135 35 teams shall be accomplished through a statewide regionally 136 1 based network that provides an integrated approach to health 136 2 care delivery through care coordination that supports primary 136 3 care providers and links patients with community resources 136 4 necessary to empower patients in addressing biomedical and 136 5 social determinants of health to improve health outcomes: 136 6 .................................................. $ 836,100 136 7 (c) For distribution to safety net partners in the state 136 8 that work to serve as a resource for credible, accurate 136 9 information on health care=related needs and services 136 10 for vulnerable populations in the state including the 136 11 Iowa association of rural health clinics for necessary 136 12 infrastructure and service delivery transformation and the Iowa 136 13 primary care association to support partner engagement, program 136 14 management, and statewide coordination of the network: 136 15 .................................................. $ 92,643 136 16 (2) The amount allocated under this paragraph "g" shall 136 17 not be reduced for administrative or other costs prior to 136 18 distribution. The Iowa collaborative safety net provider 136 19 network may continue to distribute funds allocated pursuant to 136 20 this paragraph "g" through existing contracts or renewal of 136 21 existing contracts. 136 22 (3) For each goal of the Iowa collaborative safety net 136 23 provider network, the Iowa primary care association shall 136 24 submit a progress report to the individuals designated in this 136 25 Act for submission of reports by December 15, 2016, including 136 26 progress in developing and implementing the network, how the 136 27 funds were distributed and used in developing and implementing 136 28 the network, and the remaining needs identified to fully 136 29 develop and implement the network. 136 30 h. Of the funds appropriated in this subsection, $106,700 136 31 shall be used for continuation of the work of the direct care 136 32 worker advisory council established pursuant to 2008 Iowa Acts, 136 33 chapter 1188, section 69, in implementing the recommendations 136 34 in the final report submitted by the advisory council to the 136 35 governor and the general assembly in March 2012, including 137 1 by continuing to develop, promote, and make available on a 137 2 statewide basis the prepare=to=care core curriculum and its 137 3 associated modules and specialties through various formats 137 4 including online access, community colleges, and other venues; 137 5 exploring new and maintaining existing specialties including 137 6 but not limited to oral health and dementia care; supporting 137 7 instructor training; and assessing and making recommendations 137 8 concerning the Iowa care book and information technology 137 9 systems and infrastructure uses and needs. 137 10 i. (1) Of the funds appropriated in this subsection, 137 11 $108,188 shall be used for allocation to an independent 137 12 statewide direct care worker organization under continuation 137 13 of the contract in effect during the fiscal year ending June 137 14 30, 2016. 137 15 (2) Of the funds appropriated in this subsection, 137 16 $52,500 shall be used to provide scholarships or other 137 17 forms of subsidization for direct care worker educational 137 18 conferences, training, or outreach activities, and for the 137 19 mouth=care=matters oral health care project. 137 20 j. Of the funds appropriated in this subsection, the 137 21 department may use up to $29,088 for up to one full=time 137 22 equivalent position to administer the volunteer health care 137 23 provider program pursuant to section 135.24. 137 24 k. Of the funds appropriated in this subsection, $50,000 137 25 shall be used for a matching dental education loan repayment 137 26 program to be allocated to a dental nonprofit health service 137 27 corporation to continue to develop the criteria and implement 137 28 the loan repayment program. 137 29 l. Of the funds appropriated in this subsection, $52,912 is 137 30 transferred to the college student aid commission for deposit 137 31 in the rural Iowa primary care trust fund created in section 137 32 261.113 to be used for the purposes of the fund. 137 33 m. Of the funds appropriated in this subsection, $125,000 137 34 shall be used for the purposes of the Iowa donor registry as 137 35 specified in section 142C.18. 138 1 n. Of the funds appropriated in this subsection, $50,000 138 2 shall be used for continuation of a grant to a nationally 138 3 affiliated volunteer eye organization that has an established 138 4 program for children and adults and that is solely dedicated to 138 5 preserving sight and preventing blindness through education, 138 6 nationally certified vision screening and training, and 138 7 community and patient service programs. The organization 138 8 shall submit a report to the individuals identified in this 138 9 Act for submission of reports regarding the use of funds 138 10 allocated under this paragraph "n". The report shall include 138 11 the objectives and results for the program year including 138 12 the target population and how the funds allocated assisted 138 13 the program in meeting the objectives; the number, age, and 138 14 location within the state of individuals served; the type of 138 15 services provided to the individuals served; the distribution 138 16 of funds based on services provided; and the continuing needs 138 17 of the program. 138 18 o. Of the funds appropriated in this subsection, $12,500 138 19 shall be used for the continuation of a wellness council under 138 20 the direction of the director of public health to increase 138 21 support for wellness activities in the state. 138 22 p. Of the funds appropriated in this subsection, $1,000,000 138 23 shall be deposited in the medical residency training account 138 24 created in section 135.175, subsection 5, paragraph "a", and 138 25 is appropriated from the account to the department of public 138 26 health to be used for the purposes of the medical residency 138 27 training state matching grants program as specified in section 138 28 135.176. However, notwithstanding any provision to the 138 29 contrary in section 135.176, priority in the awarding of grants 138 30 shall be given to sponsors that propose preference in the use 138 31 of the grant funds for psychiatric residency positions and 138 32 family practice residency positions. 138 33 5. HEALTHY AGING 138 34 To provide public health services that reduce risks and 138 35 invest in promoting and protecting good health over the 139 1 course of a lifetime with a priority given to older Iowans and 139 2 vulnerable populations: 139 3 .................................................. $ 3,648,571 139 4 6. INFECTIOUS DISEASES 139 5 For reducing the incidence and prevalence of communicable 139 6 diseases, and for not more than the following full=time 139 7 equivalent positions: 139 8 .................................................. $ 667,578 139 9 ............................................... FTEs 4.00 139 10 7. PUBLIC PROTECTION 139 11 For protecting the health and safety of the public through 139 12 establishing standards and enforcing regulations, and for not 139 13 more than the following full=time equivalent positions: 139 14 .................................................. $ 2,169,596 139 15 ............................................... FTEs 135.50 139 16 a. Of the funds appropriated in this subsection, not more 139 17 than $227,350 shall be credited to the emergency medical 139 18 services fund created in section 135.25. Moneys in the 139 19 emergency medical services fund are appropriated to the 139 20 department to be used for the purposes of the fund. 139 21 b. Of the funds appropriated in this subsection, $101,516 139 22 shall be used for sexual violence prevention programming 139 23 through a statewide organization representing programs 139 24 serving victims of sexual violence through the department's 139 25 sexual violence prevention program. The amount allocated 139 26 in this paragraph "b" shall not be used to supplant funding 139 27 administered for other sexual violence prevention or victims 139 28 assistance programs. 139 29 c. Of the funds appropriated in this subsection, $299,376 139 30 shall be used for the state poison control center. Pursuant 139 31 to the directive under 2014 Iowa Acts, chapter 1140, section 139 32 102, the federal matching funds available to the state poison 139 33 control center from the department of human services under the 139 34 federal Children's Health Insurance Program Reauthorization Act 139 35 allotment shall be subject to the federal administrative cap 140 1 rule of 10 percent applicable to funding provided under Tit. 140 2 XXI of the federal Social Security Act and included within the 140 3 department's calculations of the cap. 140 4 d. Of the funds appropriated in this subsection, $268,875 140 5 shall be used for childhood lead poisoning provisions. 140 6 8. RESOURCE MANAGEMENT 140 7 For establishing and sustaining the overall ability of the 140 8 department to deliver services to the public, and for not more 140 9 than the following full=time equivalent positions: 140 10 .................................................. $ 427,536 140 11 ............................................... FTEs 4.00 140 12 The university of Iowa hospitals and clinics under the 140 13 control of the state board of regents shall not receive 140 14 indirect costs from the funds appropriated in this section. 140 15 The university of Iowa hospitals and clinics billings to the 140 16 department shall be on at least a quarterly basis. 140 17 DIVISION XXXVI 140 18 DEPARTMENT OF VETERANS AFFAIRS ==== FY 2016=2017 140 19 Sec. 120. DEPARTMENT OF VETERANS AFFAIRS. There is 140 20 appropriated from the general fund of the state to the 140 21 department of veterans affairs for the fiscal year beginning 140 22 July 1, 2016, and ending June 30, 2017, the following amounts, 140 23 or so much thereof as is necessary, to be used for the purposes 140 24 designated: 140 25 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 140 26 For salaries, support, maintenance, and miscellaneous 140 27 purposes, and for not more than the following full=time 140 28 equivalent positions: 140 29 .................................................. $ 600,273 140 30 ............................................... FTEs 15.00 140 31 2. IOWA VETERANS HOME 140 32 For salaries, support, maintenance, and miscellaneous 140 33 purposes: 140 34 .................................................. $ 3,797,498 140 35 a. The Iowa veterans home billings involving the department 141 1 of human services shall be submitted to the department on at 141 2 least a monthly basis. 141 3 b. If there is a change in the employer of employees 141 4 providing services at the Iowa veterans home under a collective 141 5 bargaining agreement, such employees and the agreement shall 141 6 be continued by the successor employer as though there had not 141 7 been a change in employer. 141 8 c. Within available resources and in conformance with 141 9 associated state and federal program eligibility requirements, 141 10 the Iowa veterans home may implement measures to provide 141 11 financial assistance to or on behalf of veterans or their 141 12 spouses who are participating in the community reentry program. 141 13 d. The Iowa veterans home expenditure report shall be 141 14 submitted monthly to the legislative services agency. 141 15 3. HOME OWNERSHIP ASSISTANCE PROGRAM 141 16 For transfer to the Iowa finance authority for the 141 17 continuation of the home ownership assistance program for 141 18 persons who are or were eligible members of the armed forces of 141 19 the United States, pursuant to section 16.54: 141 20 .................................................. $ 1,250,000 141 21 Sec. 121. LIMITATION OF COUNTY COMMISSIONS OF VETERAN 141 22 AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the 141 23 standing appropriation in section 35A.16 for the fiscal year 141 24 beginning July 1, 2016, and ending June 30, 2017, the amount 141 25 appropriated from the general fund of the state pursuant to 141 26 that section for the following designated purposes shall not 141 27 exceed the following amount: 141 28 For the county commissions of veteran affairs fund under 141 29 section 35A.16: 141 30 .................................................. $ 495,000 141 31 DIVISION XXXVII 141 32 DEPARTMENT OF HUMAN SERVICES ==== FY 2016=2017 141 33 Sec. 122. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 141 34 GRANT. There is appropriated from the fund created in section 141 35 8.41 to the department of human services for the fiscal year 142 1 beginning July 1, 2016, and ending June 30, 2017, from moneys 142 2 received under the federal temporary assistance for needy 142 3 families (TANF) block grant pursuant to the federal Personal 142 4 Responsibility and Work Opportunity Reconciliation Act of 1996, 142 5 Pub. L. No. 104=193, and successor legislation, the following 142 6 amounts, or so much thereof as is necessary, to be used for the 142 7 purposes designated: 142 8 1. To be credited to the family investment program account 142 9 and used for assistance under the family investment program 142 10 under chapter 239B: 142 11 .................................................. $ 2,568,498 142 12 2. To be credited to the family investment program account 142 13 and used for the job opportunities and basic skills (JOBS) 142 14 program and implementing family investment agreements in 142 15 accordance with chapter 239B: 142 16 .................................................. $ 5,069,089 142 17 3. To be used for the family development and 142 18 self=sufficiency grant program in accordance with section 142 19 216A.107: 142 20 .................................................. $ 1,449,490 142 21 Notwithstanding section 8.33, moneys appropriated in this 142 22 subsection that remain unencumbered or unobligated at the close 142 23 of the fiscal year shall not revert but shall remain available 142 24 for expenditure for the purposes designated until the close of 142 25 the succeeding fiscal year. However, unless such moneys are 142 26 encumbered or obligated on or before September 30, 2016, the 142 27 moneys shall revert. 142 28 4. For field operations: 142 29 .................................................. $ 15,648,116 142 30 5. For general administration: 142 31 .................................................. $ 1,872,000 142 32 6. For state child care assistance: 142 33 .................................................. $ 17,523,555 142 34 a. Of the funds appropriated in this subsection, 142 35 $13,164,049 is transferred to the child care and development 143 1 block grant appropriation made by the Eighty=sixth General 143 2 Assembly, 2016 Session, for the federal fiscal year beginning 143 3 October 1, 2016, and ending September 30, 2017. Of this 143 4 amount, $100,000 shall be used for provision of educational 143 5 opportunities to registered child care home providers in order 143 6 to improve services and programs offered by this category 143 7 of providers and to increase the number of providers. The 143 8 department may contract with institutions of higher education 143 9 or child care resource and referral centers to provide 143 10 the educational opportunities. Allowable administrative 143 11 costs under the contracts shall not exceed 5 percent. The 143 12 application for a grant shall not exceed two pages in length. 143 13 b. Any funds appropriated in this subsection remaining 143 14 unallocated shall be used for state child care assistance 143 15 payments for families who are employed including but not 143 16 limited to individuals enrolled in the family investment 143 17 program. 143 18 7. For distribution to counties and regions through the 143 19 property tax relief fund for mental health and disability 143 20 services as provided in an appropriation made for this purpose: 143 21 .................................................. $ 2,447,026 143 22 8. For child and family services: 143 23 .................................................. $ 16,042,215 143 24 9. For child abuse prevention grants: 143 25 .................................................. $ 62,500 143 26 10. For pregnancy prevention grants on the condition that 143 27 family planning services are funded: 143 28 .................................................. $ 965,034 143 29 Pregnancy prevention grants shall be awarded to programs 143 30 in existence on or before July 1, 2016, if the programs have 143 31 demonstrated positive outcomes. Grants shall be awarded to 143 32 pregnancy prevention programs which are developed after July 143 33 1, 2016, if the programs are based on existing models that 143 34 have demonstrated positive outcomes. Grants shall comply with 143 35 the requirements provided in 1997 Iowa Acts, chapter 208, 144 1 section 14, subsections 1 and 2, including the requirement that 144 2 grant programs must emphasize sexual abstinence. Priority in 144 3 the awarding of grants shall be given to programs that serve 144 4 areas of the state which demonstrate the highest percentage of 144 5 unplanned pregnancies of females of childbearing age within the 144 6 geographic area to be served by the grant. 144 7 11. For technology needs and other resources necessary 144 8 to meet federal welfare reform reporting, tracking, and case 144 9 management requirements: 144 10 .................................................. $ 518,593 144 11 12. For the family investment program share of the costs to 144 12 continue to develop and maintain a new, integrated eligibility 144 13 determination system: 144 14 .................................................. $ 3,327,440 144 15 13. a. Notwithstanding any provision to the contrary, 144 16 including but not limited to requirements in section 8.41 or 144 17 provisions in 2015 or 2016 Iowa Acts regarding the receipt and 144 18 appropriation of federal block grants, federal funds from the 144 19 temporary assistance for needy families block grant received by 144 20 the state and not otherwise appropriated in this section and 144 21 remaining available for the fiscal year beginning July 1, 2016, 144 22 are appropriated to the department of human services to the 144 23 extent as may be necessary to be used in the following priority 144 24 order: the family investment program, for state child care 144 25 assistance program payments for families who are employed, and 144 26 for the family investment program share of costs to develop and 144 27 maintain a new, integrated eligibility determination system. 144 28 The federal funds appropriated in this paragraph "a" shall be 144 29 expended only after all other funds appropriated in subsection 144 30 1 for the assistance under the family investment program, 144 31 in subsection 6 for child care assistance, or in subsection 144 32 12 for the family investment program share of the costs to 144 33 continue to develop and maintain a new, integrated eligibility 144 34 determination system, as applicable, have been expended. For 144 35 the purposes of this subsection, the funds appropriated in 145 1 subsection 6, paragraph "a", for transfer to the child care 145 2 and development block grant appropriation are considered fully 145 3 expended when the full amount has been transferred. 145 4 b. The department shall, on a quarterly basis, advise the 145 5 legislative services agency and department of management of 145 6 the amount of funds appropriated in this subsection that was 145 7 expended in the prior quarter. 145 8 14. Of the amounts appropriated in this section, $6,481,004 145 9 for the fiscal year beginning July 1, 2016, is transferred to 145 10 the appropriation of the federal social services block grant 145 11 made to the department of human services for that fiscal year. 145 12 15. For continuation of the program providing categorical 145 13 eligibility for the food assistance program as specified for 145 14 the program in the section of this division of this 2016 Act 145 15 relating to the family investment program account: 145 16 .................................................. $ 12,500 145 17 16. The department may transfer funds allocated in this 145 18 section to the appropriations made in this division of this Act 145 19 for the same fiscal year for general administration and field 145 20 operations for resources necessary to implement and operate the 145 21 services referred to in this section and those funded in the 145 22 appropriation made in this division of this Act for the same 145 23 fiscal year for the family investment program from the general 145 24 fund of the state. 145 25 Sec. 123. FAMILY INVESTMENT PROGRAM ACCOUNT. 145 26 1. Moneys credited to the family investment program (FIP) 145 27 account for the fiscal year beginning July 1, 2016, and 145 28 ending June 30, 2017, shall be used to provide assistance in 145 29 accordance with chapter 239B. 145 30 2. The department may use a portion of the moneys credited 145 31 to the FIP account under this section as necessary for 145 32 salaries, support, maintenance, and miscellaneous purposes. 145 33 3. The department may transfer funds allocated in 145 34 subsection 4 to the appropriations made in this division of 145 35 this Act for the same fiscal year for general administration 146 1 and field operations for resources necessary to implement and 146 2 operate the family investment program services referred to in 146 3 this section and those funded in the appropriation made in this 146 4 division of this Act for the same fiscal year for the family 146 5 investment program from the general fund of the state. 146 6 4. Moneys appropriated in this division of this Act and 146 7 credited to the FIP account for the fiscal year beginning July 146 8 1, 2016, and ending June 30, 2017, are allocated as follows: 146 9 a. To be retained by the department of human services to 146 10 be used for coordinating with the department of human rights 146 11 to more effectively serve participants in FIP and other shared 146 12 clients and to meet federal reporting requirements under the 146 13 federal temporary assistance for needy families block grant: 146 14 .................................................. $ 10,000 146 15 b. To the department of human rights for staffing, 146 16 administration, and implementation of the family development 146 17 and self=sufficiency grant program in accordance with section 146 18 216A.107: 146 19 .................................................. $ 3,196,417 146 20 (1) Of the funds allocated for the family development 146 21 and self=sufficiency grant program in this paragraph "b", 146 22 not more than 5 percent of the funds shall be used for the 146 23 administration of the grant program. 146 24 (2) The department of human rights may continue to implement 146 25 the family development and self=sufficiency grant program 146 26 statewide during fiscal year 2016=2017. 146 27 (3) The department of human rights may engage in activities 146 28 to strengthen and improve family outcomes measures and 146 29 data collection systems under the family development and 146 30 self=sufficiency grant program. 146 31 c. For the diversion subaccount of the FIP account: 146 32 .................................................. $ 407,500 146 33 A portion of the moneys allocated for the subaccount may 146 34 be used for field operations, salaries, data management 146 35 system development, and implementation costs and support 147 1 deemed necessary by the director of human services in order 147 2 to administer the FIP diversion program. To the extent 147 3 moneys allocated in this paragraph "c" are not deemed by the 147 4 department to be necessary to support diversion activities, 147 5 such moneys may be used for other efforts intended to increase 147 6 engagement by family investment program participants in work, 147 7 education, or training activities. 147 8 d. For the food assistance employment and training program: 147 9 .................................................. $ 33,294 147 10 (1) The department shall apply the federal supplemental 147 11 nutrition assistance program (SNAP) employment and training 147 12 state plan in order to maximize to the fullest extent permitted 147 13 by federal law the use of the 50 percent federal reimbursement 147 14 provisions for the claiming of allowable federal reimbursement 147 15 funds from the United States department of agriculture 147 16 pursuant to the federal SNAP employment and training program 147 17 for providing education, employment, and training services 147 18 for eligible food assistance program participants, including 147 19 but not limited to related dependent care and transportation 147 20 expenses. 147 21 (2) The department shall continue the categorical federal 147 22 food assistance program eligibility at 160 percent of the 147 23 federal poverty level and continue to eliminate the asset test 147 24 from eligibility requirements, consistent with federal food 147 25 assistance program requirements. The department shall include 147 26 as many food assistance households as is allowed by federal 147 27 law. The eligibility provisions shall conform to all federal 147 28 requirements including requirements addressing individuals who 147 29 are incarcerated or otherwise ineligible. 147 30 e. For the JOBS program: 147 31 .................................................. $ 8,770,199 147 32 5. Of the child support collections assigned under FIP, 147 33 an amount equal to the federal share of support collections 147 34 shall be credited to the child support recovery appropriation 147 35 made in this division of this Act. Of the remainder of the 148 1 assigned child support collections received by the child 148 2 support recovery unit, a portion shall be credited to the FIP 148 3 account, a portion may be used to increase recoveries, and a 148 4 portion may be used to sustain cash flow in the child support 148 5 payments account. If as a consequence of the appropriations 148 6 and allocations made in this section the resulting amounts 148 7 are insufficient to sustain cash assistance payments and meet 148 8 federal maintenance of effort requirements, the department 148 9 shall seek supplemental funding. If child support collections 148 10 assigned under FIP are greater than estimated or are otherwise 148 11 determined not to be required for maintenance of effort, the 148 12 state share of either amount may be transferred to or retained 148 13 in the child support payments account. 148 14 6. The department may adopt emergency rules for the family 148 15 investment, JOBS, food assistance, and medical assistance 148 16 programs if necessary to comply with federal requirements. 148 17 Sec. 124. FAMILY INVESTMENT PROGRAM GENERAL FUND. There 148 18 is appropriated from the general fund of the state to the 148 19 department of human services for the fiscal year beginning July 148 20 1, 2016, and ending June 30, 2017, the following amount, or 148 21 so much thereof as is necessary, to be used for the purpose 148 22 designated: 148 23 To be credited to the family investment program (FIP) 148 24 account and used for family investment program assistance under 148 25 chapter 239B: 148 26 .................................................. $ 24,546,938 148 27 1. Of the funds appropriated in this section, $3,701,110 is 148 28 allocated for the JOBS program. 148 29 2. Of the funds appropriated in this section, $1,756,927 is 148 30 allocated for the family development and self=sufficiency grant 148 31 program. 148 32 3. Notwithstanding section 8.39, for the fiscal year 148 33 beginning July 1, 2016, if necessary to meet federal 148 34 maintenance of effort requirements or to transfer federal 148 35 temporary assistance for needy families block grant funding 149 1 to be used for purposes of the federal social services block 149 2 grant or to meet cash flow needs resulting from delays in 149 3 receiving federal funding or to implement, in accordance with 149 4 this division of this Act, activities currently funded with 149 5 juvenile court services, county, or community moneys and state 149 6 moneys used in combination with such moneys, the department 149 7 of human services may transfer funds within or between any 149 8 of the appropriations made in this division of this Act and 149 9 appropriations in law for the federal social services block 149 10 grant to the department for the following purposes, provided 149 11 that the combined amount of state and federal temporary 149 12 assistance for needy families block grant funding for each 149 13 appropriation remains the same before and after the transfer: 149 14 a. For the family investment program. 149 15 b. For child care assistance. 149 16 c. For child and family services. 149 17 d. For field operations. 149 18 e. For general administration. 149 19 f. For distribution to counties or regions through the 149 20 property tax relief fund for mental health and disability 149 21 services as provided in an appropriation for this purpose. 149 22 This subsection shall not be construed to prohibit the use 149 23 of existing state transfer authority for other purposes. The 149 24 department shall report any transfers made pursuant to this 149 25 subsection to the legislative services agency. 149 26 4. Of the funds appropriated in this section, $97,839 shall 149 27 be used for continuation of a grant to an Iowa=based nonprofit 149 28 organization with a history of providing tax preparation 149 29 assistance to low=income Iowans in order to expand the usage of 149 30 the earned income tax credit. The purpose of the grant is to 149 31 supply this assistance to underserved areas of the state. 149 32 5. Of the funds appropriated in this section, $40,000 shall 149 33 be used for the continuation of an unfunded pilot project, as 149 34 defined in 441 IAC 100.1, relating to parental obligations, 149 35 in which the child support recovery unit participates, to 150 1 support the efforts of a nonprofit organization committed to 150 2 strengthening the community through youth development, healthy 150 3 living, and social responsibility headquartered in a county 150 4 with a population over 350,000. The funds allocated in this 150 5 subsection shall be used by the recipient organization to 150 6 develop a larger community effort, through public and private 150 7 partnerships, to support a broad=based multi=county fatherhood 150 8 initiative that promotes payment of child support obligations, 150 9 improved family relationships, and full=time employment. 150 10 6. Of the funds appropriated in this section, $100,000 150 11 shall be used to continue a grant to a nonprofit organization 150 12 organized under section 501(c)(4) of the Internal Revenue Code 150 13 to continue a youth development strategy through after=school 150 14 programming that promotes academic success, healthy lifestyles, 150 15 good character, and citizenship. The organization shall meet 150 16 all of the following criteria: 150 17 a. Operate statewide and provide services through more than 150 18 one location. 150 19 b. Provide the after=school programming for students ages 150 20 five through eighteen years of age who are members of families 150 21 eligible for the federal temporary assistance for needy 150 22 families program. 150 23 c. Provide evidence, based on measurable outcomes, that the 150 24 after=school programming provided results in increased student 150 25 achievement. 150 26 7. The department may transfer funds appropriated in this 150 27 section to the appropriations made in this division of this Act 150 28 for general administration and field operations as necessary 150 29 to administer this section and the overall family investment 150 30 program. 150 31 Sec. 125. CHILD SUPPORT RECOVERY. There is appropriated 150 32 from the general fund of the state to the department of human 150 33 services for the fiscal year beginning July 1, 2016, and ending 150 34 June 30, 2017, the following amount, or so much thereof as is 150 35 necessary, to be used for the purposes designated: 151 1 For child support recovery, including salaries, support, 151 2 maintenance, and miscellaneous purposes, and for not more than 151 3 the following full=time equivalent positions: 151 4 .................................................. $ 7,331,687 151 5 ............................................... FTEs 464.00 151 6 1. The department shall expend up to $12,165, including 151 7 federal financial participation, for the fiscal year beginning 151 8 July 1, 2016, for a child support public awareness campaign. 151 9 The department and the office of the attorney general shall 151 10 cooperate in continuation of the campaign. The public 151 11 awareness campaign shall emphasize, through a variety of 151 12 media activities, the importance of maximum involvement of 151 13 both parents in the lives of their children as well as the 151 14 importance of payment of child support obligations. 151 15 2. Federal access and visitation grant moneys shall be 151 16 issued directly to private not=for=profit agencies that provide 151 17 services designed to increase compliance with the child access 151 18 provisions of court orders, including but not limited to 151 19 neutral visitation sites and mediation services. 151 20 3. The appropriation made to the department for child 151 21 support recovery may be used throughout the fiscal year in the 151 22 manner necessary for purposes of cash flow management, and for 151 23 cash flow management purposes the department may temporarily 151 24 draw more than the amount appropriated, provided the amount 151 25 appropriated is not exceeded at the close of the fiscal year. 151 26 4. With the exception of the funding amount specified, the 151 27 requirements established under 2001 Iowa Acts, chapter 191, 151 28 section 3, subsection 5, paragraph "c", subparagraph (3), shall 151 29 be applicable to parental obligation pilot projects for the 151 30 fiscal year beginning July 1, 2016, and ending June 30, 2017. 151 31 Notwithstanding 441 IAC 100.8, providing for termination of 151 32 rules relating to the pilot projects, the rules shall remain 151 33 in effect until June 30, 2017. 151 34 Sec. 126. HEALTH CARE TRUST FUND ==== MEDICAL ASSISTANCE ==== 151 35 FY 2016=2017. Any funds remaining in the health care trust 152 1 fund created in section 453A.35A for the fiscal year beginning 152 2 July 1, 2016, and ending June 30, 2017, are appropriated to 152 3 the department of human services to supplement the medical 152 4 assistance program appropriations made in this division of this 152 5 Act, for medical assistance reimbursement and associated costs, 152 6 including program administration and costs associated with 152 7 program implementation. 152 8 Sec. 127. MEDICAID FRAUD FUND ==== MEDICAL ASSISTANCE ==== FY 152 9 2016=2017. Any funds remaining in the Medicaid fraud fund 152 10 created in section 249A.50 for the fiscal year beginning 152 11 July 1, 2016, and ending June 30, 2017, are appropriated to 152 12 the department of human services to supplement the medical 152 13 assistance appropriations made in this division of this Act, 152 14 for medical assistance reimbursement and associated costs, 152 15 including program administration and costs associated with 152 16 program implementation. 152 17 Sec. 128. MEDICAL ASSISTANCE. 152 18 1. There is appropriated from the general fund of the 152 19 state to the department of human services for the fiscal year 152 20 beginning July 1, 2016, and ending June 30, 2017, the following 152 21 amount, or so much thereof as is necessary, to be used for the 152 22 purpose designated: 152 23 For medical assistance program reimbursement and associated 152 24 costs as specifically provided in the reimbursement 152 25 methodologies in effect on June 30, 2016, except as otherwise 152 26 expressly authorized by law, including reimbursement for 152 27 abortion services which shall be available under the medical 152 28 assistance program only for those abortions which are medically 152 29 necessary: 152 30 .................................................. $673,176,820 152 31 2. Medically necessary abortions are those performed under 152 32 any of the following conditions: 152 33 a. The attending physician certifies that continuing the 152 34 pregnancy would endanger the life of the pregnant woman. 152 35 b. The attending physician certifies that the fetus is 153 1 physically deformed, mentally deficient, or afflicted with a 153 2 congenital illness. 153 3 c. The pregnancy is the result of a rape which is reported 153 4 within 45 days of the incident to a law enforcement agency or 153 5 public or private health agency which may include a family 153 6 physician. 153 7 d. The pregnancy is the result of incest which is reported 153 8 within 150 days of the incident to a law enforcement agency 153 9 or public or private health agency which may include a family 153 10 physician. 153 11 e. Any spontaneous abortion, commonly known as a 153 12 miscarriage, if not all of the products of conception are 153 13 expelled. 153 14 3. a. Iowans support reducing the number of abortions 153 15 performed in our state. For an abortion covered under the 153 16 program, except in the case of a medical emergency, as defined 153 17 in section 135L.1, for any woman, the physician shall certify 153 18 both of the following: 153 19 (1) That the woman has been given the opportunity to view an 153 20 ultrasound image of the fetus as part of the standard of care 153 21 before an abortion is performed. 153 22 (2) That the woman has been provided information regarding 153 23 the options relative to a pregnancy, including continuing the 153 24 pregnancy to term and retaining parental rights following the 153 25 child's birth, continuing the pregnancy to term and placing the 153 26 child for adoption, and terminating the pregnancy. 153 27 b. The provisions of this section relating to abortions 153 28 shall also apply to the Iowa health and wellness plan created 153 29 pursuant to chapter 249N. 153 30 4. The department shall utilize not more than $30,000 of 153 31 the funds appropriated in this section to continue the AIDS/HIV 153 32 health insurance premium payment program as established in 1992 153 33 Iowa Acts, Second Extraordinary Session, chapter 1001, section 153 34 409, subsection 6. Of the funds allocated in this subsection, 153 35 not more than $2,500 may be expended for administrative 154 1 purposes. 154 2 5. Of the funds appropriated in this Act to the department 154 3 of public health for addictive disorders, $475,000 for 154 4 the fiscal year beginning July 1, 2016, is transferred 154 5 to the department of human services for an integrated 154 6 substance=related disorder managed care system. The department 154 7 shall not assume management of the substance=related disorder 154 8 system in place of the managed care contractor unless such 154 9 a change in approach is specifically authorized in law. 154 10 The departments of human services and public health shall 154 11 work together to maintain the level of mental health and 154 12 substance=related disorder treatment services provided by the 154 13 managed care contractor through the Iowa plan for behavioral 154 14 health. Each department shall take the steps necessary to 154 15 continue the federal waivers as necessary to maintain the level 154 16 of services. 154 17 6. a. The department shall aggressively pursue options for 154 18 providing medical assistance or other assistance to individuals 154 19 with special needs who become ineligible to continue receiving 154 20 services under the early and periodic screening, diagnostic, 154 21 and treatment program under the medical assistance program 154 22 due to becoming 21 years of age who have been approved for 154 23 additional assistance through the department's exception to 154 24 policy provisions, but who have health care needs in excess 154 25 of the funding available through the exception to policy 154 26 provisions. 154 27 b. Of the funds appropriated in this section, $50,000 154 28 shall be used for participation in one or more pilot projects 154 29 operated by a private provider to allow the individual or 154 30 individuals to receive service in the community in accordance 154 31 with principles established in Olmstead v. L.C., 527 U.S. 581 154 32 (1999), for the purpose of providing medical assistance or 154 33 other assistance to individuals with special needs who become 154 34 ineligible to continue receiving services under the early and 154 35 periodic screening, diagnostic, and treatment program under 155 1 the medical assistance program due to becoming 21 years of 155 2 age who have been approved for additional assistance through 155 3 the department's exception to policy provisions, but who have 155 4 health care needs in excess of the funding available through 155 5 the exception to the policy provisions. 155 6 7. Of the funds appropriated in this section, up to 155 7 $1,525,041 may be transferred to the field operations or 155 8 general administration appropriations in this division of this 155 9 Act for operational costs associated with Part D of the federal 155 10 Medicare Prescription Drug Improvement and Modernization Act 155 11 of 2003, Pub. L. No. 108=173. 155 12 8. Of the funds appropriated in this section, up to $221,050 155 13 may be transferred to the appropriation in this division 155 14 of this Act for medical contracts to be used for clinical 155 15 assessment services and prior authorization of services. 155 16 9. A portion of the funds appropriated in this section 155 17 may be transferred to the appropriations in this division of 155 18 this Act for general administration, medical contracts, the 155 19 children's health insurance program, or field operations to be 155 20 used for the state match cost to comply with the payment error 155 21 rate measurement (PERM) program for both the medical assistance 155 22 and children's health insurance programs as developed by the 155 23 centers for Medicare and Medicaid services of the United States 155 24 department of health and human services to comply with the 155 25 federal Improper Payments Information Act of 2002, Pub. L. No. 155 26 107=300. 155 27 10. The department shall continue to implement the 155 28 recommendations of the assuring better child health and 155 29 development initiative II (ABCDII) clinical panel to the 155 30 Iowa early and periodic screening, diagnostic, and treatment 155 31 services healthy mental development collaborative board 155 32 regarding changes to billing procedures, codes, and eligible 155 33 service providers. 155 34 11. Of the funds appropriated in this section, a sufficient 155 35 amount is allocated to supplement the incomes of residents of 156 1 nursing facilities, intermediate care facilities for persons 156 2 with mental illness, and intermediate care facilities for 156 3 persons with an intellectual disability, with incomes of less 156 4 than $50 in the amount necessary for the residents to receive a 156 5 personal needs allowance of $50 per month pursuant to section 156 6 249A.30A. 156 7 12. Of the funds appropriated in this section, the following 156 8 amounts are transferred to the appropriations made in this 156 9 division of this Act for the state mental health institutes: 156 10 a. Cherokee mental health institute ................. $ 4,549,213 156 11 b. Clarinda mental health institute ................. $ 988,653 156 12 c. Independence mental health institute ............. $ 4,522,947 156 13 13. a. Of the funds appropriated in this section, 156 14 $4,298,325 is allocated for the state match for a 156 15 disproportionate share hospital payment of $9,566,715 to 156 16 hospitals that meet both of the conditions specified in 156 17 subparagraphs (1) and (2). In addition, the hospitals that 156 18 meet the conditions specified shall either certify public 156 19 expenditures or transfer to the medical assistance program 156 20 an amount equal to provide the nonfederal share for a 156 21 disproportionate share hospital payment of $3,750,000. The 156 22 hospitals that meet the conditions specified shall receive and 156 23 retain 100 percent of the total disproportionate share hospital 156 24 payment of $13,316,715. 156 25 (1) The hospital qualifies for disproportionate share and 156 26 graduate medical education payments. 156 27 (2) The hospital is an Iowa state=owned hospital with more 156 28 than 500 beds and eight or more distinct residency specialty 156 29 or subspecialty programs recognized by the American college of 156 30 graduate medical education. 156 31 b. Distribution of the disproportionate share payments 156 32 shall be made on a monthly basis. The total amount of 156 33 disproportionate share payments including graduate medical 156 34 education, enhanced disproportionate share, and Iowa 156 35 state=owned teaching hospital payments shall not exceed the 157 1 amount of the state's allotment under Pub. L. No. 102=234. 157 2 In addition, the total amount of all disproportionate 157 3 share payments shall not exceed the hospital=specific 157 4 disproportionate share limits under Pub. L. No. 103=66. 157 5 c. The university of Iowa hospitals and clinics shall either 157 6 certify public expenditures or transfer to the appropriations 157 7 made in this division of this Act for medical assistance an 157 8 amount equal to provide the nonfederal share for increased 157 9 medical assistance payments for inpatient and outpatient 157 10 hospital services of $4,950,000. The university of Iowa 157 11 hospitals and clinics shall receive and retain 100 percent of 157 12 the total increase in medical assistance payments. 157 13 d. Program payments for disproportionate share hospitals 157 14 and graduate medical education, and the upper payment limits 157 15 applicable to these programs shall be held harmless from the 157 16 impacts of Medicaid managed care and the governor's Medicaid 157 17 modernization initiative. Payment methodologies utilized 157 18 for these programs may be adjusted or converted to other 157 19 methodologies or payment types in order to comply with this 157 20 hold harmless requirement. 157 21 14. One hundred percent of the nonfederal share of payments 157 22 to area education agencies that are medical assistance 157 23 providers for medical assistance=covered services provided to 157 24 medical assistance=covered children, shall be made from the 157 25 appropriation made in this section. 157 26 15. Any new or renewed contract entered into by the 157 27 department with a third party to administer behavioral health 157 28 services under the medical assistance program shall provide 157 29 that any interest earned on payments from the state during 157 30 the state fiscal year shall be remitted to the department 157 31 and treated as recoveries to offset the costs of the medical 157 32 assistance program. 157 33 16. A portion of the funds appropriated in this section 157 34 may be transferred to the appropriation in this division of 157 35 this Act for medical contracts to be used for administrative 158 1 activities associated with the money follows the person 158 2 demonstration project. 158 3 17. Of the funds appropriated in this section, $174,506 158 4 shall be used for the administration of the health insurance 158 5 premium payment program, including salaries, support, 158 6 maintenance, and miscellaneous purposes. 158 7 18. a. The department may increase the amounts allocated 158 8 for salaries, support, maintenance, and miscellaneous purposes 158 9 associated with the medical assistance program, as necessary, 158 10 to implement cost containment strategies. The department shall 158 11 report any such increase to the legislative services agency and 158 12 the department of management. 158 13 b. If the savings to the medical assistance program from 158 14 cost containment efforts exceed the cost for the fiscal 158 15 year beginning July 1, 2016, the department may transfer any 158 16 savings generated for the fiscal year due to medical assistance 158 17 program cost containment efforts to the appropriation 158 18 made in this division of this Act for medical contracts or 158 19 general administration to defray the increased contract costs 158 20 associated with implementing such efforts. 158 21 c. The department of human services shall not implement 158 22 the following cost containment measures as recommended by the 158 23 governor for the fiscal year beginning July 1, 2016: 158 24 (1) A measure to provide uniform rates of $.575 per mile 158 25 based on the 2015 Internal Revenue Service mileage rate and 158 26 of $9.29, the current statewide average, per one=way trip for 158 27 Medicaid program home and community=based services waivers. 158 28 (2) A measure to cap the total costs of all services 158 29 received by a recipient of the home and community=based 158 30 services waiver for individuals with an intellectual disability 158 31 at the daily intermediate care facility for persons with an 158 32 intellectual disability (ICF/ID) per diem rate of $346.39 per 158 33 day based on the 80th percentile of all ICF/ID rates. 158 34 (3) A measure to align individual requests for exceptions to 158 35 policy with the capped total cost of services for a recipient 159 1 of the home and community=based services waiver for individuals 159 2 with an intellectual disability as computed under subparagraph 159 3 (2). 159 4 (4) A measure to utilize the supports intensity scale 159 5 to determine payment amounts and a tiered payment system 159 6 for the services provided to adults served under the home 159 7 and community=based services waiver for individuals with an 159 8 intellectual disability. 159 9 (5) A measure to reallocate funding for community=based 159 10 systems of care to instead support integrated health homes. 159 11 (6) A measure to increase the university of Iowa hospitals 159 12 and clinics state share responsibility for the supplemental 159 13 disproportionate share hospital payment to the university of 159 14 Iowa hospitals and clinics for the fiscal year beginning July 159 15 1, 2016. 159 16 d. The department shall report the implementation of 159 17 any cost containment strategies under this subsection to 159 18 the individuals specified in this division of this Act for 159 19 submission of reports on a quarterly basis. 159 20 19. For the fiscal year beginning July 1, 2016, and ending 159 21 June 30, 2017, the replacement generation tax revenues required 159 22 to be deposited in the property tax relief fund pursuant to 159 23 section 437A.8, subsection 4, paragraph "d", and section 159 24 437A.15, subsection 3, paragraph "f", shall instead be credited 159 25 to and supplement the appropriation made in this section and 159 26 used for the allocations made in this section. 159 27 20. The department shall continue to administer the state 159 28 balancing incentive payments program as specified in 2012 Iowa 159 29 Acts, chapter 1133, section 14. 159 30 21. a. Of the funds appropriated in this section, $450,000 159 31 shall be used for continued implementation of the children's 159 32 mental health home project proposed by the department of human 159 33 services and reported to the general assembly's mental health 159 34 and disability services study committee in December 2011. Of 159 35 this amount, up to $25,000 may be transferred by the department 160 1 to the appropriation made in this division of this Act to the 160 2 department for the same fiscal year for general administration 160 3 to be used for associated administrative expenses and for not 160 4 more than one full=time equivalent position, in addition to 160 5 those authorized for the same fiscal year, to be assigned to 160 6 implementing the project. 160 7 b. Of the funds appropriated in this section, up to $200,000 160 8 may be transferred by the department to the appropriation made 160 9 to the department in this division of this Act for the same 160 10 fiscal year for Medicaid program=related general administration 160 11 planning and implementation activities. The funds may be used 160 12 for contracts or for personnel in addition to the amounts 160 13 appropriated for and the positions authorized for general 160 14 administration for the fiscal year. 160 15 c. Of the funds appropriated in this section, up to 160 16 $1,500,000 may be transferred by the department to the 160 17 appropriations made in this division of this Act for the same 160 18 fiscal year for general administration or medical contracts 160 19 to be used to support the development and implementation of 160 20 standardized assessment tools for persons with mental illness, 160 21 an intellectual disability, a developmental disability, or a 160 22 brain injury. 160 23 22. Of the funds appropriated in this section, $125,000 160 24 shall be used for lodging expenses associated with care 160 25 provided at the university of Iowa hospitals and clinics for 160 26 patients with cancer whose travel distance is 30 miles or more 160 27 and whose income is at or below 200 percent of the federal 160 28 poverty level as defined by the most recently revised poverty 160 29 income guidelines published by the United States department of 160 30 health and human services. The department of human services 160 31 shall establish the maximum number of overnight stays and the 160 32 maximum rate reimbursed for overnight lodging, which may be 160 33 based on the state employee rate established by the department 160 34 of administrative services. The funds allocated in this 160 35 subsection shall not be used as nonfederal share matching 161 1 funds. 161 2 23. a. For inpatient and outpatient services provided by 161 3 hospitals on or after July 1, 2016, the department of human 161 4 services shall continue to recalculate and prospectively 161 5 apply an updated cost=to=charge ratio upon the request of a 161 6 hospital to implement price or charge reductions, if all of the 161 7 following criteria are met: 161 8 (1) The recalculation of an updated cost=to=charge ratio is 161 9 budget neutral to the state funding amount appropriated for the 161 10 respective fiscal year and maintains budget neutral payments or 161 11 revenue to all hospitals. 161 12 (2) The hospital requesting the price or charge reduction 161 13 submits a proforma cost report and charge master that reflects 161 14 the anticipated cost=to=charge reduction. 161 15 b. Based upon the proforma cost report submitted by the 161 16 requesting hospital, the department of human services shall 161 17 prospectively apply the recalculated cost=to=charge ratio as 161 18 appropriate to submitted claims for health care services. 161 19 24. The department of human services shall not adopt 161 20 emergency rules to implement Medicaid managed care or the 161 21 governor's Medicaid modernization initiative. 161 22 25. The number of home and community=based services waiver 161 23 slots available during the fiscal year beginning July 1, 2016, 161 24 shall not be reduced below the number of such slots available 161 25 on January 1, 2015. 161 26 Sec. 129. MEDICAL CONTRACTS. There is appropriated from the 161 27 general fund of the state to the department of human services 161 28 for the fiscal year beginning July 1, 2016, and ending June 30, 161 29 2017, the following amount, or so much thereof as is necessary, 161 30 to be used for the purpose designated: 161 31 For medical contracts: 161 32 .................................................. $ 11,076,792 161 33 1. The department of inspections and appeals shall 161 34 provide all state matching funds for survey and certification 161 35 activities performed by the department of inspections 162 1 and appeals. The department of human services is solely 162 2 responsible for distributing the federal matching funds for 162 3 such activities. 162 4 2. Of the funds appropriated in this section, $25,000 shall 162 5 be used for continuation of home and community=based services 162 6 waiver quality assurance programs, including the review and 162 7 streamlining of processes and policies related to oversight and 162 8 quality management to meet state and federal requirements. 162 9 3. Of the amount appropriated in this section, up to 162 10 $100,000 may be transferred to the appropriation for general 162 11 administration in this division of this Act to be used for 162 12 additional full=time equivalent positions in the development of 162 13 key health initiatives such as cost containment, development 162 14 and oversight of managed care programs, and development of 162 15 health strategies targeted toward improved quality and reduced 162 16 costs in the Medicaid program. 162 17 4. Of the funds appropriated in this section, $500,000 shall 162 18 be used for planning and development, in cooperation with the 162 19 department of public health, of a phased=in program to provide 162 20 a dental home for children. 162 21 5. Of the funds appropriated in this section, $1,000,000 162 22 shall be used for the autism support program created in chapter 162 23 225D. 162 24 Sec. 130. STATE SUPPLEMENTARY ASSISTANCE. 162 25 1. There is appropriated from the general fund of the 162 26 state to the department of human services for the fiscal year 162 27 beginning July 1, 2016, and ending June 30, 2017, the following 162 28 amount, or so much thereof as is necessary, to be used for the 162 29 purpose designated: 162 30 For the state supplementary assistance program: 162 31 .................................................. $ 6,498,594 162 32 2. The department shall increase the personal needs 162 33 allowance for residents of residential care facilities by the 162 34 same percentage and at the same time as federal supplemental 162 35 security income and federal social security benefits are 163 1 increased due to a recognized increase in the cost of living. 163 2 The department may adopt emergency rules to implement this 163 3 subsection. 163 4 3. If during the fiscal year beginning July 1, 2016, 163 5 the department projects that state supplementary assistance 163 6 expenditures for a calendar year will not meet the federal 163 7 pass=through requirement specified in Tit. XVI of the federal 163 8 Social Security Act, section 1618, as codified in 42 U.S.C. 163 9 {1382g, the department may take actions including but not 163 10 limited to increasing the personal needs allowance for 163 11 residential care facility residents and making programmatic 163 12 adjustments or upward adjustments of the residential care 163 13 facility or in=home health=related care reimbursement rates 163 14 prescribed in this division of this Act to ensure that federal 163 15 requirements are met. In addition, the department may make 163 16 other programmatic and rate adjustments necessary to remain 163 17 within the amount appropriated in this section while ensuring 163 18 compliance with federal requirements. The department may adopt 163 19 emergency rules to implement the provisions of this subsection. 163 20 Sec. 131. CHILDREN'S HEALTH INSURANCE PROGRAM. 163 21 1. There is appropriated from the general fund of the 163 22 state to the department of human services for the fiscal year 163 23 beginning July 1, 2016, and ending June 30, 2017, the following 163 24 amount, or so much thereof as is necessary, to be used for the 163 25 purpose designated: 163 26 For maintenance of the healthy and well kids in Iowa (hawk=i) 163 27 program pursuant to chapter 514I, including supplemental dental 163 28 services, for receipt of federal financial participation under 163 29 Tit. XXI of the federal Social Security Act, which creates the 163 30 children's health insurance program: 163 31 .................................................. $ 10,581,922 163 32 2. Of the funds appropriated in this section, $21,400 is 163 33 allocated for continuation of the contract for outreach with 163 34 the department of public health. 163 35 Sec. 132. CHILD CARE ASSISTANCE. There is appropriated 164 1 from the general fund of the state to the department of human 164 2 services for the fiscal year beginning July 1, 2016, and ending 164 3 June 30, 2017, the following amount, or so much thereof as is 164 4 necessary, to be used for the purpose designated: 164 5 For child care programs: 164 6 .................................................. $ 28,319,015 164 7 1. Of the funds appropriated in this section, $24,409,301 164 8 shall be used for state child care assistance in accordance 164 9 with section 237A.13. 164 10 2. Nothing in this section shall be construed or is 164 11 intended as or shall imply a grant of entitlement for services 164 12 to persons who are eligible for assistance due to an income 164 13 level consistent with the waiting list requirements of section 164 14 237A.13. Any state obligation to provide services pursuant to 164 15 this section is limited to the extent of the funds appropriated 164 16 in this section. 164 17 3. Of the funds appropriated in this section, $216,227 164 18 is allocated for the statewide grant program for child care 164 19 resource and referral services under section 237A.26. A list 164 20 of the registered and licensed child care facilities operating 164 21 in the area served by a child care resource and referral 164 22 service shall be made available to the families receiving state 164 23 child care assistance in that area. 164 24 4. Of the funds appropriated in this section, $468,487 164 25 is allocated for child care quality improvement initiatives 164 26 including but not limited to the voluntary quality rating 164 27 system in accordance with section 237A.30. 164 28 5. Of the funds appropriated in this section, $3,175,000 164 29 shall be credited to the early childhood programs grants 164 30 account in the early childhood Iowa fund created in section 164 31 256I.11. The moneys shall be distributed for funding of 164 32 community=based early childhood programs targeted to children 164 33 from birth through five years of age developed by early 164 34 childhood Iowa areas in accordance with approved community 164 35 plans as provided in section 256I.8. 165 1 6. The department may use any of the funds appropriated 165 2 in this section as a match to obtain federal funds for use in 165 3 expanding child care assistance and related programs. For 165 4 the purpose of expenditures of state and federal child care 165 5 funding, funds shall be considered obligated at the time 165 6 expenditures are projected or are allocated to the department's 165 7 service areas. Projections shall be based on current and 165 8 projected caseload growth, current and projected provider 165 9 rates, staffing requirements for eligibility determination 165 10 and management of program requirements including data systems 165 11 management, staffing requirements for administration of the 165 12 program, contractual and grant obligations and any transfers 165 13 to other state agencies, and obligations for decategorization 165 14 or innovation projects. 165 15 7. A portion of the state match for the federal child care 165 16 and development block grant shall be provided as necessary to 165 17 meet federal matching funds requirements through the state 165 18 general fund appropriation made for child development grants 165 19 and other programs for at=risk children in section 279.51. 165 20 8. If a uniform reduction ordered by the governor under 165 21 section 8.31 or other operation of law, transfer, or federal 165 22 funding reduction reduces the appropriation made in this 165 23 section for the fiscal year, the percentage reduction in the 165 24 amount paid out to or on behalf of the families participating 165 25 in the state child care assistance program shall be equal to or 165 26 less than the percentage reduction made for any other purpose 165 27 payable from the appropriation made in this section and the 165 28 federal funding relating to it. The percentage reduction to 165 29 the other allocations made in this section shall be the same as 165 30 the uniform reduction ordered by the governor or the percentage 165 31 change of the federal funding reduction, as applicable. 165 32 If there is an unanticipated increase in federal funding 165 33 provided for state child care assistance, the entire amount 165 34 of the increase shall be used for state child care assistance 165 35 payments. If the appropriations made for purposes of the 166 1 state child care assistance program for the fiscal year are 166 2 determined to be insufficient, it is the intent of the general 166 3 assembly to appropriate sufficient funding for the fiscal year 166 4 in order to avoid establishment of waiting list requirements. 166 5 9. Notwithstanding section 8.33, moneys advanced for 166 6 purposes of the programs developed by early childhood Iowa 166 7 areas, advanced for purposes of wraparound child care, or 166 8 received from the federal appropriations made for the purposes 166 9 of this section that remain unencumbered or unobligated at the 166 10 close of the fiscal year shall not revert to any fund but shall 166 11 remain available for expenditure for the purposes designated 166 12 until the close of the succeeding fiscal year. 166 13 10. Of the funds appropriated in this section, $50,000 166 14 is transferred to the department of public health to be used 166 15 to continue a program to assist parents in this state with 166 16 costs resulting from the death of a child in accordance with 166 17 this subsection. If it is less costly than administering the 166 18 program directly, the department shall issue a request for 166 19 proposals and issue a grant to an appropriate organization to 166 20 administer the program. 166 21 a. The program funding shall be used to assist parents who 166 22 reside in this state with costs incurred for a funeral, burial 166 23 or cremation, cemetery costs, or grave marker costs associated 166 24 with the unintended death of a child of the parent or a child 166 25 under the care of a guardian or custodian. The department 166 26 shall consider the following eligibility factors in developing 166 27 program requirements: 166 28 (1) The child was a stillborn infant or was less than age 166 29 eighteen at the time of death. 166 30 (2) The request for assistance was approved by the local 166 31 board or department of health or the county general assistance 166 32 director and may have been referred by a local funeral home. 166 33 (3) To be eligible, the parent, guardian, or custodian must 166 34 have an annual household income that is less than 145 percent 166 35 of the federal poverty level based on the number of people 167 1 in the applicant's household as defined by the most recently 167 2 revised poverty income guidelines published by the United 167 3 States department of health and human services. 167 4 (4) The maximum amount of grant assistance provided to a 167 5 parent, guardian, or custodian associated with the death of 167 6 a child is $2,000. If the death is a multiple death and the 167 7 infants or children are being cremated, or buried together, the 167 8 same limitation applies. 167 9 (5) To the extent the overall amount of assistance received 167 10 by a recipient for the costs addressed under this subsection 167 11 does not exceed the overall total of the costs, the recipient 167 12 may receive other public or private assistance in addition to 167 13 grant assistance under this section. 167 14 b. Notwithstanding section 8.33, moneys transferred by this 167 15 subsection that remain unencumbered or unobligated at the close 167 16 of the fiscal year shall not revert but shall remain available 167 17 for expenditure for the purposes designated until expended. 167 18 Sec. 133. JUVENILE INSTITUTIONS. There is appropriated 167 19 from the general fund of the state to the department of human 167 20 services for the fiscal year beginning July 1, 2016, and ending 167 21 June 30, 2017, the following amounts, or so much thereof as is 167 22 necessary, to be used for the purposes designated: 167 23 1. For the costs of security, building and grounds 167 24 maintenance, utilities, salary, and support for the facilities 167 25 located at the Iowa juvenile home at Toledo and for salaries, 167 26 support, maintenance, and miscellaneous purposes, and for not 167 27 more than the following full=time equivalent positions: 167 28 .................................................. $ 186,383 167 29 ............................................... FTEs 2.00 167 30 2. For operation of the state training school at Eldora and 167 31 for salaries, support, maintenance, and miscellaneous purposes, 167 32 and for not more than the following full=time equivalent 167 33 positions: 167 34 .................................................. $ 6,222,776 167 35 ............................................... FTEs 169.30 168 1 Of the funds appropriated in this subsection, $45,575 shall 168 2 be used for distribution to licensed classroom teachers at this 168 3 and other institutions under the control of the department of 168 4 human services based upon the average student yearly enrollment 168 5 at each institution as determined by the department. 168 6 Sec. 134. CHILD AND FAMILY SERVICES. 168 7 1. There is appropriated from the general fund of the 168 8 state to the department of human services for the fiscal year 168 9 beginning July 1, 2016, and ending June 30, 2017, the following 168 10 amount, or so much thereof as is necessary, to be used for the 168 11 purpose designated: 168 12 For child and family services: 168 13 .................................................. $ 49,091,090 168 14 2. Up to $2,600,000 of the amount of federal temporary 168 15 assistance for needy families block grant funding appropriated 168 16 in this division of this Act for child and family services 168 17 shall be made available for purposes of juvenile delinquent 168 18 graduated sanction services. 168 19 3. The department may transfer funds appropriated in this 168 20 section as necessary to pay the nonfederal costs of services 168 21 reimbursed under the medical assistance program, state child 168 22 care assistance program, or the family investment program which 168 23 are provided to children who would otherwise receive services 168 24 paid under the appropriation in this section. The department 168 25 may transfer funds appropriated in this section to the 168 26 appropriations made in this division of this Act for general 168 27 administration and for field operations for resources necessary 168 28 to implement and operate the services funded in this section. 168 29 4. a. Of the funds appropriated in this section, up to 168 30 $17,910,893 is allocated as the statewide expenditure target 168 31 under section 232.143 for group foster care maintenance and 168 32 services. If the department projects that such expenditures 168 33 for the fiscal year will be less than the target amount 168 34 allocated in this paragraph "a", the department may reallocate 168 35 the excess to provide additional funding for shelter care 169 1 or the child welfare emergency services addressed with the 169 2 allocation for shelter care. 169 3 b. If at any time after September 30, 2016, annualization 169 4 of a service area's current expenditures indicates a service 169 5 area is at risk of exceeding its group foster care expenditure 169 6 target under section 232.143 by more than 5 percent, the 169 7 department and juvenile court services shall examine all 169 8 group foster care placements in that service area in order to 169 9 identify those which might be appropriate for termination. 169 10 In addition, any aftercare services believed to be needed 169 11 for the children whose placements may be terminated shall be 169 12 identified. The department and juvenile court services shall 169 13 initiate action to set dispositional review hearings for the 169 14 placements identified. In such a dispositional review hearing, 169 15 the juvenile court shall determine whether needed aftercare 169 16 services are available and whether termination of the placement 169 17 is in the best interest of the child and the community. 169 18 5. In accordance with the provisions of section 232.188, 169 19 the department shall continue the child welfare and juvenile 169 20 justice funding initiative during fiscal year 2016=2017. Of 169 21 the funds appropriated in this section, $858,877 is allocated 169 22 specifically for expenditure for fiscal year 2016=2017 through 169 23 the decategorization services funding pools and governance 169 24 boards established pursuant to section 232.188. 169 25 6. A portion of the funds appropriated in this section 169 26 may be used for emergency family assistance to provide other 169 27 resources required for a family participating in a family 169 28 preservation or reunification project or successor project to 169 29 stay together or to be reunified. 169 30 7. Notwithstanding section 234.35 or any other provision 169 31 of law to the contrary, state funding for shelter care and 169 32 the child welfare emergency services contracting implemented 169 33 to provide for or prevent the need for shelter care shall be 169 34 limited to $4,034,237. 169 35 8. Federal funds received by the state during the fiscal 170 1 year beginning July 1, 2016, as the result of the expenditure 170 2 of state funds appropriated during a previous state fiscal 170 3 year for a service or activity funded under this section are 170 4 appropriated to the department to be used as additional funding 170 5 for services and purposes provided for under this section. 170 6 Notwithstanding section 8.33, moneys received in accordance 170 7 with this subsection that remain unencumbered or unobligated at 170 8 the close of the fiscal year shall not revert to any fund but 170 9 shall remain available for the purposes designated until the 170 10 close of the succeeding fiscal year. 170 11 9. a. Of the funds appropriated in this section, up to 170 12 $1,645,000 is allocated for the payment of the expenses of 170 13 court=ordered services provided to juveniles who are under 170 14 the supervision of juvenile court services, which expenses 170 15 are a charge upon the state pursuant to section 232.141, 170 16 subsection 4. Of the amount allocated in this paragraph "a", 170 17 up to $778,144 shall be made available to provide school=based 170 18 supervision of children adjudicated under chapter 232, of which 170 19 not more than $7,500 may be used for the purpose of training. 170 20 A portion of the cost of each school=based liaison officer 170 21 shall be paid by the school district or other funding source as 170 22 approved by the chief juvenile court officer. 170 23 b. Of the funds appropriated in this section, up to $374,493 170 24 is allocated for the payment of the expenses of court=ordered 170 25 services provided to children who are under the supervision 170 26 of the department, which expenses are a charge upon the state 170 27 pursuant to section 232.141, subsection 4. 170 28 c. Notwithstanding section 232.141 or any other provision 170 29 of law to the contrary, the amounts allocated in this 170 30 subsection shall be distributed to the judicial districts 170 31 as determined by the state court administrator and to the 170 32 department's service areas as determined by the administrator 170 33 of the department of human services' division of child and 170 34 family services. The state court administrator and the 170 35 division administrator shall make the determination of the 171 1 distribution amounts on or before June 15, 2016. 171 2 d. Notwithstanding chapter 232 or any other provision of 171 3 law to the contrary, a district or juvenile court shall not 171 4 order any service which is a charge upon the state pursuant 171 5 to section 232.141 if there are insufficient court=ordered 171 6 services funds available in the district court or departmental 171 7 service area distribution amounts to pay for the service. The 171 8 chief juvenile court officer and the departmental service area 171 9 manager shall encourage use of the funds allocated in this 171 10 subsection such that there are sufficient funds to pay for 171 11 all court=related services during the entire year. The chief 171 12 juvenile court officers and departmental service area managers 171 13 shall attempt to anticipate potential surpluses and shortfalls 171 14 in the distribution amounts and shall cooperatively request the 171 15 state court administrator or division administrator to transfer 171 16 funds between the judicial districts' or departmental service 171 17 areas' distribution amounts as prudent. 171 18 e. Notwithstanding any provision of law to the contrary, 171 19 a district or juvenile court shall not order a county to pay 171 20 for any service provided to a juvenile pursuant to an order 171 21 entered under chapter 232 which is a charge upon the state 171 22 under section 232.141, subsection 4. 171 23 f. Of the funds allocated in this subsection, not more than 171 24 $41,500 may be used by the judicial branch for administration 171 25 of the requirements under this subsection. 171 26 g. Of the funds allocated in this subsection, $8,500 171 27 shall be used by the department of human services to support 171 28 the interstate commission for juveniles in accordance with 171 29 the interstate compact for juveniles as provided in section 171 30 232.173. 171 31 10. Of the funds appropriated in this section, $4,026,614 is 171 32 allocated for juvenile delinquent graduated sanctions services. 171 33 Any state funds saved as a result of efforts by juvenile court 171 34 services to earn a federal Tit. IV=E match for juvenile court 171 35 services administration may be used for the juvenile delinquent 172 1 graduated sanctions services. 172 2 11. Of the funds appropriated in this section, $804,143 is 172 3 transferred to the department of public health to be used for 172 4 the child protection center grant program for child protection 172 5 centers located in Iowa in accordance with section 135.118. 172 6 The grant amounts under the program shall be equalized so that 172 7 each center receives a uniform base amount of $122,500, and 172 8 the remaining funds shall be awarded through a funding formula 172 9 based upon the volume of children served. 172 10 12. If the department receives federal approval to 172 11 implement a waiver under Tit. IV=E of the federal Social 172 12 Security Act to enable providers to serve children who remain 172 13 in the children's families and communities, for purposes of 172 14 eligibility under the medical assistance program through 25 172 15 years of age, children who participate in the waiver shall be 172 16 considered to be placed in foster care. 172 17 13. Of the funds appropriated in this section, $2,012,584 is 172 18 allocated for the preparation for adult living program pursuant 172 19 to section 234.46. 172 20 14. Of the funds appropriated in this section, $260,075 172 21 shall be used for juvenile drug courts. The amount allocated 172 22 in this subsection shall be distributed as follows: 172 23 To the judicial branch for salaries to assist with the 172 24 operation of juvenile drug court programs operated in the 172 25 following jurisdictions: 172 26 a. Marshall county: 172 27 .................................................. $ 31,354 172 28 b. Woodbury county: 172 29 .................................................. $ 62,841 172 30 c. Polk county: 172 31 .................................................. $ 97,946 172 32 d. The third judicial district: 172 33 .................................................. $ 33,967 172 34 e. The eighth judicial district: 172 35 .................................................. $ 33,967 173 1 15. Of the funds appropriated in this section, $113,669 173 2 shall be used for the public purpose of continuing a grant to 173 3 a nonprofit human services organization providing services to 173 4 individuals and families in multiple locations in southwest 173 5 Iowa and Nebraska for support of a project providing immediate, 173 6 sensitive support and forensic interviews, medical exams, needs 173 7 assessments, and referrals for victims of child abuse and their 173 8 nonoffending family members. 173 9 16. Of the funds appropriated in this section, $150,310 173 10 is allocated for the foster care youth council approach of 173 11 providing a support network to children placed in foster care. 173 12 17. Of the funds appropriated in this section, $101,000 is 173 13 allocated for use pursuant to section 235A.1 for continuation 173 14 of the initiative to address child sexual abuse implemented 173 15 pursuant to 2007 Iowa Acts, chapter 218, section 18, subsection 173 16 21. 173 17 18. Of the funds appropriated in this section, $315,120 is 173 18 allocated for the community partnership for child protection 173 19 sites. 173 20 19. Of the funds appropriated in this section, $185,625 173 21 is allocated for the department's minority youth and family 173 22 projects under the redesign of the child welfare system. 173 23 20. Of the funds appropriated in this section, $593,298 173 24 is allocated for funding of the community circle of care 173 25 collaboration for children and youth in northeast Iowa. 173 26 21. Of the funds appropriated in this section, at least 173 27 $73,579 shall be used for the continuation of the child 173 28 welfare provider training academy, a collaboration between the 173 29 coalition for family and children's services in Iowa and the 173 30 department. 173 31 22. Of the funds appropriated in this section, $12,500 173 32 shall be used for the public purpose of continuation of a 173 33 grant to a child welfare services provider headquartered in a 173 34 county with a population between 205,000 and 215,000 in the 173 35 latest certified federal census that provides multiple services 174 1 including but not limited to a psychiatric medical institution 174 2 for children, shelter, residential treatment, after school 174 3 programs, school=based programming, and an Asperger's syndrome 174 4 program, to be used for support services for children with 174 5 autism spectrum disorder and their families. 174 6 23. Of the funds appropriated in this section, $12,500 174 7 shall be used for the public purpose of continuing a grant to 174 8 a hospital=based provider headquartered in a county with a 174 9 population between 90,000 and 95,000 in the latest certified 174 10 federal census that provides multiple services including 174 11 but not limited to diagnostic, therapeutic, and behavioral 174 12 services to individuals with autism spectrum disorder across 174 13 one's lifespan. The grant recipient shall utilize the funds 174 14 to continue the pilot project to determine the necessary 174 15 support services for children with autism spectrum disorder and 174 16 their families to be included in the children's disabilities 174 17 services system. The grant recipient shall submit findings and 174 18 recommendations based upon the results of the pilot project 174 19 to the individuals specified in this division of this Act for 174 20 submission of reports by December 31, 2016. 174 21 24. Of the funds appropriated in this section, $105,936 174 22 shall be used for continuation of the central Iowa system of 174 23 care program grant through June 30, 2017. 174 24 25. Of the funds appropriated in this section, $125,000 174 25 shall be used for the public purpose of the continuation 174 26 and expansion of a system of care program grant implemented 174 27 in Cerro Gordo and Linn counties to utilize a comprehensive 174 28 and long=term approach for helping children and families by 174 29 addressing the key areas in a child's life of childhood basic 174 30 needs, education and work, family, and community. 174 31 26. Of the funds appropriated in this section, at least 174 32 $12,500 shall be used to continue and to expand the foster 174 33 care respite pilot program in which postsecondary students in 174 34 social work and other human services=related programs receive 174 35 experience by assisting family foster care providers with 175 1 respite and other support. 175 2 27. Of the funds appropriated in this section, $55,000 175 3 shall be used for the public purpose of funding community=based 175 4 services and other supports with a system of care approach 175 5 for children with a serious emotional disturbance and their 175 6 families through a nonprofit provider of child welfare services 175 7 that has been in existence for more than 115 years, is located 175 8 in a county with a population of more than 200,000 but less 175 9 than 220,000 according to the latest census information 175 10 issued by the United States census bureau, is licensed as a 175 11 psychiatric medical institution for children, and was a system 175 12 of care grantee prior to July 1, 2016. 175 13 Sec. 135. ADOPTION SUBSIDY. 175 14 1. There is appropriated from the general fund of the 175 15 state to the department of human services for the fiscal year 175 16 beginning July 1, 2016, and ending June 30, 2017, the following 175 17 amount, or so much thereof as is necessary, to be used for the 175 18 purpose designated: 175 19 For adoption subsidy payments and services: 175 20 .................................................. $ 21,499,143 175 21 2. The department may transfer funds appropriated in 175 22 this section to the appropriation made in this division of 175 23 this Act for general administration for costs paid from the 175 24 appropriation relating to adoption subsidy. 175 25 3. Federal funds received by the state during the 175 26 fiscal year beginning July 1, 2016, as the result of the 175 27 expenditure of state funds during a previous state fiscal 175 28 year for a service or activity funded under this section are 175 29 appropriated to the department to be used as additional funding 175 30 for the services and activities funded under this section. 175 31 Notwithstanding section 8.33, moneys received in accordance 175 32 with this subsection that remain unencumbered or unobligated 175 33 at the close of the fiscal year shall not revert to any fund 175 34 but shall remain available for expenditure for the purposes 175 35 designated until the close of the succeeding fiscal year. 176 1 Sec. 136. JUVENILE DETENTION HOME FUND. Moneys deposited 176 2 in the juvenile detention home fund created in section 232.142 176 3 during the fiscal year beginning July 1, 2016, and ending June 176 4 30, 2017, are appropriated to the department of human services 176 5 for the fiscal year beginning July 1, 2016, and ending June 30, 176 6 2017, for distribution of an amount equal to a percentage of 176 7 the costs of the establishment, improvement, operation, and 176 8 maintenance of county or multicounty juvenile detention homes 176 9 in the fiscal year beginning July 1, 2015. Moneys appropriated 176 10 for distribution in accordance with this section shall be 176 11 allocated among eligible detention homes, prorated on the basis 176 12 of an eligible detention home's proportion of the costs of all 176 13 eligible detention homes in the fiscal year beginning July 176 14 1, 2015. The percentage figure shall be determined by the 176 15 department based on the amount available for distribution for 176 16 the fund. Notwithstanding section 232.142, subsection 3, the 176 17 financial aid payable by the state under that provision for the 176 18 fiscal year beginning July 1, 2016, shall be limited to the 176 19 amount appropriated for the purposes of this section. 176 20 Sec. 137. FAMILY SUPPORT SUBSIDY PROGRAM. 176 21 1. There is appropriated from the general fund of the 176 22 state to the department of human services for the fiscal year 176 23 beginning July 1, 2016, and ending June 30, 2017, the following 176 24 amount, or so much thereof as is necessary, to be used for the 176 25 purpose designated: 176 26 For the family support subsidy program subject to the 176 27 enrollment restrictions in section 225C.37, subsection 3: 176 28 .................................................. $ 536,966 176 29 2. The department shall use at least $320,750 of the moneys 176 30 appropriated in this section for the family support center 176 31 component of the comprehensive family support program under 176 32 section 225C.47. Not more than $12,500 of the amount allocated 176 33 in this subsection shall be used for administrative costs. 176 34 3. If at any time during the fiscal year, the amount of 176 35 funding available for the family support subsidy program 177 1 is reduced from the amount initially used to establish the 177 2 figure for the number of family members for whom a subsidy 177 3 is to be provided at any one time during the fiscal year, 177 4 notwithstanding section 225C.38, subsection 2, the department 177 5 shall revise the figure as necessary to conform to the amount 177 6 of funding available. 177 7 Sec. 138. CONNER DECREE. There is appropriated from the 177 8 general fund of the state to the department of human services 177 9 for the fiscal year beginning July 1, 2016, and ending June 30, 177 10 2017, the following amount, or so much thereof as is necessary, 177 11 to be used for the purpose designated: 177 12 For building community capacity through the coordination 177 13 and provision of training opportunities in accordance with the 177 14 consent decree of Conner v. Branstad, No. 4=86=CV=30871(S.D. 177 15 Iowa, July 14, 1994): 177 16 .................................................. $ 16,816 177 17 Sec. 139. MENTAL HEALTH INSTITUTES. There is appropriated 177 18 from the general fund of the state to the department of human 177 19 services for the fiscal year beginning July 1, 2016, and ending 177 20 June 30, 2017, the following amounts, or so much thereof as is 177 21 necessary, to be used for the purposes designated: 177 22 1. For the state mental health institute at Cherokee for 177 23 salaries, support, maintenance, and miscellaneous purposes, and 177 24 for not more than the following full=time equivalent positions: 177 25 .................................................. $ 2,772,808 177 26 ............................................... FTEs 169.20 177 27 2. For the state mental health institute at Clarinda for 177 28 salaries, support, maintenance, and miscellaneous purposes, and 177 29 for not more than the following full=time equivalent positions: 177 30 .................................................. $ 906,450 177 31 ............................................... FTEs 86.10 177 32 3. For the state mental health institute at Independence for 177 33 salaries, support, maintenance, and miscellaneous purposes, and 177 34 for not more than the following full=time equivalent positions: 177 35 .................................................. $ 5,195,387 178 1 ............................................... FTEs 233.00 178 2 Sec. 140. STATE RESOURCE CENTERS. 178 3 1. There is appropriated from the general fund of the 178 4 state to the department of human services for the fiscal year 178 5 beginning July 1, 2016, and ending June 30, 2017, the following 178 6 amounts, or so much thereof as is necessary, to be used for the 178 7 purposes designated: 178 8 a. For the state resource center at Glenwood for salaries, 178 9 support, maintenance, and miscellaneous purposes: 178 10 .................................................. $ 11,012,241 178 11 b. For the state resource center at Woodward for salaries, 178 12 support, maintenance, and miscellaneous purposes: 178 13 .................................................. $ 7,466,903 178 14 2. The department may continue to bill for state resource 178 15 center services utilizing a scope of services approach used for 178 16 private providers of intermediate care facilities for persons 178 17 with an intellectual disability services, in a manner which 178 18 does not shift costs between the medical assistance program, 178 19 counties, or other sources of funding for the state resource 178 20 centers. 178 21 3. The state resource centers may expand the time=limited 178 22 assessment and respite services during the fiscal year. 178 23 4. If the department's administration and the department 178 24 of management concur with a finding by a state resource 178 25 center's superintendent that projected revenues can reasonably 178 26 be expected to pay the salary and support costs for a new 178 27 employee position, or that such costs for adding a particular 178 28 number of new positions for the fiscal year would be less 178 29 than the overtime costs if new positions would not be added, 178 30 the superintendent may add the new position or positions. If 178 31 the vacant positions available to a resource center do not 178 32 include the position classification desired to be filled, the 178 33 state resource center's superintendent may reclassify any 178 34 vacant position as necessary to fill the desired position. The 178 35 superintendents of the state resource centers may, by mutual 179 1 agreement, pool vacant positions and position classifications 179 2 during the course of the fiscal year in order to assist one 179 3 another in filling necessary positions. 179 4 5. If existing capacity limitations are reached in 179 5 operating units, a waiting list is in effect for a service or 179 6 a special need for which a payment source or other funding 179 7 is available for the service or to address the special need, 179 8 and facilities for the service or to address the special need 179 9 can be provided within the available payment source or other 179 10 funding, the superintendent of a state resource center may 179 11 authorize opening not more than two units or other facilities 179 12 and begin implementing the service or addressing the special 179 13 need during fiscal year 2016=2017. 179 14 Sec. 141. SEXUALLY VIOLENT PREDATORS. 179 15 1. There is appropriated from the general fund of the 179 16 state to the department of human services for the fiscal year 179 17 beginning July 1, 2016, and ending June 30, 2017, the following 179 18 amount, or so much thereof as is necessary, to be used for the 179 19 purpose designated: 179 20 For costs associated with the commitment and treatment of 179 21 sexually violent predators in the unit located at the state 179 22 mental health institute at Cherokee, including costs of legal 179 23 services and other associated costs, including salaries, 179 24 support, maintenance, and miscellaneous purposes, and for not 179 25 more than the following full=time equivalent positions: 179 26 .................................................. $ 4,946,540 179 27 ............................................... FTEs 132.50 179 28 2. Unless specifically prohibited by law, if the amount 179 29 charged provides for recoupment of at least the entire amount 179 30 of direct and indirect costs, the department of human services 179 31 may contract with other states to provide care and treatment 179 32 of persons placed by the other states at the unit for sexually 179 33 violent predators at Cherokee. The moneys received under 179 34 such a contract shall be considered to be repayment receipts 179 35 and used for the purposes of the appropriation made in this 180 1 section. 180 2 Sec. 142. FIELD OPERATIONS. There is appropriated from the 180 3 general fund of the state to the department of human services 180 4 for the fiscal year beginning July 1, 2016, and ending June 30, 180 5 2017, the following amount, or so much thereof as is necessary, 180 6 to be used for the purposes designated: 180 7 For field operations, including salaries, support, 180 8 maintenance, and miscellaneous purposes, and for not more than 180 9 the following full=time equivalent positions: 180 10 .................................................. $ 29,460,488 180 11 ............................................... FTEs 1,837.00 180 12 1. As a condition of this appropriation, the department 180 13 shall make every possible effort to fill the entire number of 180 14 positions authorized by this section and, unless specifically 180 15 provided otherwise by an applicable collective bargaining 180 16 agreement, the department is not subject to any approval 180 17 requirement external to the department to fill a field 180 18 operations vacancy within the number of full=time equivalent 180 19 positions authorized by this section. The department shall 180 20 report on the first of each month to the chairpersons and 180 21 ranking members of the appropriations committees of the senate 180 22 and house of representatives, and the persons designated by 180 23 this Act for submission of reports concerning the status of 180 24 filling the positions. 180 25 2. Priority in filling full=time equivalent positions 180 26 shall be given to those positions related to child protection 180 27 services and eligibility determination for low=income families. 180 28 Sec. 143. GENERAL ADMINISTRATION. There is appropriated 180 29 from the general fund of the state to the department of human 180 30 services for the fiscal year beginning July 1, 2016, and ending 180 31 June 30, 2017, the following amount, or so much thereof as is 180 32 necessary, to be used for the purpose designated: 180 33 For general administration, including salaries, support, 180 34 maintenance, and miscellaneous purposes, and for not more than 180 35 the following full=time equivalent positions: 181 1 .................................................. $ 7,580,871 181 2 ............................................... FTEs 309.00 181 3 1. Of the funds appropriated in this section, $19,272 is 181 4 allocated for the prevention of disabilities policy council 181 5 created in section 225B.103, if enacted in this or any other 181 6 Act. 181 7 2. The department shall report at least monthly to the 181 8 legislative services agency concerning the department's 181 9 operational and program expenditures. 181 10 3. Of the funds appropriated in this section, $75,000 shall 181 11 be used to continue the contract for the provision of a program 181 12 to provide technical assistance, support, and consultation to 181 13 providers of habilitation services and home and community=based 181 14 services waiver services for adults with disabilities under the 181 15 medical assistance program. 181 16 4. Of the funds appropriated in this section, $25,000 181 17 is transferred to the Iowa finance authority to be used 181 18 for administrative support of the council on homelessness 181 19 established in section 16.2D and for the council to fulfill its 181 20 duties in addressing and reducing homelessness in the state. 181 21 5. Of the funds appropriated in this section, $125,000 181 22 is allocated to an Iowa food bank association selected by 181 23 the department for the purchase of food on behalf of an Iowa 181 24 emergency feeding organization or for the distribution of 181 25 moneys to the Iowa emergency feeding organization for the 181 26 purchase of food. The moneys allocated in this subsection 181 27 shall be allocated only to the extent that the allocated moneys 181 28 are matched on a dollar=for=dollar basis. Notwithstanding 181 29 section 8.33, moneys allocated in this subsection that remain 181 30 unencumbered or unobligated at the close of the fiscal year 181 31 shall not revert but shall remain available for expenditure for 181 32 the purposes designated until the close of the following fiscal 181 33 year. 181 34 6. Of the funds appropriated in this section, $125,000 shall 181 35 be transferred to and deposited in the administrative fund of 182 1 the Iowa ABLE savings plan trust created in section 12I.4, if 182 2 enacted in this or any other Act, to be used for implementation 182 3 and administration activities of the Iowa ABLE savings plan 182 4 trust. 182 5 Sec. 144. VOLUNTEERS. There is appropriated from the 182 6 general fund of the state to the department of human services 182 7 for the fiscal year beginning July 1, 2016, and ending June 30, 182 8 2017, the following amount, or so much thereof as is necessary, 182 9 to be used for the purpose designated: 182 10 For development and coordination of volunteer services: 182 11 .................................................. $ 42,343 182 12 Sec. 145. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY 182 13 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE 182 14 DEPARTMENT OF HUMAN SERVICES. 182 15 1. a. (1) For the fiscal year beginning July 1, 2016, 182 16 the total state funding amount for the nursing facility budget 182 17 shall not exceed $160,950,003. 182 18 (2) The department, in cooperation with nursing facility 182 19 representatives, shall review projections for state funding 182 20 expenditures for reimbursement of nursing facilities on a 182 21 quarterly basis and the department shall determine if an 182 22 adjustment to the medical assistance reimbursement rate is 182 23 necessary in order to provide reimbursement within the state 182 24 funding amount for the fiscal year. Notwithstanding 2001 182 25 Iowa Acts, chapter 192, section 4, subsection 2, paragraph 182 26 "c", and subsection 3, paragraph "a", subparagraph (2), 182 27 if the state funding expenditures for the nursing facility 182 28 budget for the fiscal year are projected to exceed the amount 182 29 specified in subparagraph (1), the department shall adjust 182 30 the reimbursement for nursing facilities reimbursed under the 182 31 case=mix reimbursement system to maintain expenditures of the 182 32 nursing facility budget within the specified amount for the 182 33 fiscal year. 182 34 (3) For the fiscal year beginning July 1, 2016, special 182 35 population nursing facilities shall be reimbursed in accordance 183 1 with the methodology in effect on June 30, 2016. 183 2 (4) For any open or unsettled nursing facility cost report 183 3 for a fiscal year prior to and including the fiscal year 183 4 beginning July 1, 2015, including any cost report remanded on 183 5 judicial review for inclusion of prescription drug, laboratory, 183 6 or x=ray costs, the department shall offset all reported 183 7 prescription drug, laboratory, and x=ray costs with any revenue 183 8 received from Medicare or other revenue source for any purpose. 183 9 For purposes of this subparagraph, a nursing facility cost 183 10 report is not considered open or unsettled if the facility did 183 11 not initiate an administrative appeal under chapter 17A or if 183 12 any appeal rights initiated have been exhausted. 183 13 b. (1) For the fiscal year beginning July 1, 2016, 183 14 the department shall establish the pharmacy dispensing fee 183 15 reimbursement at $11.73 per prescription, until a cost of 183 16 dispensing survey is completed. The actual dispensing fee 183 17 shall be determined by a cost of dispensing survey performed 183 18 by the department and required to be completed by all medical 183 19 assistance program participating pharmacies every two years, 183 20 adjusted as necessary to maintain expenditures within the 183 21 amount appropriated to the department for this purpose for the 183 22 fiscal year. 183 23 (2) The department shall utilize an average acquisition 183 24 cost reimbursement methodology for all drugs covered under the 183 25 medical assistance program in accordance with 2012 Iowa Acts, 183 26 chapter 1133, section 33. 183 27 (3) Notwithstanding subparagraph (2), if the centers for 183 28 Medicare and Medicaid services of the United States department 183 29 of health and human services (CMS) requires, as a condition 183 30 of federal Medicaid funding, that the department implement an 183 31 aggregate federal upper limit (FUL) for drug reimbursement 183 32 based on the average manufacturer's price (AMP), the department 183 33 may utilize a reimbursement methodology for all drugs covered 183 34 under the Medicaid program based on the national average drug 183 35 acquisition cost (NADAC) methodology published by CMS, in order 184 1 to assure compliance with the aggregate FUL, minimize outcomes 184 2 of drug reimbursements below pharmacy acquisition costs, limit 184 3 administrative costs, and minimize any change in the aggregate 184 4 reimbursement for drugs. The department may adopt emergency 184 5 rules to implement this subparagraph. 184 6 c. (1) For the fiscal year beginning July 1, 2016, 184 7 reimbursement rates for outpatient hospital services shall 184 8 remain at the rates in effect on June 30, 2016, subject 184 9 to Medicaid program upper payment limit rules and adjusted 184 10 as necessary to maintain expenditures within the amount 184 11 appropriated to the department for this purpose for the fiscal 184 12 year. 184 13 (2) For the fiscal year beginning July 1, 2016, 184 14 reimbursement rates for inpatient hospital services shall 184 15 remain at the rates in effect on June 30, 2016, subject 184 16 to Medicaid program upper payment limit rules and adjusted 184 17 as necessary to maintain expenditures within the amount 184 18 appropriated to the department for this purpose for the fiscal 184 19 year. 184 20 (3) For the fiscal year beginning July 1, 2016, the graduate 184 21 medical education and disproportionate share hospital fund 184 22 shall remain at the amount in effect on June 30, 2016, except 184 23 that the portion of the fund attributable to graduate medical 184 24 education shall be reduced in an amount that reflects the 184 25 elimination of graduate medical education payments made to 184 26 out=of=state hospitals. 184 27 (4) In order to ensure the efficient use of limited state 184 28 funds in procuring health care services for low=income Iowans, 184 29 funds appropriated in this Act for hospital services shall 184 30 not be used for activities which would be excluded from a 184 31 determination of reasonable costs under the federal Medicare 184 32 program pursuant to 42 U.S.C. {1395x(v)(1)(N). 184 33 d. For the fiscal year beginning July 1, 2016, reimbursement 184 34 rates for rural health clinics, hospices, and acute mental 184 35 hospitals shall be increased in accordance with increases under 185 1 the federal Medicare program or as supported by their Medicare 185 2 audited costs. 185 3 e. For the fiscal year beginning July 1, 2016, independent 185 4 laboratories and rehabilitation agencies shall be reimbursed 185 5 using the same methodology in effect on June 30, 2016. 185 6 f. (1) For the fiscal year beginning July 1, 2016, 185 7 reimbursement rates for home health agencies shall continue to 185 8 be based on the Medicare low utilization payment adjustment 185 9 (LUPA) methodology with state geographic wage adjustments, and 185 10 updated to reflect the most recent Medicare LUPA rates. 185 11 (2) For the fiscal year beginning July 1, 2016, rates for 185 12 private duty nursing and personal care services under the early 185 13 and periodic screening, diagnostic, and treatment program 185 14 benefit shall be calculated based on the methodology in effect 185 15 on June 30, 2016. 185 16 g. For the fiscal year beginning July 1, 2016, federally 185 17 qualified health centers shall receive cost=based reimbursement 185 18 for 100 percent of the reasonable costs for the provision of 185 19 services to recipients of medical assistance. 185 20 h. For the fiscal year beginning July 1, 2016, the 185 21 reimbursement rates for dental services shall remain at the 185 22 rates in effect on June 30, 2016. 185 23 i. (1) For the fiscal year beginning July 1, 2016, 185 24 state=owned psychiatric medical institutions for children shall 185 25 receive cost=based reimbursement for 100 percent of the actual 185 26 and allowable costs for the provision of services to recipients 185 27 of medical assistance. 185 28 (2) For the nonstate=owned psychiatric medical institutions 185 29 for children, reimbursement rates shall be based on the 185 30 reimbursement methodology developed by the department as 185 31 required for federal compliance. 185 32 (3) As a condition of participation in the medical 185 33 assistance program, enrolled providers shall accept the medical 185 34 assistance reimbursement rate for any covered goods or services 185 35 provided to recipients of medical assistance who are children 186 1 under the custody of a psychiatric medical institution for 186 2 children. 186 3 j. For the fiscal year beginning July 1, 2016, unless 186 4 otherwise specified in this Act, all noninstitutional medical 186 5 assistance provider reimbursement rates shall remain at the 186 6 rates in effect on June 30, 2016, except for area education 186 7 agencies, local education agencies, infant and toddler 186 8 services providers, home and community=based services providers 186 9 including consumer=directed attendant care providers under a 186 10 section 1915(c) or 1915(i) waiver, targeted case management 186 11 providers, and those providers whose rates are required to be 186 12 determined pursuant to section 249A.20. 186 13 k. Notwithstanding any provision to the contrary, for the 186 14 fiscal year beginning July 1, 2016, the reimbursement rate for 186 15 anesthesiologists shall remain at the rate in effect on June 186 16 30, 2016. 186 17 l. Notwithstanding section 249A.20, for the fiscal year 186 18 beginning July 1, 2016, the average reimbursement rate for 186 19 health care providers eligible for use of the federal Medicare 186 20 resource=based relative value scale reimbursement methodology 186 21 under section 249A.20 shall remain at the rate in effect on 186 22 June 30, 2016; however, this rate shall not exceed the maximum 186 23 level authorized by the federal government. 186 24 m. For the fiscal year beginning July 1, 2016, the 186 25 reimbursement rate for residential care facilities shall not 186 26 be less than the minimum payment level as established by the 186 27 federal government to meet the federally mandated maintenance 186 28 of effort requirement. The flat reimbursement rate for 186 29 facilities electing not to file annual cost reports shall not 186 30 be less than the minimum payment level as established by the 186 31 federal government to meet the federally mandated maintenance 186 32 of effort requirement. 186 33 n. For the fiscal year beginning July 1, 2016, the 186 34 reimbursement rates for inpatient mental health services 186 35 provided at hospitals shall remain at the rates in effect on 187 1 June 30, 2016, subject to Medicaid program upper payment limit 187 2 rules; and psychiatrists shall be reimbursed at the medical 187 3 assistance program fee=for=service rate in effect on June 30, 187 4 2016. 187 5 o. For the fiscal year beginning July 1, 2016, community 187 6 mental health centers may choose to be reimbursed for the 187 7 services provided to recipients of medical assistance through 187 8 either of the following options: 187 9 (1) For 100 percent of the reasonable costs of the services. 187 10 (2) In accordance with the alternative reimbursement rate 187 11 methodology established by the medical assistance program's 187 12 managed care contractor for mental health services and approved 187 13 by the department of human services. 187 14 p. For the fiscal year beginning July 1, 2016, the 187 15 reimbursement rate for providers of family planning services 187 16 that are eligible to receive a 90 percent federal match shall 187 17 remain at the rates in effect on June 30, 2016. 187 18 q. For the fiscal year beginning July 1, 2016, the upper 187 19 limits on reimbursement rates for providers of home and 187 20 community=based services waiver services shall remain at the 187 21 limits in effect on June 30, 2016. 187 22 r. For the fiscal year beginning July 1, 2016, the 187 23 reimbursement rates for emergency medical service providers 187 24 shall remain at the rates in effect on June 30, 2016. 187 25 s. For the fiscal year beginning July 1, 2016, reimbursement 187 26 rates for substance=related disorder treatment programs 187 27 licensed under section 125.13 shall remain at the rates in 187 28 effect on June 30, 2016. 187 29 2. For the fiscal year beginning July 1, 2016, the 187 30 reimbursement rate for providers reimbursed under the 187 31 in=home=related care program shall not be less than the minimum 187 32 payment level as established by the federal government to meet 187 33 the federally mandated maintenance of effort requirement. 187 34 3. Unless otherwise directed in this section, when the 187 35 department's reimbursement methodology for any provider 188 1 reimbursed in accordance with this section includes an 188 2 inflation factor, this factor shall not exceed the amount 188 3 by which the consumer price index for all urban consumers 188 4 increased during the calendar year ending December 31, 2002. 188 5 4. For the fiscal year beginning July 1, 2016, the foster 188 6 family basic daily maintenance rate and the maximum adoption 188 7 subsidy rate for children ages 0 through 5 years shall be 188 8 $16.78, the rate for children ages 6 through 11 years shall be 188 9 $17.45, the rate for children ages 12 through 15 years shall 188 10 be $19.10, and the rate for children and young adults ages 16 188 11 and older shall be $19.35. For youth ages 18 to 21 who have 188 12 exited foster care, the preparation for adult living program 188 13 maintenance rate shall be $602.70 per month. The maximum 188 14 payment for adoption subsidy nonrecurring expenses shall be 188 15 limited to $500 and the disallowance of additional amounts 188 16 for court costs and other related legal expenses implemented 188 17 pursuant to 2010 Iowa Acts, chapter 1031, section 408, shall 188 18 be continued. 188 19 5. For the fiscal year beginning July 1, 2016, the maximum 188 20 reimbursement rates for social services providers under 188 21 contract shall remain at the rates in effect on June 30, 2016, 188 22 or the provider's actual and allowable cost plus inflation for 188 23 each service, whichever is less. However, if a new service 188 24 or service provider is added after June 30, 2016, the initial 188 25 reimbursement rate for the service or provider shall be based 188 26 upon a weighted average of provider rates for similar services. 188 27 6. For the fiscal year beginning July 1, 2016, the 188 28 reimbursement rates for resource family recruitment and 188 29 retention contractors, child welfare emergency services 188 30 contractors, and supervised apartment living foster care 188 31 providers shall remain at the rates in effect on June 30, 2016. 188 32 7. For the fiscal year beginning July 1, 2016, the 188 33 reimbursement rate for safety plan services and family safety, 188 34 risk, and permanency services (family=centered) shall be as 188 35 follows: 189 1 a. The statewide base monthly payment amount for all 189 2 family safety, risk, and permanency services (family=centered) 189 3 contractors shall be the rate in effect on June 30, 2016. 189 4 (1) Family safety, risk, and permanency services 189 5 Performance Measure 1 payments shall be the rate in effect on 189 6 June 30, 2016. 189 7 (2) Family safety, risk, and permanency services 189 8 Performance Measure 2 payments shall be the rate in effect on 189 9 June 30, 2016. 189 10 (3) Family safety, risk, and permanency services 189 11 Performance Measure 3 payments shall be the rate in effect on 189 12 June 30, 2016. 189 13 (4) Family safety, risk, and permanency services 189 14 Performance Measure 4 payments shall be the rate in effect on 189 15 June 30, 2016. 189 16 b. The maximum reimbursement unit rate for safety plan 189 17 services shall be the rate in effect on June 30, 2016. 189 18 (1) Safety plan services Performance Measure 1 payments 189 19 shall be the rate in effect on June 30, 2016. 189 20 (2) Safety plan services Performance Measure 2 payments 189 21 shall be the rate in effect on June 30, 2016. 189 22 8. a. For the purposes of this subsection, "combined 189 23 reimbursement rate" means the combined service and maintenance 189 24 reimbursement rate for a service level under the department's 189 25 reimbursement methodology. Effective July 1, 2016, the 189 26 combined reimbursement rate for a group foster care service 189 27 level shall be the amount designated in this subsection. 189 28 However, if a group foster care provider's reimbursement rate 189 29 for a service level as of June 30, 2016, is more than the rate 189 30 designated in this subsection, the provider's reimbursement 189 31 shall remain at the higher rate. 189 32 b. Unless a group foster care provider is subject to the 189 33 exception provided in paragraph "a", effective July 1, 2016, 189 34 the combined reimbursement rates for the service levels under 189 35 the department's reimbursement methodology shall be as follows: 190 1 (1) For service level, community = D1, the daily rate shall 190 2 be at least $84.17. 190 3 (2) For service level, comprehensive = D2, the daily rate 190 4 shall be at least $119.09. 190 5 (3) For service level, enhanced = D3, the daily rate shall 190 6 be at least $131.09. 190 7 9. The group foster care reimbursement rates paid for 190 8 placement of children out of state shall be calculated 190 9 according to the same rate=setting principles as those used for 190 10 in=state providers, unless the director of human services or 190 11 the director's designee determines that appropriate care cannot 190 12 be provided within the state. The payment of the daily rate 190 13 shall be based on the number of days in the calendar month in 190 14 which service is provided. 190 15 10. a. For the fiscal year beginning July 1, 2016, the 190 16 reimbursement rate paid for shelter care and the child welfare 190 17 emergency services implemented to provide or prevent the need 190 18 for shelter care shall be established by contract. 190 19 b. For the fiscal year beginning July 1, 2016, the combined 190 20 service and maintenance components of the reimbursement rate 190 21 paid for shelter care services shall be based on the financial 190 22 and statistical report submitted to the department. The 190 23 maximum reimbursement rate shall be $101.83 per day. The 190 24 department shall reimburse a shelter care provider at the 190 25 provider's actual and allowable unit cost, plus inflation, not 190 26 to exceed the maximum reimbursement rate. 190 27 c. Notwithstanding section 232.141, subsection 8, for the 190 28 fiscal year beginning July 1, 2016, the amount of the statewide 190 29 average of the actual and allowable rates for reimbursement of 190 30 juvenile shelter care homes that is utilized for the limitation 190 31 on recovery of unpaid costs shall remain at the amount in 190 32 effect for this purpose in the fiscal year beginning July 1, 190 33 2015. 190 34 11. For the fiscal year beginning July 1, 2016, the 190 35 department shall calculate reimbursement rates for intermediate 191 1 care facilities for persons with an intellectual disability 191 2 at the 80th percentile. Beginning July 1, 2016, the rate 191 3 calculation methodology shall utilize the consumer price index 191 4 inflation factor applicable to the fiscal year beginning July 191 5 1, 2016. 191 6 12. For the fiscal year beginning July 1, 2016, for child 191 7 care providers reimbursed under the state child care assistance 191 8 program, the department shall set provider reimbursement 191 9 rates based on the rate reimbursement survey completed in 191 10 December 2004. Effective July 1, 2016, the child care provider 191 11 reimbursement rates shall remain at the rates in effect on June 191 12 30, 2016. The department shall set rates in a manner so as 191 13 to provide incentives for a nonregistered provider to become 191 14 registered by applying the increase only to registered and 191 15 licensed providers. 191 16 13. For the fiscal year beginning July 1, 2016, if the 191 17 centers for Medicare and Medicaid services of the United 191 18 States department of health and human services approves the 191 19 waivers necessary to implement medical assistance program 191 20 managed care applicable to any providers or services subject to 191 21 reimbursement under this section, notwithstanding any provision 191 22 to the contrary under this section, affected providers or 191 23 services shall instead be reimbursed as follows: 191 24 a. For fee=for=service claims, reimbursement rates shall 191 25 be calculated based on the methodology otherwise specified in 191 26 this section for the fiscal year beginning July 1, 2016, for 191 27 the respective provider or service. 191 28 b. For claims subject to a managed care contract, 191 29 reimbursement shall be based on the actuarially sound 191 30 capitation rates established under the contract. However, 191 31 any reimbursement established under such contract shall not 191 32 be lower than the reimbursement otherwise specified in this 191 33 section for the fiscal year beginning July 1, 2016, for the 191 34 respective provider or service. 191 35 14. The department may adopt emergency rules to implement 192 1 this section. 192 2 Sec. 146. EMERGENCY RULES. 192 3 1. If specifically authorized by a provision of this 192 4 division of this Act, the department of human services or 192 5 the mental health and disability services commission may 192 6 adopt administrative rules under section 17A.4, subsection 192 7 3, and section 17A.5, subsection 2, paragraph "b", to 192 8 implement the provisions of this division of this Act and 192 9 the rules shall become effective immediately upon filing or 192 10 on a later effective date specified in the rules, unless the 192 11 effective date of the rules is delayed or the applicability 192 12 of the rules is suspended by the administrative rules review 192 13 committee. Any rules adopted in accordance with this section 192 14 shall not take effect before the rules are reviewed by the 192 15 administrative rules review committee. The delay authority 192 16 provided to the administrative rules review committee under 192 17 section 17A.4, subsection 7, and section 17A.8, subsection 9, 192 18 shall be applicable to a delay imposed under this section, 192 19 notwithstanding a provision in those sections making them 192 20 inapplicable to section 17A.5, subsection 2, paragraph "b". 192 21 Any rules adopted in accordance with the provisions of this 192 22 section shall also be published as a notice of intended action 192 23 as provided in section 17A.4. 192 24 2. If during a fiscal year, the department of human 192 25 services is adopting rules in accordance with this section 192 26 or as otherwise directed or authorized by state law, and the 192 27 rules will result in an expenditure increase beyond the amount 192 28 anticipated in the budget process or if the expenditure was 192 29 not addressed in the budget process for the fiscal year, the 192 30 department shall notify the persons designated by this division 192 31 of this Act for submission of reports, the chairpersons and 192 32 ranking members of the committees on appropriations, and 192 33 the department of management concerning the rules and the 192 34 expenditure increase. The notification shall be provided at 192 35 least 30 calendar days prior to the date notice of the rules 193 1 is submitted to the administrative rules coordinator and the 193 2 administrative code editor. 193 3 Sec. 147. REPORTS. Any reports or other information 193 4 required to be compiled and submitted under this Act during the 193 5 fiscal year beginning July 1, 2016, shall be submitted to the 193 6 chairpersons and ranking members of the joint appropriations 193 7 subcommittee on health and human services, the legislative 193 8 services agency, and the legislative caucus staffs on or 193 9 before the dates specified for submission of the reports or 193 10 information. 193 11 Sec. 148. EFFECTIVE UPON ENACTMENT. The following 193 12 provisions of this division of this Act, being deemed of 193 13 immediate importance, take effect upon enactment: 193 14 1. The provision relating to section 232.141 and directing 193 15 the state court administrator and the division administrator of 193 16 the department of human services division of child and family 193 17 services to make the determination, by June 15, 2016, of the 193 18 distribution of funds allocated for the payment of the expenses 193 19 of court=ordered services provided to juveniles which are a 193 20 charge upon the state. 193 21 DIVISION XXXVIII 193 22 HEALTH CARE ACCOUNTS AND FUNDS ==== FY 2016=2017 193 23 Sec. 149. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is 193 24 appropriated from the pharmaceutical settlement account created 193 25 in section 249A.33 to the department of human services for the 193 26 fiscal year beginning July 1, 2016, and ending June 30, 2017, 193 27 the following amount, or so much thereof as is necessary, to be 193 28 used for the purpose designated: 193 29 Notwithstanding any provision of law to the contrary, to 193 30 supplement the appropriations made in this Act for medical 193 31 contracts under the medical assistance program for the fiscal 193 32 year beginning July 1, 2016, and ending June 30, 2017: 193 33 .................................................. $ 250,000 193 34 Sec. 150. QUALITY ASSURANCE TRUST FUND ==== DEPARTMENT OF 193 35 HUMAN SERVICES. Notwithstanding any provision to the contrary 194 1 and subject to the availability of funds, there is appropriated 194 2 from the quality assurance trust fund created in section 194 3 249L.4 to the department of human services for the fiscal year 194 4 beginning July 1, 2016, and ending June 30, 2017, the following 194 5 amounts, or so much thereof as is necessary, for the purposes 194 6 designated: 194 7 To supplement the appropriation made in this Act from the 194 8 general fund of the state to the department of human services 194 9 for medical assistance for the same fiscal year: 194 10 .................................................. $ 18,352,604 194 11 Sec. 151. HOSPITAL HEALTH CARE ACCESS TRUST FUND ==== 194 12 DEPARTMENT OF HUMAN SERVICES. Notwithstanding any provision to 194 13 the contrary and subject to the availability of funds, there is 194 14 appropriated from the hospital health care access trust fund 194 15 created in section 249M.4 to the department of human services 194 16 for the fiscal year beginning July 1, 2016, and ending June 194 17 30, 2017, the following amounts, or so much thereof as is 194 18 necessary, for the purposes designated: 194 19 To supplement the appropriation made in this Act from the 194 20 general fund of the state to the department of human services 194 21 for medical assistance for the same fiscal year: 194 22 .................................................. $ 17,350,000 194 23 Sec. 152. MEDICAL ASSISTANCE PROGRAM ==== NONREVERSION 194 24 FOR FY 2016=2017. Notwithstanding section 8.33, if moneys 194 25 appropriated for purposes of the medical assistance program for 194 26 the fiscal year beginning July 1, 2016, and ending June 30, 194 27 2017, from the general fund of the state, the quality assurance 194 28 trust fund and the hospital health care access trust fund, are 194 29 in excess of actual expenditures for the medical assistance 194 30 program and remain unencumbered or unobligated at the close 194 31 of the fiscal year, the excess moneys shall not revert but 194 32 shall remain available for expenditure for the purposes of the 194 33 medical assistance program until the close of the succeeding 194 34 fiscal year. 194 35 DIVISION XXXIX 195 1 PROPERTY TAX RELIEF FUND ==== BLOCK GRANT MONEYS ==== MENTAL HEALTH 195 2 INSTITUTES 195 3 Sec. 153. MENTAL HEALTH INSTITUTES. The moneys transferred 195 4 to the property tax relief fund for the fiscal year beginning 195 5 July 1, 2016, from the federal social services block grant 195 6 pursuant to 2015 Iowa Acts, House File 630, if enacted, and 195 7 from the federal temporary assistance for needy families block 195 8 grant, totaling at least $11,774,275, are appropriated to the 195 9 department of human services for the fiscal year beginning July 195 10 1, 2016, and ending June 30, 2017, to be used for the purposes 195 11 designated: 195 12 1. For the state mental health institute at Clarinda for 195 13 salaries, support, maintenance, and miscellaneous purposes: 195 14 .................................................. $ 2,418,254 195 15 2. For the state mental health institute at Mount Pleasant 195 16 for salaries, support, maintenance, and miscellaneous purposes, 195 17 and for not more than the following full=time equivalent 195 18 positions: 195 19 .................................................. $ 3,468,884 195 20 ............................................... FTEs 97.68 195 21 DIVISION XXXX 195 22 PERSONNEL SETTLEMENT AGREEMENT PAYMENTS 195 23 Sec. 154. PERSONNEL SETTLEMENT AGREEMENT PAYMENTS. As a 195 24 condition of the appropriations in this 2016 Act, the moneys 195 25 appropriated and any other moneys available shall not be used 195 26 for payment of a personnel settlement agreement that contains a 195 27 confidentiality provision intended to prevent public disclosure 195 28 of the agreement or any terms of the agreement. SF 505 (4) 86 pf/rj
