Bill Text: IA SSB1116 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to the health and well-being of children and families including provisions for maternal support and fatherhood initiatives, regional centers of excellence, a state-funded family medicine obstetrics fellowship program, self-administered hormonal contraceptives, state employee parental leave, adoption expenses under the adoption subsidy program, and accessibility to the all Iowa scholarship program; making appropriations; and including effective date and applicability provisions.
Spectrum: Committee Bill
Status: (Introduced - Dead) 2023-01-31 - Subcommittee: Edler, Evans, and Trone Garriott. [SSB1116 Detail]
Download: Iowa-2023-SSB1116-Introduced.html
Senate
Study
Bill
1116
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
BILL
BY
CHAIRPERSON
EDLER)
A
BILL
FOR
An
Act
relating
to
the
health
and
well-being
of
children
and
1
families
including
provisions
for
maternal
support
and
2
fatherhood
initiatives,
regional
centers
of
excellence,
a
3
state-funded
family
medicine
obstetrics
fellowship
program,
4
self-administered
hormonal
contraceptives,
state
employee
5
parental
leave,
adoption
expenses
under
the
adoption
subsidy
6
program,
and
accessibility
to
the
all
Iowa
scholarship
7
program;
making
appropriations;
and
including
effective
date
8
and
applicability
provisions.
9
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
10
TLSB
2014XC
(3)
90
pf/rh
S.F.
_____
DIVISION
I
1
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
(MOMS)
PROGRAM
——
FATHERHOOD
2
INITIATIVES
3
Section
1.
Section
217.41C,
subsection
1,
paragraph
c,
Code
4
2023,
is
amended
to
read
as
follows:
5
c.
For
the
purposes
of
this
section
,
“pregnancy
support
6
services”
means
those
nonmedical
services
that
promote
7
childbirth
by
providing
information,
counseling,
and
support
8
services
that
assist
pregnant
women
or
women
who
believe
they
9
may
be
pregnant
and
men
who
are
involved
or
who
think
they
10
might
be
involved
in
a
pregnancy
to
choose
childbirth
and
to
11
make
informed
decisions
regarding
the
choice
of
adoption
or
12
parenting
with
respect
to
their
children.
13
Sec.
2.
Section
217.41C,
Code
2023,
is
amended
by
adding
the
14
following
new
subsections:
15
NEW
SUBSECTION
.
8.
The
department
shall
develop
and
16
maintain
a
virtual
clearinghouse
of
pregnancy
support
17
services
and
resources
including
but
not
limited
to
all
of
the
18
following:
19
a.
Pregnancy
resource
center
and
maternity
home
information
20
including
contact
information,
location,
and
services
provided.
21
b.
Assistance
in
accessing
public
assistance
including
but
22
not
limited
to
the
special
supplemental
nutrition
program
for
23
women,
infants,
and
children
and
the
supplemental
nutrition
24
assistance
program.
25
c.
Educational
resources.
26
d.
Housing
assistance.
27
e.
Recovery
and
mental
health
services.
28
f.
Family
planning
education.
29
g.
Adoption
and
foster
care
information
and
services.
30
h.
Healing
and
support
services
for
abortion
survivors
and
31
their
families.
32
NEW
SUBSECTION
.
9.
Beginning
July
1,
2023,
and
thereafter,
33
funding
for
the
program
may
be
used
for
all
of
the
following
34
purposes:
35
-1-
LSB
2014XC
(3)
90
pf/rh
1/
23
S.F.
_____
a.
Fatherhood
engagement
grants.
The
department
may
1
award
grants
to
nonprofit,
community-based
organizations
to
2
address
the
needs
of
fathers
by
assisting
fathers
in
finding
3
employment,
managing
child
support
obligations,
transitioning
4
from
a
period
of
incarceration,
accessing
health
care,
5
understanding
child
development,
and
enhancing
parenting
skills
6
using
evidence-based
parenting
education.
Priority
in
the
7
awarding
of
grants
shall
be
based
on
the
demonstrated
need
8
in
a
geographic
area
and
the
prevalence
of
the
population
to
9
be
served
as
indicated
by
factors
including
but
not
limited
10
to
the
service
area’s
unemployment
rate,
incarceration
rate,
11
number
of
public
assistance
recipients,
number
of
single-parent
12
households,
level
of
housing
instability,
and
graduation
rates.
13
b.
Fatherhood
communications
initiative.
The
department
14
shall
administer
a
communications
initiative
on
responsible
15
fatherhood
including
but
not
limited
to
a
public
internet
site
16
that
provides
access
to
resources
on
effective
parenting
and
17
assistance
in
receiving
parenting
support
and
services.
18
c.
Mentoring
school-aged
males
grant
program.
The
19
department
may
award
three-year
renewable
grants
to
nonprofit
20
organizations
that
provide
mentorship,
social
and
academic
21
support,
and
life
skills
development
to
school-aged
males.
22
Priority
in
the
awarding
of
grants
shall
be
based
on
the
23
demonstrated
need
in
a
geographic
area
and
the
prevalence
of
24
the
population
to
be
served
as
indicated
by
factors
including
25
but
not
limited
to
the
service
area’s
unemployment
rate,
26
incarceration
rate,
number
of
public
assistance
recipients,
27
number
of
single-parent
households,
level
of
housing
28
instability,
and
graduation
rates.
The
department
shall
29
provide
technical
assistance
to
grantees
to
ensure
program
30
sustainability
following
the
end
of
the
three-year
grant
31
period.
32
Sec.
3.
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
PROGRAM
——
33
APPROPRIATION.
There
is
appropriated
from
the
general
fund
of
34
the
state
to
the
department
of
health
and
human
services
for
35
-2-
LSB
2014XC
(3)
90
pf/rh
2/
23
S.F.
_____
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
1
2024,
the
following
amount,
or
so
much
thereof
as
is
necessary,
2
to
be
used
for
the
purposes
designated:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
4
To
be
used
for
the
purposes
of
the
more
options
for
maternal
5
support
program
created
in
section
217.41C,
including
for
6
program
administration,
the
provision
of
services,
and
for
7
funding
of
fatherhood
engagement
grants,
the
fatherhood
8
communications
initiative,
and
the
mentoring
school-aged
males
9
grant
program.
10
Sec.
4.
2022
Iowa
Acts,
chapter
1131,
section
28,
subsection
11
8,
is
amended
to
read
as
follows:
12
8.
Of
the
funds
appropriated
under
this
section,
$500,000
13
shall
be
used
for
the
purposes
of
program
administration
and
14
provision
of
pregnancy
support
services
through
the
more
15
options
for
maternal
support
program
created
in
this
Act.
16
Notwithstanding
section
8.33,
moneys
appropriated
in
this
17
subsection
that
remain
unencumbered
or
unobligated
at
the
close
18
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
19
for
the
purposes
designated
until
the
close
of
the
succeeding
20
fiscal
year.
21
Sec.
5.
EFFECTIVE
DATE.
The
following,
being
deemed
of
22
immediate
importance,
takes
effect
upon
enactment:
23
The
section
of
this
division
of
this
Act
amending
2022
Iowa
24
Acts,
chapter
1131,
section
28,
subsection
8.
25
DIVISION
II
26
REGIONAL
CENTERS
OF
EXCELLENCE
GRANT
PROGRAM
27
Sec.
6.
REGIONAL
CENTERS
OF
EXCELLENCE
PROGRAM
——
GRANTS
——
28
APPROPRIATION.
There
is
appropriated
from
the
general
fund
of
29
the
state
to
the
department
of
health
and
human
services
for
30
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
31
2024,
the
following
amount,
or
so
much
thereof
as
is
necessary,
32
to
be
used
for
the
purposes
designated:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
34
The
funds
appropriated
in
this
section
shall
be
used
for
35
-3-
LSB
2014XC
(3)
90
pf/rh
3/
23
S.F.
_____
the
continuation
of
a
center
of
excellence
program
to
award
1
four
grants
to
encourage
innovation
and
collaboration
among
2
regional
health
care
providers
in
a
rural
area
based
upon
the
3
results
of
a
regional
community
needs
assessment
to
transform
4
health
care
delivery
in
order
to
provide
quality,
sustainable
5
care
that
meets
the
needs
of
the
local
communities.
An
6
applicant
for
the
grant
funds
shall
specify
how
the
funds
will
7
be
expended
to
accomplish
the
goals
of
the
program
and
shall
8
provide
a
detailed
five-year
sustainability
plan
prior
to
being
9
awarded
any
funding.
Following
the
receipt
of
grant
funding,
10
a
recipient
shall
submit
periodic
reports
as
specified
by
the
11
department
to
the
governor
and
the
general
assembly
regarding
12
the
recipient’s
expenditure
of
the
funds
and
progress
in
13
accomplishing
the
program’s
goals.
14
DIVISION
III
15
STATE-FUNDED
FAMILY
MEDICINE
OBSTETRICS
FELLOWSHIP
PROGRAM
16
Sec.
7.
NEW
SECTION
.
135.182
State-funded
family
medicine
17
obstetrics
fellowship
program
——
fund.
18
1.
The
department
shall
establish
a
family
medicine
19
obstetrics
fellowship
program
to
increase
access
to
family
20
medicine
obstetrics
practitioners
in
rural
and
underserved
21
areas
of
the
state.
A
person
who
has
completed
an
22
accreditation
council
for
graduate
medical
education
residency
23
program
in
family
medicine
is
eligible
for
participation
24
in
the
fellowship
program.
Participating
fellows
shall
25
enter
into
a
program
agreement
with
a
participating
teaching
26
hospital
which,
at
a
minimum,
requires
the
fellow
to
complete
a
27
one-year
fellowship
and
to
engage
in
full-time
family
medicine
28
obstetrics
practice
in
a
rural
or
underserved
area
of
the
29
state
for
a
period
of
at
least
five
years
within
nine
months
30
following
completion
of
the
fellowship
and
receipt
of
a
license
31
to
practice
medicine
in
the
state.
32
2.
Each
fellow
participating
in
the
program
shall
be
33
eligible
for
a
salary
and
benefits
including
a
stipend
as
34
determined
by
the
participating
teaching
hospital
which
shall
35
-4-
LSB
2014XC
(3)
90
pf/rh
4/
23
S.F.
_____
be
funded
through
the
family
medicine
obstetrics
fellowship
1
program
fund.
2
3.
The
department
shall
adopt
rules
pursuant
to
chapter
3
17A
to
administer
the
program,
including
defining
rural
and
4
underserved
areas
for
the
purpose
of
the
required
full-time
5
practice
of
a
person
following
completion
of
the
fellowship.
6
4.
a.
A
family
medicine
obstetrics
fellowship
program
7
fund
is
created
in
the
state
treasury
consisting
of
the
moneys
8
appropriated
or
credited
to
the
fund
by
law.
Notwithstanding
9
section
8.33,
moneys
in
the
fund
at
the
end
of
each
fiscal
year
10
shall
not
revert
to
any
other
fund
but
shall
remain
in
the
fund
11
for
use
in
subsequent
fiscal
years.
Moneys
in
the
fund
are
12
appropriated
to
the
department
to
be
used
to
fund
fellowship
13
positions
as
provided
in
this
section.
14
b.
For
the
fiscal
year
beginning
July
1,
2023,
and
each
15
fiscal
year
beginning
July
1
thereafter,
there
is
appropriated
16
from
the
general
fund
of
the
state
to
the
family
medicine
17
obstetrics
fellowship
program
fund
an
amount
sufficient
to
18
support
the
creation
of
four
fellowship
positions
as
provided
19
in
this
section.
20
5.
The
department
and
the
participating
teaching
hospitals
21
shall
regularly
evaluate
and
document
their
experiences
22
including
identifying
ways
the
program
may
be
modified
or
23
expanded
to
facilitate
increased
access
to
family
medicine
24
obstetrics
practitioners
in
rural
and
underserved
areas
of
the
25
state.
The
department
shall
submit
an
annual
report
to
the
26
general
assembly
by
January
1.
The
report
shall
include
the
27
number
of
fellowships
funded
to
date
and
any
other
information
28
identified
by
the
department
and
the
participating
teaching
29
hospitals
as
indicators
of
outcomes
and
the
effectiveness
of
30
the
program.
31
6.
For
the
purposes
of
this
section,
“teaching
hospital”
32
means
a
hospital
or
medical
center
that
provides
medical
33
education
to
prospective
and
current
health
professionals.
34
Sec.
8.
STATE-FUNDED
FAMILY
MEDICINE
OBSTETRICS
FELLOWSHIP
35
-5-
LSB
2014XC
(3)
90
pf/rh
5/
23
S.F.
_____
PROGRAM
AND
FUND
——
APPROPRIATION.
There
is
appropriated
from
1
the
general
fund
of
the
state
to
the
department
of
health
and
2
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
3
ending
June
30,
2024,
the
following
amount,
or
so
much
thereof
4
as
is
necessary,
to
be
used
for
the
purposes
designated:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
560,000
6
For
deposit
in
the
family
medicine
obstetrics
fellowship
7
program
fund
to
be
utilized
in
creating
and
providing
for
four
8
family
medicine
obstetrics
fellowship
positions
during
the
9
fiscal
year
in
accordance
with
the
family
medicine
obstetrics
10
fellowship
program
created
in
this
division
of
this
Act.
11
DIVISION
IV
12
SELF-ADMINISTERED
HORMONAL
CONTRACEPTIVES
13
Sec.
9.
Section
155A.3,
Code
2023,
is
amended
by
adding
the
14
following
new
subsections:
15
NEW
SUBSECTION
.
10A.
“Department”
means
the
department
of
16
health
and
human
services.
17
NEW
SUBSECTION
.
45A.
“Self-administered
hormonal
18
contraceptive”
means
a
self-administered
hormonal
contraceptive
19
that
is
approved
by
the
United
States
food
and
drug
20
administration
to
prevent
pregnancy.
“Self-administered
21
hormonal
contraceptive”
includes
an
oral
hormonal
contraceptive,
22
a
hormonal
vaginal
ring,
and
a
hormonal
contraceptive
patch,
23
but
does
not
include
any
drug
intended
to
induce
an
abortion
as
24
defined
in
section
146.1.
25
NEW
SUBSECTION
.
45B.
“Standing
order”
means
a
preauthorized
26
medication
order
with
specific
instructions
from
the
medical
27
director
of
the
department
to
dispense
a
medication
under
28
clearly
defined
circumstances.
29
Sec.
10.
NEW
SECTION
.
155A.49
Pharmacist
dispensing
of
30
self-administered
hormonal
contraceptives
——
standing
order
——
31
requirements
——
limitations
of
liability.
32
1.
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
33
a
pharmacist
may
dispense
a
self-administered
hormonal
34
contraceptive
to
a
patient
who
is
at
least
eighteen
years
of
35
-6-
LSB
2014XC
(3)
90
pf/rh
6/
23
S.F.
_____
age,
pursuant
to
a
standing
order
established
by
the
medical
1
director
of
the
department
in
accordance
with
this
section.
2
b.
In
dispensing
a
self-administered
hormonal
contraceptive
3
to
a
patient
under
this
section,
a
pharmacist
shall
comply
with
4
all
of
the
following:
5
(1)
For
an
initial
dispensing
of
a
self-administered
6
hormonal
contraceptive,
the
pharmacist
may
dispense
only
up
7
to
a
three-month
supply
at
one
time
of
the
self-administered
8
hormonal
contraceptive.
9
(2)
For
any
subsequent
dispensing
of
the
same
10
self-administered
hormonal
contraceptive,
the
pharmacist
11
may
dispense
up
to
a
twelve-month
supply
at
one
time
of
the
12
self-administered
hormonal
contraceptive.
13
2.
A
pharmacist
who
dispenses
a
self-administered
hormonal
14
contraceptive
in
accordance
with
this
section
shall
not
15
require
any
other
prescription
drug
order
authorized
by
a
16
practitioner
prior
to
dispensing
the
self-administered
hormonal
17
contraceptive
to
a
patient.
18
3.
The
medical
director
of
the
department
may
establish
a
19
standing
order
authorizing
the
dispensing
of
self-administered
20
hormonal
contraceptives
by
a
pharmacist
who
does
all
of
the
21
following:
22
a.
Complies
with
the
standing
order
established
pursuant
to
23
this
section.
24
b.
Retains
a
record
of
each
patient
to
whom
a
25
self-administered
hormonal
contraceptive
is
dispensed
under
26
this
section
and
submits
the
record
to
the
department.
27
4.
The
standing
order
shall
require
a
pharmacist
who
28
dispenses
self-administered
hormonal
contraceptives
under
this
29
section
to
do
all
of
the
following:
30
a.
Complete
a
standardized
training
program
and
continuing
31
education
requirements
approved
by
the
board
in
consultation
32
with
the
board
of
medicine
and
the
department
that
are
related
33
to
prescribing
self-administered
hormonal
contraceptives
and
34
include
education
regarding
all
contraceptive
methods
approved
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by
the
United
States
food
and
drug
administration.
1
b.
Obtain
a
completed
self-screening
risk
assessment,
2
approved
by
the
department
in
collaboration
with
the
board
and
3
the
board
of
medicine,
from
each
patient,
verify
the
identity
4
and
age
of
each
patient,
and
perform
a
blood
pressure
screening
5
on
each
patient
prior
to
dispensing
the
self-administered
6
hormonal
contraceptive
to
the
patient.
7
c.
Provide
the
patient
with
all
of
the
following:
8
(1)
Written
information
regarding
all
of
the
following:
9
(a)
The
importance
of
completing
an
appointment
with
the
10
patient’s
primary
care
or
women’s
health
care
practitioner
11
to
obtain
preventative
care,
including
but
not
limited
to
12
recommended
tests
and
screenings.
13
(b)
The
effectiveness
and
availability
of
long-acting
14
reversible
contraceptives
as
an
alternative
to
15
self-administered
hormonal
contraceptives.
16
(2)
A
copy
of
the
record
of
the
pharmacist’s
encounter
with
17
the
patient
that
includes
all
of
the
following:
18
(a)
The
patient’s
completed
self-screening
risk
assessment.
19
(b)
A
description
of
the
contraceptive
dispensed,
or
the
20
basis
for
not
dispensing
a
contraceptive.
21
(3)
Patient
counseling
regarding
all
of
the
following:
22
(a)
The
appropriate
administration
and
storage
of
the
23
self-administered
hormonal
contraceptive.
24
(b)
Potential
side
effects
and
risks
of
the
25
self-administered
hormonal
contraceptive.
26
(c)
The
need
for
backup
contraception.
27
(d)
When
to
seek
emergency
medical
attention.
28
(e)
The
risk
of
contracting
a
sexually
transmitted
29
infection
or
disease,
and
ways
to
reduce
such
a
risk.
30
5.
The
standing
order
established
pursuant
to
this
section
31
shall
prohibit
a
pharmacist
who
dispenses
a
self-administered
32
hormonal
contraceptive
under
this
section
from
doing
any
of
the
33
following:
34
a.
Requiring
a
patient
to
schedule
an
appointment
with
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the
pharmacist
for
the
prescribing
or
dispensing
of
a
1
self-administered
hormonal
contraceptive.
2
b.
Dispensing
self-administered
hormonal
contraceptives
3
to
a
patient
for
more
than
twenty-seven
months
after
the
4
date
a
self-administered
hormonal
contraceptive
is
initially
5
dispensed
to
the
patient,
if
the
patient
has
not
consulted
with
6
a
primary
care
or
women’s
health
care
practitioner
during
the
7
preceding
twenty-seven
months,
in
which
case
the
pharmacist
8
shall
refer
the
patient
to
a
primary
care
or
women’s
health
9
care
practitioner.
10
c.
Dispensing
a
self-administered
hormonal
contraceptive
to
11
a
patient
if
the
results
of
the
self-screening
risk
assessment
12
completed
by
a
patient
pursuant
to
subsection
4,
paragraph
13
“b”
,
indicate
it
is
unsafe
for
the
pharmacist
to
dispense
the
14
self-administered
hormonal
contraceptive
to
the
patient,
in
15
which
case
the
pharmacist
shall
refer
the
patient
to
a
primary
16
care
or
women’s
health
care
practitioner.
17
6.
A
pharmacist
who
dispenses
a
self-administered
hormonal
18
contraceptive
and
the
medical
director
of
the
department
who
19
establishes
a
standing
order
in
compliance
with
this
section
20
shall
be
immune
from
criminal
and
civil
liability
arising
21
from
any
damages
caused
by
the
dispensing,
administering,
22
or
use
of
a
self-administered
hormonal
contraceptive
or
the
23
establishment
of
the
standing
order.
The
medical
director
of
24
the
department
shall
be
considered
to
be
acting
within
the
25
scope
of
the
medical
director’s
office
and
employment
for
26
purposes
of
chapter
669
in
the
establishment
of
a
standing
27
order
in
compliance
with
this
section.
28
7.
The
department,
in
collaboration
with
the
board
and
29
the
board
of
medicine,
and
in
consideration
of
the
guidelines
30
established
by
the
American
congress
of
obstetricians
and
31
gynecologists,
shall
adopt
rules
pursuant
to
chapter
17A
to
32
administer
this
chapter.
33
Sec.
11.
Section
514C.19,
Code
2023,
is
amended
to
read
as
34
follows:
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514C.19
Prescription
contraceptive
coverage.
1
1.
Notwithstanding
the
uniformity
of
treatment
requirements
2
of
section
514C.6
,
a
group
policy
,
or
contract
,
or
plan
3
providing
for
third-party
payment
or
prepayment
of
health
or
4
medical
expenses
shall
not
do
either
of
the
following
comply
5
as
follows
:
6
a.
Exclude
Such
policy,
contract,
or
plan
shall
not
7
exclude
or
restrict
benefits
for
prescription
contraceptive
8
drugs
or
prescription
contraceptive
devices
which
prevent
9
conception
and
which
are
approved
by
the
United
States
10
food
and
drug
administration,
or
generic
equivalents
11
approved
as
substitutable
by
the
United
States
food
and
12
drug
administration,
if
such
policy
,
or
contract
,
or
plan
13
provides
benefits
for
other
outpatient
prescription
drugs
14
or
devices.
However,
such
policy,
contract,
or
plan
shall
15
specifically
provide
for
payment
of
a
self-administered
16
hormonal
contraceptive,
as
prescribed
by
a
practitioner
as
17
defined
in
section
155A.3,
or
as
prescribed
by
standing
order
18
and
dispensed
by
a
pharmacist
pursuant
to
section
155A.49,
19
including
payment
for
up
to
an
initial
three-month
supply
20
of
a
self-administered
hormonal
contraceptive
dispensed
at
21
one
time
and
for
up
to
a
twelve-month
supply
of
the
same
22
self-administered
hormonal
contraceptive
subsequently
dispensed
23
at
one
time.
24
b.
Exclude
Such
policy,
contract,
or
plan
shall
not
exclude
25
or
restrict
benefits
for
outpatient
contraceptive
services
26
which
are
provided
for
the
purpose
of
preventing
conception
if
27
such
policy
,
or
contract
,
or
plan
provides
benefits
for
other
28
outpatient
services
provided
by
a
health
care
professional.
29
2.
A
person
who
provides
a
group
policy
,
or
contract
,
or
30
plan
providing
for
third-party
payment
or
prepayment
of
health
31
or
medical
expenses
which
is
subject
to
subsection
1
shall
not
32
do
any
of
the
following:
33
a.
Deny
to
an
individual
eligibility,
or
continued
34
eligibility,
to
enroll
in
or
to
renew
coverage
under
the
terms
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of
the
policy
,
or
contract
,
or
plan
because
of
the
individual’s
1
use
or
potential
use
of
such
prescription
contraceptive
drugs
2
or
devices,
or
use
or
potential
use
of
outpatient
contraceptive
3
services.
4
b.
Provide
a
monetary
payment
or
rebate
to
a
covered
5
individual
to
encourage
such
individual
to
accept
less
than
the
6
minimum
benefits
provided
for
under
subsection
1
.
7
c.
Penalize
or
otherwise
reduce
or
limit
the
reimbursement
8
of
a
health
care
professional
because
such
professional
9
prescribes
contraceptive
drugs
or
devices,
or
provides
10
contraceptive
services.
11
d.
Provide
incentives,
monetary
or
otherwise,
to
a
health
12
care
professional
to
induce
such
professional
to
withhold
13
from
a
covered
individual
contraceptive
drugs
or
devices,
or
14
contraceptive
services.
15
3.
This
section
shall
not
be
construed
to
prevent
a
16
third-party
payor
from
including
deductibles,
coinsurance,
or
17
copayments
under
the
policy
,
or
contract,
or
plan
as
follows:
18
a.
A
deductible,
coinsurance,
or
copayment
for
benefits
19
for
prescription
contraceptive
drugs
shall
not
be
greater
than
20
such
deductible,
coinsurance,
or
copayment
for
any
outpatient
21
prescription
drug
for
which
coverage
under
the
policy
,
or
22
contract
,
or
plan
is
provided.
23
b.
A
deductible,
coinsurance,
or
copayment
for
benefits
for
24
prescription
contraceptive
devices
shall
not
be
greater
than
25
such
deductible,
coinsurance,
or
copayment
for
any
outpatient
26
prescription
device
for
which
coverage
under
the
policy
,
or
27
contract
,
or
plan
is
provided.
28
c.
A
deductible,
coinsurance,
or
copayment
for
benefits
for
29
outpatient
contraceptive
services
shall
not
be
greater
than
30
such
deductible,
coinsurance,
or
copayment
for
any
outpatient
31
health
care
services
for
which
coverage
under
the
policy
,
or
32
contract
,
or
plan
is
provided.
33
4.
This
section
shall
not
be
construed
to
require
a
34
third-party
payor
under
a
policy
,
or
contract
,
or
plan
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to
provide
benefits
for
experimental
or
investigational
1
contraceptive
drugs
or
devices,
or
experimental
or
2
investigational
contraceptive
services,
except
to
the
extent
3
that
such
policy
,
or
contract
,
or
plan
provides
coverage
for
4
other
experimental
or
investigational
outpatient
prescription
5
drugs
or
devices,
or
experimental
or
investigational
outpatient
6
health
care
services.
7
5.
This
section
shall
not
be
construed
to
limit
or
otherwise
8
discourage
the
use
of
generic
equivalent
drugs
approved
by
the
9
United
States
food
and
drug
administration,
whenever
available
10
and
appropriate.
This
section
,
when
a
brand
name
drug
is
11
requested
by
a
covered
individual
and
a
suitable
generic
12
equivalent
is
available
and
appropriate,
shall
not
be
construed
13
to
prohibit
a
third-party
payor
from
requiring
the
covered
14
individual
to
pay
a
deductible,
coinsurance,
or
copayment
15
consistent
with
subsection
3
,
in
addition
to
the
difference
of
16
the
cost
of
the
brand
name
drug
less
the
maximum
covered
amount
17
for
a
generic
equivalent.
18
6.
A
person
who
provides
an
individual
policy
,
or
contract
,
19
or
plan
providing
for
third-party
payment
or
prepayment
of
20
health
or
medical
expenses
shall
make
available
a
coverage
21
provision
that
satisfies
the
requirements
in
subsections
22
1
through
5
in
the
same
manner
as
such
requirements
are
23
applicable
to
a
group
policy
,
or
contract
,
or
plan
under
those
24
subsections.
The
policy
,
or
contract
,
or
plan
shall
provide
25
that
the
individual
policyholder
may
reject
the
coverage
26
provision
at
the
option
of
the
policyholder.
27
7.
a.
This
section
applies
to
the
following
classes
of
28
third-party
payment
provider
contracts
,
or
policies
,
or
plans
29
delivered,
issued
for
delivery,
continued,
or
renewed
in
this
30
state
on
or
after
July
1,
2000
January
1,
2024
:
31
(1)
Individual
or
group
accident
and
sickness
insurance
32
providing
coverage
on
an
expense-incurred
basis.
33
(2)
An
individual
or
group
hospital
or
medical
service
34
contract
issued
pursuant
to
chapter
509
,
514
,
or
514A
.
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(3)
An
individual
or
group
health
maintenance
organization
1
contract
regulated
under
chapter
514B
.
2
(4)
Any
other
entity
engaged
in
the
business
of
insurance,
3
risk
transfer,
or
risk
retention,
which
is
subject
to
the
4
jurisdiction
of
the
commissioner.
5
(5)
A
plan
established
pursuant
to
chapter
509A
for
public
6
employees.
7
b.
This
section
shall
not
apply
to
accident-only,
8
specified
disease,
short-term
hospital
or
medical,
hospital
9
confinement
indemnity,
credit,
dental,
vision,
Medicare
10
supplement,
long-term
care,
basic
hospital
and
medical-surgical
11
expense
coverage
as
defined
by
the
commissioner,
disability
12
income
insurance
coverage,
coverage
issued
as
a
supplement
13
to
liability
insurance,
workers’
compensation
or
similar
14
insurance,
or
automobile
medical
payment
insurance.
15
8.
This
section
shall
not
be
construed
to
require
a
16
third-party
payor
to
provide
payment
to
a
practitioner
for
the
17
dispensing
of
a
self-administered
hormonal
contraceptive
to
18
replace
a
self-administered
hormonal
contraceptive
that
has
19
been
dispensed
to
a
covered
person
and
that
has
been
misplaced,
20
stolen,
or
destroyed.
This
section
shall
not
be
construed
to
21
require
a
third-party
payor
to
replace
covered
prescriptions
22
that
are
misplaced,
stolen,
or
destroyed.
23
9.
For
the
purposes
of
this
section,
“self-administered
24
hormonal
contraceptive”
and
“standing
order”
mean
the
same
as
25
defined
in
section
155A.3.
26
Sec.
12.
INFORMATION
PROGRAM
FOR
DRUG
PRESCRIBING
AND
27
DISPENSING
——
SELF-ADMINISTERED
HORMONAL
CONTRACEPTIVES.
The
28
board
of
pharmacy
in
collaboration
with
the
board
of
medicine
29
and
the
department
of
health
and
human
services
shall
expand
30
the
information
program
for
drug
prescribing
and
dispensing
31
established
pursuant
to
section
124.551,
to
collect
from
32
pharmacists
information
relating
to
the
dispensing
of
33
self-administered
hormonal
contraceptives
as
provided
pursuant
34
to
section
155A.49.
The
board
of
pharmacy
shall
adopt
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rules
pursuant
to
chapter
17A
related
to
registration
of
1
participating
pharmacists,
the
information
to
be
reported
by
a
2
pharmacist
to
the
information
program,
access
to
information
3
from
the
program,
and
other
rules
necessary
to
carry
out
the
4
purposes
and
to
enforce
the
provisions
of
this
section.
5
Sec.
13.
APPLICATION
TO
MEDICAID
PROGRAM.
This
division
6
of
this
Act
shall
apply
to
the
Medicaid
program
including
a
7
managed
care
organization
acting
pursuant
to
a
contract
with
8
the
department
of
health
and
human
services
to
administer
9
the
Medicaid
program
under
chapter
249A.
However,
if
it
is
10
determined
that
any
provision
of
this
division
of
this
Act
11
would
cause
denial
of
federal
funds
under
Tit.
XVIII
or
XIX
12
of
the
federal
Social
Security
Act,
or
would
otherwise
be
13
inconsistent
or
conflict
with
the
requirements
of
federal
law
14
or
regulation,
such
provision
shall
be
suspended,
but
only
to
15
the
extent
necessary
to
prevent
denial
of
such
funds
or
to
16
eliminate
the
inconsistency
or
conflict
with
the
requirements
17
of
federal
law
or
regulation.
18
DIVISION
V
19
STATE
EMPLOYEE
PAID
PARENTAL
LEAVE
BENEFIT
20
Sec.
14.
NEW
SECTION
.
70A.31
Paid
parental
leave.
21
1.
A
state
employee
entitled
to
leave
under
the
federal
22
Family
and
Medical
Leave
Act
of
1993
shall
be
provided
paid
23
leave
for
such
time
as
specified
in
this
section
for
the
birth
24
or
placement
for
adoption
with
the
employee
of
a
child
if
the
25
leave
is
taken
within
twelve
months
following
any
such
birth
26
or
adoption.
27
2.
a.
For
the
birth
of
a
child,
a
state
employee
parent
who
28
gave
birth
shall
be
entitled
to
up
to
four
weeks
of
paid
leave
29
and
a
state
employee
parent
who
did
not
give
birth
shall
be
30
entitled
to
up
to
one
week
of
paid
leave.
31
b.
For
the
placement
for
adoption
of
a
child,
a
state
32
employee
parent
shall
be
entitled
to
up
to
four
weeks
of
paid
33
leave.
34
3.
The
department
of
administrative
services
shall
adopt
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rules
to
implement
this
section.
1
DIVISION
VI
2
NONRECURRING
ADOPTION
EXPENSES
——
ADOPTION
SUBSIDY
PROGRAM
3
Sec.
15.
NEW
SECTION
.
234.48
Adoption
subsidy
——
4
nonrecurring
adoption
expenses.
5
Notwithstanding
any
provision
to
the
contrary,
the
maximum
6
reimbursement
provided
to
an
adoptive
parent
under
the
7
adoption
subsidy
program
for
nonrecurring
adoption
expenses
8
is
one
thousand
dollars.
For
the
purposes
of
this
section,
9
“nonrecurring
adoption
expenses”
means
the
same
as
defined
in
45
10
C.F.R.
§1356.41.
The
department
shall
adopt
rules
pursuant
to
11
chapter
17A
to
administer
this
section.
12
Sec.
16.
REPEAL.
2010
Iowa
Acts,
chapter
1031,
section
408,
13
is
repealed.
14
DIVISION
VII
15
ALL
IOWA
OPPORTUNITY
SCHOLARSHIP
PROGRAM
16
Sec.
17.
Section
261.87,
subsection
1,
paragraph
b,
17
unnumbered
paragraph
1,
Code
2023,
is
amended
to
read
as
18
follows:
19
“Eligible
foster
care
student”
means
a
person
under
20
twenty-six
years
of
age
who
has
a
high
school
diploma
or
a
high
21
school
equivalency
diploma
under
chapter
259A
and
is
described
22
by
any
of
the
following:
23
Sec.
18.
Section
261.87,
subsection
2,
paragraph
f,
Code
24
2023,
is
amended
to
read
as
follows:
25
f.
(1)
Begins
Except
as
provided
in
subparagraph
(2),
26
begins
enrollment
at
an
eligible
institution
within
two
27
academic
years
of
graduation
from
high
school
or
receipt
of
28
a
high
school
equivalency
diploma
under
chapter
259A
and
29
continuously
receives
awards
as
a
full-time
or
part-time
30
student
to
maintain
eligibility.
However,
the
student
may
31
defer
or
suspend
participation
in
the
program
for
up
to
two
32
years
in
order
to
pursue
obligations
that
meet
conditions
33
established
by
the
commission
by
rule
or
to
fulfill
military
34
obligations.
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(2)
The
requirements
of
subparagraph
(1)
do
not
apply
to
an
1
eligible
foster
care
student.
2
Sec.
19.
APPLICABILITY.
This
division
of
this
Act
applies
3
to
applications
submitted
under
the
all
Iowa
opportunity
4
scholarship
program
established
pursuant
to
section
261.87
5
before,
on,
or
after
the
effective
date
of
this
division
of
6
this
Act.
7
EXPLANATION
8
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
9
the
explanation’s
substance
by
the
members
of
the
general
assembly.
10
This
bill
relates
to
the
health
and
well-being
of
children
11
and
families.
The
bill
is
constructed
in
divisions.
12
DIVISION
I
——
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
(MOMS)
13
PROGRAM
——
FATHERHOOD
INITIATIVES.
This
division
relates
to
14
the
more
options
for
maternal
support
(MOMS)
program.
The
15
bill
adds
as
part
of
the
definition
of
“pregnancy
support
16
services”
services
to
men
who
are
involved
or
think
they
might
17
be
involved
in
a
pregnancy.
As
part
of
the
MOMS
program,
18
the
division
requires
HHS
to
develop
and
maintain
a
virtual
19
clearinghouse
of
pregnancy
support
services
and
resources.
The
20
services
and
resources
include
but
are
not
limited
to
pregnancy
21
resource
center
and
maternity
home
information;
assistance
in
22
accessing
public
assistance
including
but
not
limited
to
the
23
special
supplemental
nutrition
program
for
women,
infants,
and
24
children
program
and
the
supplemental
nutrition
assistance
25
program;
educational
resources;
housing
assistance;
recovery
26
and
mental
health
services;
family
planning
education;
adoption
27
and
foster
care
information
and
services;
and
healing
and
28
support
services
for
abortion
survivors
and
their
families.
29
As
part
of
the
MOMS
program,
beginning
July
1,
2023,
and
30
thereafter,
funding
for
the
program
may
be
used
for
fatherhood
31
engagement
grants
to
nonprofit,
community-based
organizations
32
to
address
the
needs
of
fathers
by
assisting
fathers
in
33
finding
employment,
managing
child
support
obligations,
34
transitioning
from
a
period
of
incarceration,
accessing
health
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care,
understanding
child
development,
and
enhancing
parenting
1
skills
using
evidence-based
parenting
education;
a
fatherhood
2
communications
initiative
administered
by
HHS,
including
but
3
not
limited
to
a
public
internet
site
that
provides
access
to
4
resources
on
effective
parenting
and
assistance
in
receiving
5
parenting
support
and
services;
and
a
mentoring
school-aged
6
males
grant
program
to
provide
mentorship,
social
and
academic
7
support,
and
life
skills
development
to
school-aged
males.
8
The
division
also
appropriates
$2
million
from
the
general
9
fund
of
the
state
to
HHS
for
fiscal
year
2023-2024
to
be
used
10
for
the
MOMS
program
including
for
program
administration,
the
11
provision
of
services,
and
for
funding
of
fatherhood
engagement
12
grants,
the
fatherhood
communications
initiative,
and
the
13
mentoring
school-aged
males
grant
program.
14
The
division
provides
that
the
funding
appropriated
for
the
15
MOMS
program
for
fiscal
year
2022-2023
is
not
to
revert,
but
16
is
to
remain
available
for
the
MOMS
program
for
fiscal
year
17
2023-2024.
This
provision
takes
effect
upon
enactment.
18
DIVISION
II
——
REGIONAL
CENTERS
OF
EXCELLENCE
GRANT
PROGRAM.
19
This
division
appropriates
$1
million
from
the
general
fund
20
of
the
state
to
the
department
of
health
and
human
services
21
(HHS)
for
fiscal
year
2023-2024
for
continuation
of
a
regional
22
center
of
excellence
program
to
award
four
grants
to
encourage
23
innovation
and
collaboration
among
regional
health
care
24
providers
in
a
rural
area
based
upon
the
results
of
a
regional
25
community
needs
assessment
to
transform
health
care
delivery
in
26
order
to
provide
quality,
sustainable
care
that
meets
the
needs
27
of
the
local
communities.
An
applicant
for
the
grant
funds
28
shall
specify
how
the
funds
will
be
expended
to
accomplish
the
29
goals
of
the
program
and
shall
provide
a
detailed
five-year
30
sustainability
plan
prior
to
being
awarded
any
funding.
31
Following
the
receipt
of
grant
funding,
a
recipient
shall
32
submit
periodic
reports
as
specified
by
HHS
to
the
governor
and
33
the
general
assembly
regarding
the
recipient’s
expenditure
of
34
the
funds
and
progress
in
accomplishing
the
program
goals.
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DIVISION
III
——
STATE-FUNDED
FAMILY
MEDICINE
OBSTETRICS
1
FELLOWSHIP
PROGRAM
AND
FUND.
This
division
requires
HHS
to
2
establish
a
family
medicine
obstetrics
fellowship
program
to
3
increase
access
to
family
medicine
obstetrics
practitioners
4
in
rural
and
underserved
areas
of
the
state.
A
person
who
5
has
completed
an
accreditation
council
for
graduate
medical
6
education
residency
program
in
family
medicine
is
eligible
for
7
participation
in
the
fellowship
program.
Participating
fellows
8
shall
enter
into
a
program
agreement
with
a
participating
9
teaching
hospital
which,
at
a
minimum,
requires
the
fellow
10
to
complete
a
one-year
fellowship
and
to
engage
in
full-time
11
family
medicine
obstetrics
practice
in
a
rural
or
underserved
12
area
of
the
state
for
a
period
of
at
least
five
years
within
13
nine
months
following
completion
of
the
fellowship
and
receipt
14
of
a
license
to
practice
medicine
in
the
state.
Each
fellow
15
participating
in
the
program
shall
be
eligible
for
salary
and
16
benefits
including
a
stipend
as
determined
by
the
participating
17
teaching
hospital
and
funded
through
the
family
medicine
18
obstetrics
fellowship
program
fund.
19
The
division
requires
HHS
to
adopt
administrative
rules
20
to
administer
the
program,
including
defining
rural
and
21
underserved
areas
for
the
purpose
of
the
required
full-time
22
practice
of
a
person
following
completion
of
the
fellowship.
23
The
division
creates
a
family
medicine
obstetrics
fellowship
24
program
fund
in
the
state
treasury
consisting
of
the
moneys
25
appropriated
or
credited
to
the
fund
by
law.
Moneys
in
the
26
fund
at
the
end
of
each
fiscal
year
shall
not
revert
to
any
27
other
fund
but
shall
remain
in
the
fund
for
use
in
subsequent
28
fiscal
years.
Moneys
in
the
fund
are
appropriated
to
HHS
29
to
be
used
to
fund
fellowship
positions
as
provided
in
the
30
division.
The
division
appropriates
a
sufficient
amount
from
31
the
general
fund
of
the
state
to
the
fund
annually
to
support
32
the
creation
of
four
fellowship
positions.
The
division
33
provides
an
appropriation
for
deposit
in
the
fund
for
fiscal
34
year
2023-2024.
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The
division
requires
HHS
and
the
participating
teaching
1
hospitals
to
regularly
evaluate
and
document
their
experiences
2
including
identifying
ways
the
program
may
be
modified
or
3
expanded
to
facilitate
increased
access
to
family
medicine
4
obstetrics
practitioners
in
rural
and
underserved
areas
of
the
5
state.
The
department
shall
submit
an
annual
report
to
the
6
general
assembly
by
January
1.
The
report
shall
include
the
7
number
of
fellowships
funded
to
date
and
any
other
information
8
identified
by
HHS
and
the
participating
teaching
hospitals
as
9
indicators
of
outcomes
and
the
effectiveness
of
the
program.
10
DIVISION
IV
——
SELF-ADMINISTERED
HORMONAL
CONTRACEPTIVES.
11
This
division
relates
to
the
dispensing
of
self-administered
12
hormonal
contraceptives
by
a
pharmacist.
The
division
13
defines
“self-administered
hormonal
contraceptive”
as
a
14
self-administered
hormonal
contraceptive
that
is
approved
by
15
the
United
States
food
and
drug
administration
to
prevent
16
pregnancy,
including
an
oral
hormonal
contraceptive,
a
hormonal
17
vaginal
ring,
and
a
hormonal
contraceptive
patch,
but
not
18
including
any
drug
intended
to
induce
an
abortion.
19
The
division
provides
that
notwithstanding
any
provision
20
of
law
to
the
contrary,
a
pharmacist
may
dispense
a
21
self-administered
hormonal
contraceptive
to
a
patient
who
22
is
at
least
18
years
of
age
pursuant
to
a
standing
order
23
established
by
the
medical
director
of
HHS
(medical
director).
24
For
an
initial
dispensing,
a
pharmacist
may
dispense
only
up
25
to
a
three-month
supply
at
one
time
of
the
self-administered
26
hormonal
contraceptive,
and
for
any
subsequent
dispensing
27
of
the
same
self-administered
hormonal
contraceptive,
a
28
12-month
supply
at
one
time.
Additionally,
the
division
29
prohibits
a
pharmacist
who
dispenses
a
self-administered
30
hormonal
contraceptive
in
accordance
with
the
division
from
31
requiring
any
other
prescription
drug
order
authorized
by
a
32
practitioner
prior
to
dispensing
the
self-administered
hormonal
33
contraceptive.
34
The
division
authorizes
the
medical
director
to
establish
a
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standing
order
authorizing
the
dispensing
of
self-administered
1
hormonal
contraceptives
by
any
pharmacist
who
complies
with
the
2
standing
order
and
retains
and
submits
the
patient’s
record
to
3
HHS.
4
The
standing
order
includes
requiring
a
pharmacist
who
5
dispenses
a
self-administered
hormonal
contraceptive
under
the
6
division
to:
complete
a
standardized
training
program
and
7
continuing
education
requirements
related
to
prescribing
the
8
hormonal
contraceptives;
obtain
a
completed
self-screening
risk
9
assessment
from
each
patient,
verify
the
identity
and
age
of
10
each
patient,
and
perform
a
blood
pressure
screening
on
each
11
patient
before
dispensing
the
hormonal
contraceptives;
provide
12
the
patient
with
certain
written
information;
provide
the
13
patient
with
a
copy
of
the
record
of
the
pharmacist’s
encounter
14
with
the
patient;
and
provide
patient
counseling.
15
The
standing
order
would
prohibit
a
pharmacist
who
dispenses
16
hormonal
contraceptives
under
the
division
from
requiring
a
17
patient
to
schedule
an
appointment
with
the
pharmacist
for
18
the
prescribing
or
dispensing
of
the
hormonal
contraceptive;
19
dispensing
the
hormonal
contraceptives
to
a
patient
for
more
20
than
27
months
after
the
date
initially
dispensed
without
the
21
patient’s
attestation
that
the
patient
has
consulted
with
a
22
practitioner
during
the
preceding
27
months;
and
dispensing
23
the
hormonal
contraceptives
to
a
patient
if
the
results
of
the
24
patient’s
self-screening
risk
assessment
indicate
it
is
unsafe
25
for
the
pharmacist
to
dispense
the
hormonal
contraceptives
26
to
the
patient,
in
which
case
the
pharmacist
shall
refer
the
27
patient
to
a
practitioner.
28
The
division
provides
immunity
for
a
pharmacist
who
29
dispenses
a
self-administered
hormonal
contraceptive
and
30
for
the
medical
director
who
establishes
a
standing
order
31
in
compliance
with
the
division
from
criminal
and
civil
32
liability
arising
from
any
damages
caused
by
the
dispensing,
33
administering,
or
use
of
a
self-administered
hormonal
34
contraceptive
or
the
establishment
of
the
standing
order.
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Additionally,
the
medical
director
shall
be
considered
to
be
1
acting
within
the
scope
of
the
medical
director’s
office
and
2
employment
for
purposes
of
Code
chapter
669
(Iowa
tort
claims
3
Act)
in
the
establishment
of
a
standing
order
in
compliance
4
with
the
division.
5
The
division
requires
HHS,
in
collaboration
with
the
6
boards
of
pharmacy
and
medicine,
and
in
consideration
of
7
the
guidelines
established
by
the
American
congress
of
8
obstetricians
and
gynecologists,
to
adopt
administrative
rules
9
to
administer
the
provisions
of
the
division.
10
The
division
amends
prescription
contraceptive
coverage
11
provisions
to
require
that
a
group
policy,
contract,
or
plan
12
delivered,
issued
for
delivery,
continued,
or
renewed
in
the
13
state
on
or
after
January
1,
2024,
providing
for
third-party
14
payment
or
prepayment
of
health
or
medical
expenses,
shall
15
specifically
provide
for
payment
of
self-administered
hormonal
16
contraceptives,
prescribed
and
dispensed
as
specified
in
the
17
division,
including
those
dispensed
at
one
time.
The
division
18
provides,
however,
that
the
provisions
relating
to
coverage
are
19
not
to
be
construed
to
require
a
third-party
payor
to
provide
20
payment
to
a
practitioner
for
dispensing
a
self-administered
21
hormonal
contraceptive
to
replace
a
self-administered
22
hormonal
contraceptive
that
has
been
dispensed
to
a
covered
23
person
and
that
has
been
misplaced,
stolen,
or
destroyed.
24
These
provisions
are
also
not
to
be
construed
to
require
a
25
third-party
payor
to
replace
covered
prescriptions
that
are
26
misplaced,
stolen,
or
destroyed.
27
The
division
also
requires
the
board
of
pharmacy
in
28
collaboration
with
the
board
of
medicine
and
HHS
to
expand
29
the
information
program
for
drug
prescribing
to
collect
30
from
pharmacists
information
relating
to
the
dispensing
of
31
self-administered
hormonal
contraceptives
as
provided
in
the
32
division.
33
The
division
applies
to
the
Medicaid
program
as
specified
in
34
the
bill.
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DIVISION
V
——
STATE
EMPLOYEE
PAID
PARENTAL
LEAVE
BENEFIT.
1
This
division
provides
that
a
state
employee
entitled
to
leave
2
under
the
federal
Family
and
Medical
Leave
Act
of
1993
shall
3
be
provided
paid
leave
for
the
birth
or
adoption
of
a
child
if
4
the
leave
is
taken
within
12
months
following
any
such
birth
or
5
adoption.
The
division
provides
that
a
state
employee
parent
6
who
gives
birth
or
adopts
a
child
shall
be
entitled
to
up
to
7
four
weeks
of
paid
leave
while
a
state
employee
parent
of
a
8
child
who
did
not
give
birth
shall
be
entitled
to
up
to
one
9
week
of
paid
leave.
The
division
requires
the
department
of
10
administrative
services
to
adopt
rules
to
implement
this
paid
11
parental
leave
benefit.
12
DIVISION
VI
——
NONRECURRING
ADOPTION
EXPENSES
——
ADOPTION
13
SUBSIDY
PROGRAM.
This
division
provides
that
the
maximum
14
reimbursement
provided
to
an
adoptive
parent
under
the
adoption
15
subsidy
program
for
nonrecurring
adoption
expenses
is
$1,000.
16
The
division
defines
“nonrecurring
adoption
expenses”
as
the
17
reasonable
and
necessary
adoption
fees,
court
costs,
attorney
18
fees,
and
other
expenses
which
are
directly
related
to
the
19
legal
adoption
of
a
child
with
special
needs
which
are
not
20
incurred
in
violation
of
state,
tribal,
or
federal
law,
and
21
which
have
not
been
reimbursed
from
other
sources
or
other
22
funds.
Under
federal
regulation,
“other
expenses
which
23
are
directly
related
to
the
legal
adoption
of
a
child
with
24
special
needs”
means
the
costs
of
the
adoption
incurred
by
25
or
on
behalf
of
the
parents
and
for
which
parents
carry
the
26
ultimate
liability
for
payment.
Such
costs
may
include
the
27
adoption
study,
including
health
and
psychological
examination,
28
supervision
of
the
placement
prior
to
adoption,
transportation,
29
and
the
reasonable
costs
of
lodging
and
food
for
the
child
or
30
the
adoptive
parents
when
necessary
to
complete
the
placement
31
or
adoption
process.
The
department
of
health
and
human
32
services
shall
adopt
administrative
rules
to
administer
the
33
division.
The
division
also
repeals
a
provision
in
2010
Iowa
34
Acts
which
limited
the
nonrecurring
adoption
expenses
to
$500
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and
prohibited
additional
amounts
for
court
costs
and
other
1
related
legal
expenses.
2
DIVISION
VII
——
ALL
IOWA
OPPORTUNITY
SCHOLARSHIP
PROGRAM.
3
This
division
relates
to
the
all
Iowa
opportunity
scholarship
4
program
(program),
which
provides
scholarships
to
Iowa
5
students
who
graduate
from
high
school
or
receive
a
high
6
school
equivalency
diploma
to
help
such
students
attend
a
7
community
college
in
this
state
or
an
institution
of
higher
8
learning
governed
by
the
state
board
of
regents.
The
program
9
prioritizes
awarding
scholarships
to
certain
students,
10
including
eligible
foster
care
students.
Eligible
foster
care
11
students
are
students
who
age
out
of
Iowa’s
foster
care
system,
12
age
out
of
the
state
training
school,
or
are
adopted
from
13
Iowa’s
foster
care
system
after
reaching
16
years
of
age.
14
Current
law
requires
that,
in
order
to
be
eligible
to
15
receive
a
scholarship
under
the
program,
the
student
must
begin
16
enrollment
at
a
community
college
or
institution
of
higher
17
learning
governed
by
the
state
board
of
regents
within
two
18
academic
years
of
graduation
from
high
school
or
receipt
of
a
19
high
school
equivalency
diploma
and
continuously
receive
awards
20
as
a
full-time
or
part-time
student
to
maintain
eligibility.
21
The
division
strikes
these
requirements
for
eligible
foster
22
care
students.
The
division
also
provides
that,
for
purposes
23
of
the
program,
“eligible
foster
care
student”
does
not
include
24
a
person
who
is
26
years
of
age
or
older.
25
The
division
applies
to
applications
submitted
under
26
the
program
before,
on,
or
after
the
effective
date
of
the
27
division.
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