Bill Text: IA SSB3222 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to appropriations for health and human services and veterans and including other related provisions and appropriations, providing penalties, and including effective date and retroactive and other applicability date provisions.
Spectrum: Committee Bill
Status: (N/A - Dead) 2018-05-03 - NOBA: Senate Sub [SSB3222 Detail]
Download: Iowa-2017-SSB3222-Introduced.html
Senate
Study
Bill
3222
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
APPROPRIATIONS
BILL
BY
CHAIRPERSON
SCHNEIDER)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
1
services
and
veterans
and
including
other
related
provisions
2
and
appropriations,
providing
penalties,
and
including
3
effective
date
and
retroactive
and
other
applicability
date
4
provisions.
5
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
6
TLSB
5031XC
(11)
87
pf/rn
S.F.
_____
DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2018-2019
2
Section
1.
2017
Iowa
Acts,
chapter
174,
section
40,
3
unnumbered
paragraphs
1
and
2,
are
amended
to
read
as
follows:
4
There
is
appropriated
from
the
general
fund
of
the
state
5
to
the
department
on
aging
for
the
fiscal
year
beginning
July
6
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
7
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
8
designated:
9
For
aging
programs
for
the
department
on
aging
and
area
10
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
11
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
12
aging
and
disabilities
resource
center,
and
other
services
13
which
may
include
but
are
not
limited
to
adult
day
services,
14
respite
care,
chore
services,
information
and
assistance,
15
and
material
aid,
for
information
and
options
counseling
for
16
persons
with
disabilities
who
are
18
years
of
age
or
older,
17
and
for
salaries,
support,
administration,
maintenance,
and
18
miscellaneous
purposes,
and
for
not
more
than
the
following
19
full-time
equivalent
positions:
20
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$
5,521,238
21
11,042,924
22
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FTEs
27.00
23
Sec.
2.
2017
Iowa
Acts,
chapter
174,
section
40,
subsections
24
2,
4,
5,
6,
and
7,
are
amended
to
read
as
follows:
25
2.
Of
the
funds
appropriated
in
this
section,
$139,973
26
$279,946
is
transferred
to
the
economic
development
authority
27
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
28
the
retired
and
senior
volunteer
program.
29
4.
Of
the
funds
appropriated
in
this
section,
at
least
30
$125,000
$250,000
shall
be
used
to
fund
the
unmet
needs
31
identified
through
Iowa’s
aging
and
disability
resource
center
32
network.
33
5.
Of
the
funds
appropriated
in
this
section,
at
34
least
$300,000
$600,000
shall
be
used
to
fund
home
and
35
-1-
LSB
5031XC
(11)
87
pf/rn
1/
120
S.F.
_____
community-based
services
through
the
area
agencies
on
aging
1
that
enable
older
individuals
to
avoid
more
costly
utilization
2
of
residential
or
institutional
services
and
remain
in
their
3
own
homes.
4
6.
Of
the
funds
appropriated
in
this
section,
$406,268
5
$812,537
shall
be
used
for
the
purposes
of
chapter
231E
and
6
section
231.56A
,
of
which
$175,000
shall
be
used
for
the
office
7
of
substitute
decision
maker
pursuant
to
chapter
231E
,
and
the
8
remainder
shall
be
distributed
equally
to
the
area
agencies
on
9
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
10
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
11
with
the
requirements
of
the
federal
Older
Americans
Act
of
12
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
13
7.
Of
the
funds
appropriated
in
this
section,
$375,000
14
$1,000,000
shall
be
used
to
fund
continuation
of
the
aging
15
and
disability
resource
center
lifelong
links
to
provide
16
individuals
and
caregivers
with
information
and
services
to
17
plan
for
and
maintain
independence.
18
Sec.
3.
2017
Iowa
Acts,
chapter
174,
section
40,
subsection
19
8,
is
amended
by
striking
the
subsection.
20
Sec.
4.
2017
Iowa
Acts,
chapter
174,
section
40,
is
amended
21
by
adding
the
following
new
subsection:
22
NEW
SUBSECTION
.
9.
Of
the
funds
appropriated
in
this
23
section,
$100,000
shall
be
used
by
the
department
on
aging,
24
in
collaboration
with
the
department
of
human
services
and
25
affected
stakeholders,
to
design
a
pilot
initiative
to
provide
26
long-term
care
options
counseling
utilizing
support
planning
27
protocols,
to
assist
non-Medicaid
eligible
consumers
who
28
indicate
a
preference
to
return
to
the
community
and
are
29
deemed
appropriate
for
discharge,
to
return
to
their
community
30
following
a
nursing
facility
stay.
The
department
on
aging
31
shall
submit
the
design
plan
as
well
as
recommendations
for
32
legislation
necessary
to
administer
the
initiative,
including
33
but
not
limited
to
legislation
to
allow
the
exchange
of
contact
34
information
for
nursing
facility
residents
appropriate
for
35
-2-
LSB
5031XC
(11)
87
pf/rn
2/
120
S.F.
_____
discharge
planning,
to
the
governor
and
the
general
assembly
by
1
December
15,
2018.
2
DIVISION
II
3
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2018-2019
4
Sec.
5.
2017
Iowa
Acts,
chapter
174,
section
41,
is
amended
5
to
read
as
follows:
6
SEC.
41.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
7
appropriated
from
the
general
fund
of
the
state
to
the
office
8
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
9
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
10
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
11
designated:
12
For
salaries,
support,
administration,
maintenance,
and
13
miscellaneous
purposes,
and
for
not
more
than
the
following
14
full-time
equivalent
positions:
15
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.
$
580,140
16
1,149,821
17
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FTEs
16.00
18
DIVISION
III
19
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2018-2019
20
Sec.
6.
2017
Iowa
Acts,
chapter
174,
section
42,
subsections
21
1,
2,
3,
4,
5,
6,
7,
and
8,
are
amended
to
read
as
follows:
22
1.
ADDICTIVE
DISORDERS
23
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
24
and
other
drugs,
and
treating
individuals
affected
by
addictive
25
behaviors,
including
gambling,
and
for
not
more
than
the
26
following
full-time
equivalent
positions:
27
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$
12,492,915
28
24,804,344
29
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.
FTEs
10.00
30
11.00
31
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
32
$2,010,612
$4,021,225
shall
be
used
for
the
tobacco
use
33
prevention
and
control
initiative,
including
efforts
at
the
34
state
and
local
levels,
as
provided
in
chapter
142A
.
The
35
-3-
LSB
5031XC
(11)
87
pf/rn
3/
120
S.F.
_____
commission
on
tobacco
use
prevention
and
control
established
1
pursuant
to
section
142A.3
shall
advise
the
director
of
2
public
health
in
prioritizing
funding
needs
and
the
allocation
3
of
moneys
appropriated
for
the
programs
and
initiatives.
4
Activities
of
the
programs
and
initiatives
shall
be
in
5
alignment
with
the
United
States
centers
for
disease
control
6
and
prevention
best
practices
for
comprehensive
tobacco
control
7
programs
that
include
the
goals
of
preventing
youth
initiation
8
of
tobacco
usage,
reducing
exposure
to
secondhand
smoke,
9
and
promotion
of
tobacco
cessation.
To
maximize
resources,
10
the
department
shall
determine
if
third-party
sources
are
11
available
to
instead
provide
nicotine
replacement
products
12
to
an
applicant
prior
to
provision
of
such
products
to
an
13
applicant
under
the
initiative.
The
department
shall
track
and
14
report
to
the
individuals
specified
in
this
Act,
any
reduction
15
in
the
provision
of
nicotine
replacement
products
realized
16
by
the
initiative
through
implementation
of
the
prerequisite
17
screening.
18
(2)
(a)
The
department
shall
collaborate
with
the
19
alcoholic
beverages
division
of
the
department
of
commerce
for
20
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
21
engage
in
tobacco
control
activities
approved
by
the
division
22
of
tobacco
use
prevention
and
control
of
the
department
of
23
public
health
as
specified
in
the
memorandum
of
understanding
24
entered
into
between
the
divisions.
25
(b)
For
the
fiscal
year
beginning
July
1,
2018,
and
ending
26
June
30,
2019,
the
terms
of
the
memorandum
of
understanding,
27
entered
into
between
the
division
of
tobacco
use
prevention
28
and
control
of
the
department
of
public
health
and
the
29
alcoholic
beverages
division
of
the
department
of
commerce,
30
governing
compliance
checks
conducted
to
ensure
licensed
retail
31
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
32
ordinances
relating
to
persons
under
18
years
of
age,
shall
33
continue
to
restrict
the
number
of
such
checks
to
one
check
per
34
retail
outlet,
and
one
additional
check
for
any
retail
outlet
35
-4-
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87
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4/
120
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_____
found
to
be
in
violation
during
the
first
check.
1
b.
Of
the
funds
appropriated
in
this
subsection,
2
$10,482,303
$20,783,119
shall
be
used
for
problem
gambling
and
3
substance-related
disorder
prevention,
treatment,
and
recovery
4
services,
including
a
24-hour
helpline,
public
information
5
resources,
professional
training,
youth
prevention,
and
program
6
evaluation.
7
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
8
by
the
appropriations
and
allocations
made
in
this
division
of
9
this
Act
for
purposes
of
substance-related
disorder
treatment
10
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
11
2018.
12
d.
The
department
of
public
health,
in
collaboration
with
13
the
department
of
human
services,
shall
engage
a
stakeholder
14
workgroup
to
review
reimbursement
provisions
applicable
15
to
substance
use
disorder
services
providers.
The
issues
16
considered
by
the
workgroup
shall
include
but
are
not
limited
17
to
the
adequacy
of
reimbursement
provisions
including
for
18
both
outpatient
and
residential
treatment,
whether
it
is
19
appropriate
to
rebase
reimbursement,
whether
there
is
equity
in
20
reimbursement
compared
to
the
reimbursement
methodologies
used
21
for
providers
of
similar
behavioral
health
services,
and
access
22
to
substance
use
disorder
services
providers
including
whether
23
the
designated
number
of
community
mental
health
centers
in
the
24
state
is
sufficient.
The
workgroup
shall
review
the
reports
25
of
previous
workgroups
including
those
authorized
in
2014
Iowa
26
Acts,
chapter
1140,
section
3,
subsection
1,
and
shall
report
27
the
workgroup’s
findings
and
recommendations
to
the
general
28
assembly
on
or
before
December
15,
2018.
29
2.
HEALTHY
CHILDREN
AND
FAMILIES
30
For
promoting
the
optimum
health
status
for
children,
31
adolescents
from
birth
through
21
years
of
age,
and
families,
32
and
for
not
more
than
the
following
full-time
equivalent
33
positions:
34
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.
.
.
$
2,662,816
35
-5-
LSB
5031XC
(11)
87
pf/rn
5/
120
S.F.
_____
5,820,625
1
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FTEs
12.00
2
a.
Of
the
funds
appropriated
in
this
subsection,
not
3
more
than
$367,420
$734,841
shall
be
used
for
the
healthy
4
opportunities
for
parents
to
experience
success
(HOPES)-healthy
5
families
Iowa
(HFI)
program
established
pursuant
to
section
6
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
7
that
were
provided
to
the
grantees
that
operated
the
program
8
during
the
fiscal
year
ending
June
30,
2018.
9
b.
In
order
to
implement
the
legislative
intent
stated
in
10
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
11
program
funding
be
given
to
programs
using
evidence-based
or
12
promising
models
for
home
visitation,
it
is
the
intent
of
the
13
general
assembly
to
phase
in
the
funding
priority
in
accordance
14
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
15
paragraph
“0b”
.
16
c.
Of
the
funds
appropriated
in
this
subsection,
$1,537,550
17
$3,075,101
shall
be
used
for
continuation
of
the
department’s
18
initiative
to
provide
for
adequate
developmental
surveillance
19
and
screening
during
a
child’s
first
five
years.
The
funds
20
shall
be
used
first
to
fully
fund
the
current
sites
to
ensure
21
that
the
sites
are
fully
operational,
with
the
remaining
22
funds
to
be
used
for
expansion
to
additional
sites.
The
full
23
implementation
and
expansion
shall
include
enhancing
the
scope
24
of
the
initiative
through
collaboration
with
the
child
health
25
specialty
clinics
to
promote
healthy
child
development
through
26
early
identification
and
response
to
both
biomedical
and
social
27
determinants
of
healthy
development;
by
monitoring
child
28
health
metrics
to
inform
practice,
document
long-term
health
29
impacts
and
savings,
and
provide
for
continuous
improvement
30
through
training,
education,
and
evaluation;
and
by
providing
31
for
practitioner
consultation
particularly
for
children
with
32
behavioral
conditions
and
needs.
The
department
of
public
33
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
34
and
the
child
health
specialty
clinics
to
integrate
the
35
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120
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_____
activities
of
the
first
five
initiative
into
the
establishment
1
of
patient-centered
medical
homes,
community
utilities,
2
accountable
care
organizations,
and
other
integrated
care
3
models
developed
to
improve
health
quality
and
population
4
health
while
reducing
health
care
costs.
To
the
maximum
extent
5
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
6
as
matching
funds
for
medical
assistance
program
reimbursement.
7
d.
Of
the
funds
appropriated
in
this
subsection,
$32,320
8
$64,640
shall
be
distributed
to
a
statewide
dental
carrier
to
9
provide
funds
to
continue
the
donated
dental
services
program
10
patterned
after
the
projects
developed
by
the
lifeline
network
11
to
provide
dental
services
to
indigent
individuals
who
are
12
elderly
or
with
disabilities.
13
e.
Of
the
funds
appropriated
in
this
subsection,
$78,241
14
$156,482
shall
be
used
to
provide
audiological
services
and
15
hearing
aids
for
children.
The
department
may
enter
into
a
16
contract
to
administer
this
paragraph.
17
f.
Of
the
funds
appropriated
in
this
subsection,
$11,500
18
$23,000
is
transferred
to
the
university
of
Iowa
college
of
19
dentistry
for
provision
of
primary
dental
services
to
children.
20
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
21
The
university
of
Iowa
college
of
dentistry
shall
coordinate
22
efforts
with
the
department
of
public
health,
bureau
of
23
oral
and
health
delivery
systems,
to
provide
dental
care
to
24
underserved
populations
throughout
the
state.
25
g.
Of
the
funds
appropriated
in
this
subsection,
$25,000
26
$50,000
shall
be
used
to
address
youth
suicide
prevention.
27
h.
Of
the
funds
appropriated
in
this
subsection,
$20,255
28
$40,511
shall
be
used
to
support
the
Iowa
effort
to
address
the
29
survey
of
children
who
experience
adverse
childhood
experiences
30
known
as
ACEs.
31
i.
The
department
of
public
health
shall
continue
to
32
administer
the
program
to
assist
parents
in
this
state
with
33
costs
resulting
from
the
death
of
a
child
in
accordance
with
34
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
35
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120
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_____
subsection
12
.
1
j.
Of
the
funds
appropriated
in
this
subsection,
up
to
2
$494,993
shall
be
used
for
childhood
obesity
prevention.
3
3.
CHRONIC
CONDITIONS
4
For
serving
individuals
identified
as
having
chronic
5
conditions
or
special
health
care
needs,
and
for
not
more
than
6
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,085,375
8
4,528,109
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
10
9.00
11
a.
Of
the
funds
appropriated
in
this
subsection,
$76,877
12
$153,755
shall
be
used
for
grants
to
individual
patients
who
13
have
an
inherited
metabolic
disorder
to
assist
with
the
costs
14
of
medically
necessary
foods
and
formula.
15
b.
Of
the
funds
appropriated
in
this
subsection,
$510,397
16
$1,055,291
shall
be
used
for
the
brain
injury
services
program
17
pursuant
to
section
135.22B
,
including
for
contracting
with
an
18
existing
nationally
affiliated
and
statewide
organization
whose
19
purpose
is
to
educate,
serve,
and
support
Iowans
with
brain
20
injury
and
their
families
for
resource
facilitator
services
21
in
accordance
with
section
135.22B,
subsection
9
,
and
for
22
contracting
to
enhance
brain
injury
training
and
recruitment
23
of
service
providers
on
a
statewide
basis.
Of
the
amount
24
allocated
in
this
paragraph,
$47,500
$95,000
shall
be
used
to
25
fund
one
full-time
equivalent
position
to
serve
as
the
state
26
brain
injury
services
program
manager.
27
c.
Of
the
funds
appropriated
in
this
subsection,
$72,048
28
$144,097
shall
be
used
for
the
public
purpose
of
continuing
29
to
contract
with
an
existing
national-affiliated
organization
30
to
provide
education,
client-centered
programs,
and
client
31
and
family
support
for
people
living
with
epilepsy
and
their
32
families.
The
amount
allocated
in
this
paragraph
in
excess
33
of
$50,000
$100,000
shall
be
matched
dollar-for-dollar
by
the
34
organization
specified.
35
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120
S.F.
_____
d.
Of
the
funds
appropriated
in
this
subsection,
$404,775
1
$809,550
shall
be
used
for
child
health
specialty
clinics.
2
e.
Of
the
funds
appropriated
in
this
subsection,
3
$192,276
$384,552
shall
be
used
by
the
regional
autism
4
assistance
program
established
pursuant
to
section
256.35
,
5
and
administered
by
the
child
health
specialty
clinic
located
6
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
7
shall
be
used
to
enhance
interagency
collaboration
and
8
coordination
of
educational,
medical,
and
other
human
services
9
for
persons
with
autism,
their
families,
and
providers
of
10
services,
including
delivering
regionalized
services
of
care
11
coordination,
family
navigation,
and
integration
of
services
12
through
the
statewide
system
of
regional
child
health
specialty
13
clinics
and
fulfilling
other
requirements
as
specified
in
14
chapter
225D
.
The
university
of
Iowa
shall
not
receive
funds
15
allocated
under
this
paragraph
for
indirect
costs
associated
16
with
the
regional
autism
assistance
program.
17
f.
Of
the
funds
appropriated
in
this
subsection,
$288,687
18
$577,375
shall
be
used
for
the
comprehensive
cancer
control
19
program
to
reduce
the
burden
of
cancer
in
Iowa
through
20
prevention,
early
detection,
effective
treatment,
and
ensuring
21
quality
of
life.
Of
the
funds
allocated
in
this
paragraph
“f”,
22
$75,000
$150,000
shall
be
used
to
support
a
melanoma
research
23
symposium,
a
melanoma
biorepository
and
registry,
basic
and
24
translational
melanoma
research,
and
clinical
trials.
25
g.
Of
the
funds
appropriated
in
this
subsection,
$48,766
26
$97,532
shall
be
used
for
cervical
and
colon
cancer
screening,
27
and
$88,860
$177,720
shall
be
used
to
enhance
the
capacity
of
28
the
cervical
cancer
screening
program
to
include
provision
29
of
recommended
prevention
and
early
detection
measures
to
a
30
broader
range
of
low-income
women.
31
h.
Of
the
funds
appropriated
in
this
subsection,
$253,177
32
$506,355
shall
be
used
for
the
center
for
congenital
and
33
inherited
disorders.
34
i.
Of
the
funds
appropriated
in
this
subsection,
$107,631
35
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5031XC
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9/
120
S.F.
_____
$225,263
shall
be
used
by
the
department
of
public
health
1
for
reform-related
activities,
including
but
not
limited
to
2
facilitation
of
communication
to
stakeholders
at
the
state
and
3
local
level,
administering
the
patient-centered
health
advisory
4
council
pursuant
to
section
135.159
,
and
involvement
in
health
5
care
system
innovation
activities
occurring
across
the
state.
6
j.
Of
the
funds
appropriated
in
this
subsection,
$11,050
7
$322,100
shall
be
used
for
administration
of
chapter
124D
124E
,
8
the
medical
cannabidiol
Act.
9
4.
COMMUNITY
CAPACITY
10
For
strengthening
the
health
care
delivery
system
at
the
11
local
level,
and
for
not
more
than
the
following
full-time
12
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,453,888
14
4,865,152
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
16
a.
Of
the
funds
appropriated
in
this
subsection,
$47,787
17
$95,575
is
allocated
for
continuation
of
the
child
vision
18
screening
program
implemented
through
the
university
of
Iowa
19
hospitals
and
clinics
in
collaboration
with
early
childhood
20
Iowa
areas.
The
program
shall
submit
a
report
to
the
21
individuals
identified
in
this
Act
for
submission
of
reports
22
regarding
the
use
of
funds
allocated
under
this
paragraph
23
“a”.
The
report
shall
include
the
objectives
and
results
for
24
the
program
year
including
the
target
population
and
how
the
25
funds
allocated
assisted
the
program
in
meeting
the
objectives;
26
the
number,
age,
and
location
within
the
state
of
individuals
27
served;
the
type
of
services
provided
to
the
individuals
28
served;
the
distribution
of
funds
based
on
service
provided;
29
and
the
continuing
needs
of
the
program.
30
b.
Of
the
funds
appropriated
in
this
subsection,
$52,828
is
31
allocated
for
continuation
of
an
initiative
implemented
at
the
32
university
of
Iowa
to
expand
and
improve
the
workforce
engaged
33
in
mental
health
treatment
and
services.
The
initiative
shall
34
receive
input
from
the
university
of
Iowa,
the
department
of
35
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LSB
5031XC
(11)
87
pf/rn
10/
120
S.F.
_____
human
services,
the
department
of
public
health,
and
the
mental
1
health
and
disability
services
commission
to
address
the
focus
2
of
the
initiative.
3
c.
Of
the
funds
appropriated
in
this
section,
$41,657
shall
4
be
deposited
in
the
governmental
public
health
system
fund
5
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
6
fund.
7
d.
Of
the
funds
appropriated
in
this
subsection,
$24,034
8
$48,069
shall
be
used
for
a
grant
to
a
statewide
association
9
of
psychologists
that
is
affiliated
with
the
American
10
psychological
association
to
be
used
for
continuation
of
a
11
program
to
rotate
intern
psychologists
in
placements
in
urban
12
and
rural
mental
health
professional
shortage
areas,
as
defined
13
in
section
135.180
.
14
e.
Of
the
funds
appropriated
in
this
subsection,
the
15
following
amounts
are
allocated
to
be
used
as
follows
to
16
support
the
Iowa
collaborative
safety
net
provider
network
17
goals
of
increased
access,
health
system
integration,
and
18
engagement.
19
(1)
Not
less
than
$260,931
$437,829
is
allocated
to
the
20
Iowa
prescription
drug
corporation
for
continuation
of
the
21
pharmaceutical
infrastructure
for
safety
net
providers
as
22
described
in
2007
Iowa
Acts,
chapter
218,
section
108
,
and
for
23
the
prescription
drug
donation
repository
program
created
in
24
chapter
135M
.
25
(2)
Not
less
than
$167,435
$334,870
is
allocated
to
free
26
clinics
and
free
clinics
of
Iowa
for
necessary
infrastructure,
27
statewide
coordination,
provider
recruitment,
service
delivery,
28
and
provision
of
assistance
to
patients
in
securing
a
medical
29
home
inclusive
of
oral
health
care.
30
(3)
Not
less
than
$12,500
$25,000
is
allocated
to
the
31
Iowa
association
of
rural
health
clinics
for
necessary
32
infrastructure
and
service
delivery
transformation.
33
(4)
Not
less
than
$50,000
$205,493
is
allocated
to
the
34
Polk
county
medical
society
for
continuation
of
the
safety
net
35
-11-
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5031XC
(11)
87
pf/rn
11/
120
S.F.
_____
provider
patient
access
to
a
specialty
health
care
initiative
1
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109
.
2
f.
Of
the
funds
appropriated
in
this
subsection,
$38,115
3
$15,000
shall
be
used
by
the
department
in
implementing
4
the
recommendations
in
the
final
report
submitted
by
the
5
direct
care
worker
advisory
council
to
the
governor
and
the
6
general
assembly
in
March
2012,
including
by
continuing
to
7
develop,
promote,
and
make
available
on
a
statewide
basis
the
8
prepare-to-care
core
curriculum
and
its
associated
modules
9
and
specialties
through
various
formats
including
online
10
access,
community
colleges,
and
other
venues;
exploring
new
and
11
maintaining
existing
specialties
including
but
not
limited
to
12
oral
health
and
dementia
care;
supporting
instructor
training;
13
and
assessing
and
making
recommendations
concerning
the
Iowa
14
care
book
and
information
technology
systems
and
infrastructure
15
uses
and
needs.
16
g.
Of
the
funds
appropriated
in
this
subsection,
$95,594
17
$176,188
shall
be
allocated
for
continuation
of
the
contract
18
with
an
independent
statewide
direct
care
worker
organization
19
previously
selected
through
a
request
for
proposals
process.
20
The
contract
shall
continue
to
include
performance
and
outcomes
21
measures,
and
shall
continue
to
allow
the
contractor
to
use
a
22
portion
of
the
funds
received
under
the
contract
to
collect
23
data
to
determine
results
based
on
the
performance
and
outcomes
24
measures.
25
h.
Of
the
funds
appropriated
in
this
subsection,
the
26
department
may
use
up
to
$29,087
$58,175
for
up
to
one
27
full-time
equivalent
position
to
administer
the
volunteer
28
health
care
provider
program
pursuant
to
section
135.24
.
29
i.
Of
the
funds
appropriated
in
this
subsection,
$48,069
30
$96,138
shall
be
used
for
a
matching
dental
education
loan
31
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
32
service
corporation
to
continue
to
develop
the
criteria
and
33
implement
the
loan
repayment
program.
34
j.
Of
the
funds
appropriated
in
this
subsection,
$26,455
is
35
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5031XC
(11)
87
pf/rn
12/
120
S.F.
_____
transferred
to
the
college
student
aid
commission
for
deposit
1
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
2
261.113
to
be
used
for
the
purposes
of
the
fund.
3
k.
Of
the
funds
appropriated
in
this
subsection,
$75,000
4
$100,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
5
registry
as
specified
in
section
142C.18
.
6
l.
Of
the
funds
appropriated
in
this
subsection,
$48,069
7
$96,138
shall
be
used
for
continuation
of
a
grant
to
a
8
nationally
affiliated
volunteer
eye
organization
that
has
an
9
established
program
for
children
and
adults
and
that
is
solely
10
dedicated
to
preserving
sight
and
preventing
blindness
through
11
education,
nationally
certified
vision
screening
and
training,
12
and
community
and
patient
service
programs.
The
organization
13
shall
submit
a
report
to
the
individuals
identified
in
this
14
Act
for
submission
of
reports
regarding
the
use
of
funds
15
allocated
under
this
paragraph
“l”.
The
report
shall
include
16
the
objectives
and
results
for
the
program
year
including
17
the
target
population
and
how
the
funds
allocated
assisted
18
the
program
in
meeting
the
objectives;
the
number,
age,
and
19
location
within
the
state
of
individuals
served;
the
type
of
20
services
provided
to
the
individuals
served;
the
distribution
21
of
funds
based
on
services
provided;
and
the
continuing
needs
22
of
the
program.
23
m.
Of
the
funds
appropriated
in
this
subsection,
$436,327
24
$2,000,000
shall
be
deposited
in
the
medical
residency
training
25
account
created
in
section
135.175,
subsection
5
,
paragraph
26
“a”,
and
is
appropriated
from
the
account
to
the
department
27
of
public
health
to
be
used
for
the
purposes
of
the
medical
28
residency
training
state
matching
grants
program
as
specified
29
in
section
135.176
.
30
n.
Of
the
funds
appropriated
in
this
subsection,
$250,000
31
shall
be
used
for
the
public
purpose
of
providing
funding
to
32
Des
Moines
university
to
establish
a
provider
education
project
33
to
provide
primary
care
physicians
with
the
training
and
skills
34
necessary
to
recognize
signs
of
mental
illness
in
patients.
35
-13-
LSB
5031XC
(11)
87
pf/rn
13/
120
S.F.
_____
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
1
To
provide
public
health
services
that
reduce
risks
and
2
invest
in
promoting
and
protecting
good
health
over
the
3
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
4
vulnerable
populations:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,098,939
6
7,662,464
7
6.
INFECTIOUS
DISEASES
8
For
reducing
the
incidence
and
prevalence
of
communicable
9
diseases,
and
for
not
more
than
the
following
full-time
10
equivalent
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
823,213
12
1,796,426
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
14
7.
PUBLIC
PROTECTION
15
For
protecting
the
health
and
safety
of
the
public
through
16
establishing
standards
and
enforcing
regulations,
and
for
not
17
more
than
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,097,569
19
4,095,139
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
138.00
21
141.00
22
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
23
than
$152,350
$304,700
shall
be
credited
to
the
emergency
24
medical
services
fund
created
in
section
135.25
.
Moneys
in
25
the
emergency
medical
services
fund
are
appropriated
to
the
26
department
to
be
used
for
the
purposes
of
the
fund.
27
b.
Of
the
funds
appropriated
in
this
subsection,
up
28
to
$121,630
$243,260
shall
be
used
for
sexual
violence
29
prevention
programming
through
a
statewide
organization
30
representing
programs
serving
victims
of
sexual
violence
31
through
the
department’s
sexual
violence
prevention
program,
32
and
for
continuation
of
a
training
program
for
sexual
assault
33
response
team
(SART)
members,
including
representatives
of
34
law
enforcement,
victim
advocates,
prosecutors,
and
certified
35
-14-
LSB
5031XC
(11)
87
pf/rn
14/
120
S.F.
_____
medical
personnel.
The
amount
allocated
in
this
paragraph
“b”
1
shall
not
be
used
to
supplant
funding
administered
for
other
2
sexual
violence
prevention
or
victims
assistance
programs.
3
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
4
$287,813
$500,000
shall
be
used
for
the
state
poison
control
5
center.
Pursuant
to
the
directive
under
2014
Iowa
Acts,
6
chapter
1140,
section
102
,
the
federal
matching
funds
available
7
to
the
state
poison
control
center
from
the
department
of
human
8
services
under
the
federal
Children’s
Health
Insurance
Program
9
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
10
administrative
cap
rule
of
10
percent
applicable
to
funding
11
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
12
included
within
the
department’s
calculations
of
the
cap.
13
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
14
$258,491
$504,796
shall
be
used
for
childhood
lead
poisoning
15
provisions.
16
8.
RESOURCE
MANAGEMENT
17
For
establishing
and
sustaining
the
overall
ability
of
the
18
department
to
deliver
services
to
the
public,
and
for
not
more
19
than
the
following
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
485,607
21
971,215
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
23
Sec.
7.
2017
Iowa
Acts,
chapter
174,
section
42,
subsections
24
10
and
11,
are
amended
by
striking
the
subsections.
25
DIVISION
IV
26
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2018-2019
27
Sec.
8.
2017
Iowa
Acts,
chapter
174,
section
43,
is
amended
28
to
read
as
follows:
29
SEC.
43.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
30
appropriated
from
the
general
fund
of
the
state
to
the
31
department
of
veterans
affairs
for
the
fiscal
year
beginning
32
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
33
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
34
designated:
35
-15-
LSB
5031XC
(11)
87
pf/rn
15/
120
S.F.
_____
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
1
For
salaries,
support,
maintenance,
and
miscellaneous
2
purposes,
and
for
not
more
than
the
following
full-time
3
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
571,278
5
1,150,500
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
7
2.
IOWA
VETERANS
HOME
8
For
salaries,
support,
maintenance,
and
miscellaneous
9
purposes:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,614,070
11
7,162,976
12
a.
The
Iowa
veterans
home
billings
involving
the
department
13
of
human
services
shall
be
submitted
to
the
department
on
at
14
least
a
monthly
basis.
15
b.
Within
available
resources
and
in
conformance
with
16
associated
state
and
federal
program
eligibility
requirements,
17
the
Iowa
veterans
home
may
implement
measures
to
provide
18
financial
assistance
to
or
on
behalf
of
veterans
or
their
19
spouses
who
are
participating
in
the
community
reentry
program.
20
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
21
annual
discharge
report
applicant
information
and
to
provide
22
for
the
collection
of
demographic
information
including
but
not
23
limited
to
the
number
of
individuals
applying
for
admission
and
24
admitted
or
denied
admittance
and
the
basis
for
the
admission
25
or
denial;
the
age,
gender,
and
race
of
such
individuals;
26
and
the
level
of
care
for
which
such
individuals
applied
for
27
admission
including
residential
or
nursing
level
of
care.
28
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
29
For
transfer
to
the
Iowa
finance
authority
for
the
30
continuation
of
the
home
ownership
assistance
program
for
31
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
32
the
United
States,
pursuant
to
section
16.54
:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
34
2,000,000
35
-16-
LSB
5031XC
(11)
87
pf/rn
16/
120
S.F.
_____
Sec.
9.
2017
Iowa
Acts,
chapter
174,
section
44,
is
amended
1
to
read
as
follows:
2
SEC.
44.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
3
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
4
standing
appropriation
in
section
35A.16
for
the
fiscal
year
5
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
amount
6
appropriated
from
the
general
fund
of
the
state
pursuant
to
7
that
section
for
the
following
designated
purposes
shall
not
8
exceed
the
following
amount:
9
For
the
county
commissions
of
veteran
affairs
fund
under
10
section
35A.16
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
473,962
12
990,000
13
DIVISION
V
14
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2018-2019
15
Sec.
10.
2017
Iowa
Acts,
chapter
174,
section
45,
is
amended
16
to
read
as
follows:
17
SEC.
45.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
18
GRANT.
There
is
appropriated
from
the
fund
created
in
section
19
8.41
to
the
department
of
human
services
for
the
fiscal
year
20
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
moneys
21
received
under
the
federal
temporary
assistance
for
needy
22
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
23
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
24
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
25
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
26
purposes
designated:
27
1.
To
be
credited
to
the
family
investment
program
account
28
and
used
for
assistance
under
the
family
investment
program
29
under
chapter
239B
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,556,231
31
4,539,006
32
2.
To
be
credited
to
the
family
investment
program
account
33
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
34
program
and
implementing
family
investment
agreements
in
35
-17-
LSB
5031XC
(11)
87
pf/rn
17/
120
S.F.
_____
accordance
with
chapter
239B
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,787,846
2
5,412,060
3
3.
To
be
used
for
the
family
development
and
4
self-sufficiency
grant
program
in
accordance
with
section
5
216A.107
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
7
2,883,980
8
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
9
subsection
that
remain
unencumbered
or
unobligated
at
the
close
10
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
11
for
expenditure
for
the
purposes
designated
until
the
close
of
12
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
13
encumbered
or
obligated
on
or
before
September
30,
2019,
the
14
moneys
shall
revert.
15
4.
For
field
operations:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
17
31,296,232
18
5.
For
general
administration:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
20
3,744,000
21
6.
For
state
child
care
assistance:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,933,413
23
47,166,826
24
a.
Of
the
funds
appropriated
in
this
subsection,
25
$13,164,048
$26,205,412
is
transferred
to
the
child
care
26
and
development
block
grant
appropriation
made
by
the
27
Eighty-seventh
General
Assembly,
2018
session,
for
the
federal
28
fiscal
year
beginning
October
1,
2018,
and
ending
September
29
30,
2019.
Of
this
amount,
$100,000
$200,000
shall
be
used
30
for
provision
of
educational
opportunities
to
registered
31
child
care
home
providers
in
order
to
improve
services
and
32
programs
offered
by
this
category
of
providers
and
to
increase
33
the
number
of
providers.
The
department
may
contract
with
34
institutions
of
higher
education
or
child
care
resource
and
35
-18-
LSB
5031XC
(11)
87
pf/rn
18/
120
S.F.
_____
referral
centers
to
provide
the
educational
opportunities.
1
Allowable
administrative
costs
under
the
contracts
shall
not
2
exceed
5
percent.
The
application
for
a
grant
shall
not
exceed
3
two
pages
in
length.
4
b.
Any
funds
appropriated
in
this
subsection
remaining
5
unallocated
shall
be
used
for
state
child
care
assistance
6
payments
for
families
who
are
employed
including
but
not
7
limited
to
individuals
enrolled
in
the
family
investment
8
program.
9
7.
For
child
and
family
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,190,327
11
32,380,654
12
8.
For
child
abuse
prevention
grants:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
14
125,000
15
9.
For
pregnancy
prevention
grants
on
the
condition
that
16
family
planning
services
are
funded:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
18
1,913,203
19
Pregnancy
prevention
grants
shall
be
awarded
to
programs
20
in
existence
on
or
before
July
1,
2018,
if
the
programs
have
21
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
22
pregnancy
prevention
programs
which
are
developed
after
July
23
1,
2018,
if
the
programs
are
based
on
existing
models
that
24
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
25
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
26
section
14,
subsections
1
and
2
,
including
the
requirement
that
27
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
28
the
awarding
of
grants
shall
be
given
to
programs
that
serve
29
areas
of
the
state
which
demonstrate
the
highest
percentage
of
30
unplanned
pregnancies
of
females
of
childbearing
age
within
the
31
geographic
area
to
be
served
by
the
grant.
32
10.
For
technology
needs
and
other
resources
necessary
33
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
34
management
requirements:
35
-19-
LSB
5031XC
(11)
87
pf/rn
19/
120
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
1
1,037,186
2
11.
a.
Notwithstanding
any
provision
to
the
contrary,
3
including
but
not
limited
to
requirements
in
section
8.41
or
4
provisions
in
2017
or
2018
Iowa
Acts
regarding
the
receipt
and
5
appropriation
of
federal
block
grants,
federal
funds
from
the
6
temporary
assistance
for
needy
families
block
grant
received
7
by
the
state
and
not
otherwise
appropriated
in
this
section
8
and
remaining
available
for
the
fiscal
year
beginning
July
1,
9
2018,
are
appropriated
to
the
department
of
human
services
to
10
the
extent
as
may
be
necessary
to
be
used
in
the
following
11
priority
order:
the
family
investment
program,
for
state
child
12
care
assistance
program
payments
for
families
who
are
employed,
13
and
for
the
family
investment
program
share
of
system
costs
14
to
develop
and
maintain
a
new,
integrated
for
eligibility
15
determination
system
and
related
functions
.
The
federal
funds
16
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
17
all
other
funds
appropriated
in
subsection
1
for
assistance
18
under
the
family
investment
program,
in
subsection
6
for
child
19
care
assistance,
or
in
subsection
10
for
technology
costs
20
related
to
the
family
investment
program,
as
applicable,
have
21
been
expended.
For
the
purposes
of
this
subsection,
the
funds
22
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
23
to
the
child
care
and
development
block
grant
appropriation
24
are
considered
fully
expended
when
the
full
amount
has
been
25
transferred.
26
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
27
legislative
services
agency
and
department
of
management
of
28
the
amount
of
funds
appropriated
in
this
subsection
that
was
29
expended
in
the
prior
quarter.
30
12.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
31
$12,962,008
for
the
fiscal
year
beginning
July
1,
2018,
is
32
transferred
to
the
appropriation
of
the
federal
social
services
33
block
grant
made
to
the
department
of
human
services
for
that
34
fiscal
year.
35
-20-
LSB
5031XC
(11)
87
pf/rn
20/
120
S.F.
_____
13.
For
continuation
of
the
program
providing
categorical
1
eligibility
for
the
food
assistance
program
as
specified
2
for
the
program
in
the
section
of
this
division
of
this
Act
3
relating
to
the
family
investment
program
account:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
5
14,236
6
14.
The
department
may
transfer
funds
allocated
in
this
7
section
to
the
appropriations
made
in
this
division
of
this
Act
8
for
the
same
fiscal
year
for
general
administration
and
field
9
operations
for
resources
necessary
to
implement
and
operate
the
10
services
referred
to
in
this
section
and
those
funded
in
the
11
appropriation
made
in
this
division
of
this
Act
for
the
same
12
fiscal
year
for
the
family
investment
program
from
the
general
13
fund
of
the
state.
14
15.
With
the
exception
of
moneys
allocated
under
this
15
section
for
the
family
development
and
self-sufficiency
grant
16
program,
to
the
extent
moneys
allocated
in
this
section
are
17
deemed
by
the
department
not
to
be
necessary
to
support
the
18
purposes
for
which
they
are
allocated,
such
moneys
may
be
19
credited
used
in
the
same
fiscal
year
for
any
other
purpose
20
for
which
funds
are
allocated
in
this
section
or
in
section
7
21
of
this
division
for
the
family
investment
program
account.
22
If
there
are
conflicting
needs,
priority
shall
first
be
given
23
to
the
family
investment
program
account
as
specified
under
24
subsection
1
of
this
section
and
used
for
the
purposes
of
25
assistance
under
the
family
investment
program
under
chapter
26
239B
in
the
same
fiscal
year
,
followed
by
state
child
care
27
assistance
program
payments
for
families
who
are
employed,
28
followed
by
other
priorities
as
specified
by
the
department
.
29
Sec.
11.
2017
Iowa
Acts,
chapter
174,
section
46,
subsection
30
4,
is
amended
to
read
as
follows:
31
4.
Moneys
appropriated
in
this
division
of
this
Act
and
32
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
33
1,
2018,
and
ending
June
30,
2019,
are
allocated
as
follows:
34
a.
To
be
retained
by
the
department
of
human
services
to
35
-21-
LSB
5031XC
(11)
87
pf/rn
21/
120
S.F.
_____
be
used
for
coordinating
with
the
department
of
human
rights
1
to
more
effectively
serve
participants
in
FIP
and
other
shared
2
clients
and
to
meet
federal
reporting
requirements
under
the
3
federal
temporary
assistance
for
needy
families
block
grant:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
5
5,000
6
b.
To
the
department
of
human
rights
for
staffing,
7
administration,
and
implementation
of
the
family
development
8
and
self-sufficiency
grant
program
in
accordance
with
section
9
216A.107
:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
11
6,192,834
12
(1)
Of
the
funds
allocated
for
the
family
development
13
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
14
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
15
administration
of
the
grant
program.
16
(2)
The
department
of
human
rights
may
continue
to
implement
17
the
family
development
and
self-sufficiency
grant
program
18
statewide
during
fiscal
year
2018-2019.
19
(3)
The
department
of
human
rights
may
engage
in
activities
20
to
strengthen
and
improve
family
outcomes
measures
and
21
data
collection
systems
under
the
family
development
and
22
self-sufficiency
grant
program.
23
c.
For
the
diversion
subaccount
of
the
FIP
account:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
25
749,694
26
A
portion
of
the
moneys
allocated
for
the
subaccount
may
27
be
used
for
field
operations,
salaries,
data
management
28
system
development,
and
implementation
costs
and
support
29
deemed
necessary
by
the
director
of
human
services
in
order
to
30
administer
the
FIP
diversion
program.
To
the
extent
moneys
31
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
32
not
to
be
necessary
to
support
diversion
activities,
such
33
moneys
may
be
used
for
other
efforts
intended
to
increase
34
engagement
by
family
investment
program
participants
in
work,
35
-22-
LSB
5031XC
(11)
87
pf/rn
22/
120
S.F.
_____
education,
or
training
activities,
or
for
the
purposes
of
1
assistance
under
the
family
investment
program
in
accordance
2
with
chapter
239B
.
3
d.
For
the
food
assistance
employment
and
training
program:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
5
66,588
6
(1)
The
department
shall
apply
the
federal
supplemental
7
nutrition
assistance
program
(SNAP)
employment
and
training
8
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
9
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
10
provisions
for
the
claiming
of
allowable
federal
reimbursement
11
funds
from
the
United
States
department
of
agriculture
12
pursuant
to
the
federal
SNAP
employment
and
training
program
13
for
providing
education,
employment,
and
training
services
14
for
eligible
food
assistance
program
participants,
including
15
but
not
limited
to
related
dependent
care
and
transportation
16
expenses.
17
(2)
The
department
shall
continue
the
categorical
federal
18
food
assistance
program
eligibility
at
160
percent
of
the
19
federal
poverty
level
and
continue
to
eliminate
the
asset
test
20
from
eligibility
requirements,
consistent
with
federal
food
21
assistance
program
requirements.
The
department
shall
include
22
as
many
food
assistance
households
as
is
allowed
by
federal
23
law.
The
eligibility
provisions
shall
conform
to
all
federal
24
requirements
including
requirements
addressing
individuals
who
25
are
incarcerated
or
otherwise
ineligible.
26
e.
For
the
JOBS
program:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,761,645
28
12,139,821
29
Sec.
12.
2017
Iowa
Acts,
chapter
174,
section
46,
is
amended
30
by
adding
the
following
new
subsection:
31
NEW
SUBSECTION
.
7.
The
department
of
human
services
shall
32
convene
a
workgroup
to
review
opportunities
to
increase
state
33
engagement
in
the
supplemental
nutrition
assistance
program
34
(SNAP)
employment
and
training
program.
The
workgroup
shall
35
-23-
LSB
5031XC
(11)
87
pf/rn
23/
120
S.F.
_____
explore
the
feasibility
of
expansion
of
the
current
pilot
1
program
to
a
statewide
basis,
the
potential
involvement
of
2
community-based
organizations
to
the
extent
allowed
by
federal
3
law,
and
the
leveraging
of
state
and
private
funding
to
match
4
available
federal
funds.
The
membership
of
the
workgroup
5
shall
include
representatives
of
the
department
of
human
6
services,
community
colleges,
community-based
organizations
7
serving
SNAP
recipients,
philanthropic
organizations,
and
other
8
stakeholders
with
relevant
interest
or
expertise
as
determined
9
by
the
department.
The
workgroup
shall
submit
a
report
of
its
10
findings
and
recommendations
to
the
governor
and
the
general
11
assembly
by
December
15,
2018.
12
Sec.
13.
2017
Iowa
Acts,
chapter
174,
section
47,
unnumbered
13
paragraph
2,
is
amended
to
read
as
follows:
14
To
be
credited
to
the
family
investment
program
(FIP)
15
account
and
used
for
family
investment
program
assistance
under
16
chapter
239B
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,502,240
18
40,365,715
19
Sec.
14.
2017
Iowa
Acts,
chapter
174,
section
47,
20
subsections
1,
2,
4,
and
5,
are
amended
to
read
as
follows:
21
1.
Of
the
funds
appropriated
in
this
section,
$3,973,798
22
$6,727,761
is
allocated
for
the
JOBS
program.
23
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
24
$3,313,854
is
allocated
for
the
family
development
and
25
self-sufficiency
grant
program.
26
4.
Of
the
funds
appropriated
in
this
section,
$97,839
27
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
28
Iowa-based
nonprofit
organization
with
a
history
of
providing
29
tax
preparation
assistance
to
low-income
Iowans
in
order
to
30
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
31
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
32
of
the
state.
33
5.
Of
the
funds
appropriated
in
this
section,
$30,000
34
$70,000
shall
be
used
for
the
continuation
of
an
unfunded
pilot
35
-24-
LSB
5031XC
(11)
87
pf/rn
24/
120
S.F.
_____
project
the
parenting
program
,
as
defined
specified
in
441
IAC
1
100.1
100
,
relating
to
parental
obligations,
in
which
the
child
2
support
recovery
unit
participates,
to
support
the
efforts
3
of
a
nonprofit
organization
committed
to
strengthening
the
4
community
through
youth
development,
healthy
living,
and
social
5
responsibility
headquartered
in
a
county
with
a
population
6
over
350,000
according
to
the
latest
certified
federal
7
census.
The
funds
allocated
in
this
subsection
shall
be
used
8
by
the
recipient
organization
to
develop
a
larger
community
9
effort,
through
public
and
private
partnerships,
to
support
a
10
broad-based
multi-county
fatherhood
parenthood
initiative
that
11
promotes
payment
of
child
support
obligations,
improved
family
12
relationships,
and
full-time
employment.
13
Sec.
15.
2017
Iowa
Acts,
chapter
174,
section
48,
unnumbered
14
paragraph
2,
is
amended
to
read
as
follows:
15
For
child
support
recovery,
including
salaries,
support,
16
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
17
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,293,317
19
14,586,635
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
21
Sec.
16.
2017
Iowa
Acts,
chapter
174,
section
48,
subsection
22
1,
is
amended
to
read
as
follows:
23
1.
The
department
shall
expend
up
to
$12,164
$24,329
,
24
including
federal
financial
participation,
for
the
fiscal
year
25
beginning
July
1,
2018,
for
a
child
support
public
awareness
26
campaign.
The
department
and
the
office
of
the
attorney
27
general
shall
cooperate
in
continuation
of
the
campaign.
The
28
public
awareness
campaign
shall
emphasize,
through
a
variety
29
of
media
activities,
the
importance
of
maximum
involvement
of
30
both
parents
in
the
lives
of
their
children
as
well
as
the
31
importance
of
payment
of
child
support
obligations.
32
Sec.
17.
2017
Iowa
Acts,
chapter
174,
section
51,
unnumbered
33
paragraph
2,
is
amended
to
read
as
follows:
34
For
medical
assistance
program
reimbursement
and
associated
35
-25-
LSB
5031XC
(11)
87
pf/rn
25/
120
S.F.
_____
costs
as
specifically
provided
in
the
reimbursement
1
methodologies
in
effect
on
June
30,
2018,
except
as
otherwise
2
expressly
authorized
by
law,
consistent
with
options
under
3
federal
law
and
regulations,
and
contingent
upon
receipt
of
4
approval
from
the
office
of
the
governor
of
reimbursement
for
5
each
abortion
performed
under
the
program:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
642,202,870
7
1,337,946,375
8
Sec.
18.
2017
Iowa
Acts,
chapter
174,
section
51,
9
subsections
3,
4,
5,
6,
7,
8,
14,
17,
18,
and
19,
are
amended
10
to
read
as
follows:
11
3.
The
department
shall
utilize
not
more
than
$30,000
12
$60,000
of
the
funds
appropriated
in
this
section
to
continue
13
the
AIDS/HIV
health
insurance
premium
payment
program
as
14
established
in
1992
Iowa
Acts,
Second
Extraordinary
Session,
15
chapter
1001,
section
409,
subsection
6
.
Of
the
funds
16
allocated
in
this
subsection,
not
more
than
$2,500
$5,000
may
17
be
expended
for
administrative
purposes.
18
4.
Of
the
funds
appropriated
in
this
Act
to
the
19
department
of
public
health
for
addictive
disorders,
$475,000
20
$950,000
for
the
fiscal
year
beginning
July
1,
2018,
is
21
transferred
to
the
department
of
human
services
for
an
22
integrated
substance-related
disorder
managed
care
system.
23
The
departments
of
human
services
and
public
health
shall
24
work
together
to
maintain
the
level
of
mental
health
and
25
substance-related
disorder
treatment
services
provided
by
the
26
managed
care
contractors.
Each
department
shall
take
the
steps
27
necessary
to
continue
the
federal
waivers
as
necessary
to
28
maintain
the
level
of
services.
29
5.
a.
The
department
shall
aggressively
pursue
options
for
30
providing
medical
assistance
or
other
assistance
to
individuals
31
with
special
needs
who
become
ineligible
to
continue
receiving
32
services
under
the
early
and
periodic
screening,
diagnostic,
33
and
treatment
program
under
the
medical
assistance
program
34
due
to
becoming
21
years
of
age
who
have
been
approved
for
35
-26-
LSB
5031XC
(11)
87
pf/rn
26/
120
S.F.
_____
additional
assistance
through
the
department’s
exception
to
1
policy
provisions,
but
who
have
health
care
needs
in
excess
2
of
the
funding
available
through
the
exception
to
policy
3
provisions.
4
b.
Of
the
funds
appropriated
in
this
section,
$50,000
5
$100,000
shall
be
used
for
participation
in
one
or
more
6
pilot
projects
operated
by
a
private
provider
to
allow
the
7
individual
or
individuals
to
receive
service
in
the
community
8
in
accordance
with
principles
established
in
Olmstead
v.
9
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
10
medical
assistance
or
other
assistance
to
individuals
with
11
special
needs
who
become
ineligible
to
continue
receiving
12
services
under
the
early
and
periodic
screening,
diagnostic,
13
and
treatment
program
under
the
medical
assistance
program
14
due
to
becoming
21
years
of
age
who
have
been
approved
for
15
additional
assistance
through
the
department’s
exception
to
16
policy
provisions,
but
who
have
health
care
needs
in
excess
17
of
the
funding
available
through
the
exception
to
the
policy
18
provisions.
19
6.
Of
the
funds
appropriated
in
this
section,
up
to
20
$1,525,041
$3,050,082
may
be
transferred
to
the
field
21
operations
or
general
administration
appropriations
in
this
22
division
of
this
Act
for
operational
costs
associated
with
Part
23
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
24
Modernization
Act
of
2003,
Pub.
L.
No.
108-173.
25
7.
Of
the
funds
appropriated
in
this
section,
up
to
26
$221,050
$442,100
may
be
transferred
to
the
appropriation
in
27
this
division
of
this
Act
for
medical
contracts
to
be
used
28
for
clinical
assessment
services
and
prior
authorization
of
29
services.
30
8.
A
portion
of
the
funds
appropriated
in
this
section
31
may
be
transferred
to
the
appropriations
in
this
division
of
32
this
Act
for
general
administration,
medical
contracts,
the
33
children’s
health
insurance
program,
or
field
operations
to
be
34
used
for
the
state
match
cost
to
comply
with
the
payment
error
35
-27-
LSB
5031XC
(11)
87
pf/rn
27/
120
S.F.
_____
rate
measurement
(PERM)
program
for
both
the
medical
assistance
1
and
children’s
health
insurance
programs
as
developed
by
the
2
centers
for
Medicare
and
Medicaid
services
of
the
United
States
3
department
of
health
and
human
services
to
comply
with
the
4
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
5
No.
107-300
,
and
to
support
other
reviews
and
quality
control
6
activities
to
improve
the
integrity
of
these
programs
.
7
14.
Of
the
funds
appropriated
in
this
section,
$174,505
8
$349,011
shall
be
used
for
the
administration
of
the
health
9
insurance
premium
payment
program,
including
salaries,
support,
10
maintenance,
and
miscellaneous
purposes.
11
17.
a.
Of
the
funds
appropriated
in
this
section,
up
12
to
$25,000
$50,000
may
be
transferred
by
the
department
to
13
the
appropriation
made
in
this
division
of
this
Act
to
the
14
department
for
the
same
fiscal
year
for
general
administration
15
to
be
used
for
associated
administrative
expenses
and
for
not
16
more
than
one
full-time
equivalent
position,
in
addition
to
17
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
18
implementing
the
children’s
mental
health
home
project.
19
b.
Of
the
funds
appropriated
in
this
section,
up
to
20
$200,000
$400,000
may
be
transferred
by
the
department
to
21
the
appropriation
made
to
the
department
in
this
division
of
22
this
Act
for
the
same
fiscal
year
for
Medicaid
program-related
23
general
administration
planning
and
implementation
activities.
24
The
funds
may
be
used
for
contracts
or
for
personnel
in
25
addition
to
the
amounts
appropriated
for
and
the
positions
26
authorized
for
general
administration
for
the
fiscal
year.
27
c.
Of
the
funds
appropriated
in
this
section,
up
to
28
$1,500,000
$3,000,000
may
be
transferred
by
the
department
29
to
the
appropriations
made
in
this
division
of
this
Act
30
for
the
same
fiscal
year
for
general
administration
or
31
medical
contracts
to
be
used
to
support
the
development
32
and
implementation
of
standardized
assessment
tools
for
33
persons
with
mental
illness,
an
intellectual
disability,
a
34
developmental
disability,
or
a
brain
injury.
35
-28-
LSB
5031XC
(11)
87
pf/rn
28/
120
S.F.
_____
18.
Of
the
funds
appropriated
in
this
section,
$75,000
1
$150,000
shall
be
used
for
lodging
expenses
associated
with
2
care
provided
at
the
university
of
Iowa
hospitals
and
clinics
3
for
patients
with
cancer
whose
travel
distance
is
30
miles
or
4
more
and
whose
income
is
at
or
below
200
percent
of
the
federal
5
poverty
level
as
defined
by
the
most
recently
revised
poverty
6
income
guidelines
published
by
the
United
States
department
of
7
health
and
human
services.
The
department
of
human
services
8
shall
establish
the
maximum
number
of
overnight
stays
and
the
9
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
10
based
on
the
state
employee
rate
established
by
the
department
11
of
administrative
services.
The
funds
allocated
in
this
12
subsection
shall
not
be
used
as
nonfederal
share
matching
13
funds.
14
19.
Of
the
funds
appropriated
in
this
section,
up
to
15
$1,691,940
$3,383,880
shall
be
used
for
administration
of
the
16
state
family
planning
services
program
as
enacted
in
this
2017
17
Act,
and
of
this
amount
the
department
may
use
to
up
$100,000
18
up
to
$200,000
for
administrative
expenses.
19
Sec.
19.
2017
Iowa
Acts,
chapter
174,
section
51,
is
amended
20
by
adding
the
following
new
subsections:
21
NEW
SUBSECTION
.
22.
Of
the
funds
appropriated
in
this
22
section,
$300,000
shall
be
used
by
the
department
of
human
23
services
through
a
request
for
proposals
process
to
establish
24
a
partnership
between
the
university
of
Iowa
hospitals
and
25
clinics
and
a
nonprofit
durable
medical
equipment
provider
26
and
manufacturer
to
provide
new,
refurbished,
or
repaired
27
durable
medical
equipment
to
Medicaid
members
in
the
state.
28
Such
durable
medical
equipment
provider
and
manufacturer
29
shall
be
authorized
as
a
Medicaid
provider
in
the
state
on
or
30
after
April
1,
2018,
and
shall
have
the
capability
to
provide
31
assessments
for
customized
wheelchairs,
manufacture
bathing
aid
32
equipment
and
mobility
bathing
aids,
offer
in-home
care,
and
33
sell
durable
medical
equipment
at
cost
in
Iowa
and
online
as
of
34
June
1,
2018.
35
-29-
LSB
5031XC
(11)
87
pf/rn
29/
120
S.F.
_____
NEW
SUBSECTION
.
23.
The
department
of
human
services
shall
1
expand
Medicaid
coverage
to
provide
care
for
young
adults
with
2
complex
medical
conditions
in
a
special
population
nursing
3
facility
as
specified
by
rule
of
the
department
pursuant
to
4
this
subsection.
The
department
shall
adopt
rules
pursuant
to
5
chapter
17A
to
expand
the
criteria
for
a
special
population
6
nursing
facility
under
the
Medicaid
program
to
include
a
7
nursing
facility
that
serves
residents,
100
percent
of
whom
are
8
aged
30
and
under
and
require
the
skilled
level
of
care,
and
to
9
include
a
nursing
facility
that
serves
residents,
100
percent
10
of
whom
require
care
from
a
facility
licensed
by
the
department
11
of
inspections
and
appeals
as
an
intermediate
care
facility
12
for
persons
with
medical
complexity
as
defined
by
rule
of
the
13
department.
14
NEW
SUBSECTION
.
24.
Consistent
with
the
informational
15
bulletin
published
May
9,
2017,
by
the
centers
for
Medicare
and
16
Medicaid
services
of
the
United
States
department
of
health
and
17
human
services,
in
implementing
the
regulation
that
finalized
18
criteria
for
home
and
community-based
settings
appropriate
for
19
provision
of
home
and
community-based
services,
the
department
20
of
human
services
shall
continue
progress
with
the
statewide
21
transition
plan
to
be
approved
by
March
17,
2019,
but
shall
22
extend
the
transition
period
to
demonstrate
compliance
with
23
the
home
and
community-based
settings
criteria
until
March
17,
24
2022,
for
those
settings
to
which
a
transition
period
applies.
25
NEW
SUBSECTION
.
25.
The
department
of
human
services
shall
26
utilize
$3,000,000
of
the
funds
appropriated
under
this
section
27
to
adjust
current
supported
community
living
provider
daily
28
rate
cells
under
the
tiered
rate
reimbursement
methodology
29
effective
with
dates
of
service
beginning
July
1,
2018.
The
30
department
shall
work
with
the
Medicaid
program
actuary
to
31
evaluate
the
current
tiered
rates
and
the
tiered
rates
phase-in
32
plan
to
determine
the
necessary
apportionment
of
such
funds.
33
In
addition,
the
department,
working
with
the
Medicaid
program
34
actuary,
shall
review
the
current
tiered
rates
and
the
tiered
35
-30-
LSB
5031XC
(11)
87
pf/rn
30/
120
S.F.
_____
rates
phase-in
plan
and
shall
propose
recommendations
for
any
1
changes.
The
department
shall
convene
the
tiered
rate
provider
2
workgroup
initially
convened
in
the
fiscal
year
beginning
July
3
1,
2016,
to
review
the
actuarial
findings
and
recommendations.
4
The
tiered
rates
may
be
adjusted
based
upon
the
actuarial
5
findings
and
recommendations
if
such
adjustments
are
budget
6
neutral.
A
report
of
the
actuarial
findings,
recommendations,
7
and
comments
provided
by
the
tiered
rate
provider
workgroup
8
shall
be
submitted
to
the
governor
and
the
general
assembly
by
9
December
15,
2018.
If
additional
funding
is
appropriated
to
10
implement
the
recommendations,
the
additional
funding
shall
be
11
incorporated
into
the
managed
care
organization
capitation
rate
12
setting
process
for
the
fiscal
year
beginning
July
1,
2019.
13
NEW
SUBSECTION
.
26.
The
department
of
human
services
shall
14
review
all
current
Medicaid
fee
schedules
and
shall
submit
a
15
report
to
the
governor
and
the
general
assembly
by
January
15,
16
2019,
regarding
how
the
current
rates
compare
to
the
equivalent
17
Medicare
fee
schedules
or
other
appropriate
reimbursement
18
methodologies
for
specific
services
and
including
a
plan
for
19
phased-in
implementation
of
any
changes.
20
NEW
SUBSECTION
.
27.
Of
the
funds
appropriated
in
this
21
section,
$1,545,530
shall
be
used
and
may
be
transferred
to
22
other
appropriations
in
this
division
of
this
Act
as
necessary
23
to
administer
the
provisions
in
the
division
of
this
Act
24
relating
to
Medicaid
program
administration.
25
NEW
SUBSECTION
.
28.
Of
the
funds
appropriated
in
this
26
section,
$876,015
shall
be
used
and
may
be
transferred
to
other
27
appropriations
in
this
division
of
this
Act
as
necessary
to
28
administer
the
provisions
of
2018
Iowa
Acts,
House
File
2456,
29
as
enacted.
30
Sec.
20.
2017
Iowa
Acts,
chapter
174,
section
52,
is
amended
31
to
read
as
follows:
32
SEC.
52.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
33
general
fund
of
the
state
to
the
department
of
human
services
34
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
35
-31-
LSB
5031XC
(11)
87
pf/rn
31/
120
S.F.
_____
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
1
to
be
used
for
the
purpose
designated:
2
For
medical
contracts:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,813,232
4
16,603,198
5
1.
The
department
of
inspections
and
appeals
shall
6
provide
all
state
matching
funds
for
survey
and
certification
7
activities
performed
by
the
department
of
inspections
8
and
appeals.
The
department
of
human
services
is
solely
9
responsible
for
distributing
the
federal
matching
funds
for
10
such
activities.
11
2.
Of
the
funds
appropriated
in
this
section,
$25,000
12
$50,000
shall
be
used
for
continuation
of
home
and
13
community-based
services
waiver
quality
assurance
programs,
14
including
the
review
and
streamlining
of
processes
and
policies
15
related
to
oversight
and
quality
management
to
meet
state
and
16
federal
requirements.
17
3.
Of
the
amount
appropriated
in
this
section,
up
to
18
$100,000
$200,000
may
be
transferred
to
the
appropriation
19
for
general
administration
in
this
division
of
this
Act
to
20
be
used
for
additional
full-time
equivalent
positions
in
the
21
development
of
key
health
initiatives
such
as
cost
containment,
22
development
and
oversight
of
managed
care
programs,
and
23
development
of
health
strategies
targeted
toward
improved
24
quality
and
reduced
costs
in
the
Medicaid
program.
25
4.
Of
the
funds
appropriated
in
this
section,
$500,000
26
$1,000,000
shall
be
used
for
planning
and
development,
27
in
cooperation
with
the
department
of
public
health,
of
a
28
phased-in
program
to
provide
a
dental
home
for
children.
29
5.
Of
the
funds
appropriated
in
this
section,
$475,000
30
$723,000
shall
be
credited
to
the
autism
support
program
fund
31
created
in
section
225D.2
to
be
used
for
the
autism
support
32
program
created
in
chapter
225D
,
with
the
exception
of
the
33
following
amounts
of
this
allocation
which
shall
be
used
as
34
follows:
35
-32-
LSB
5031XC
(11)
87
pf/rn
32/
120
S.F.
_____
a.
Of
the
funds
allocated
in
this
subsection,
$125,000
1
shall
be
deposited
in
the
board-certified
behavior
analyst
and
2
board-certified
assistant
behavior
analyst
grants
program
fund
3
created
in
section
135.181
,
to
be
used
for
the
purposes
of
the
4
fund.
5
b.
Of
the
funds
allocated
in
this
subsection,
$12,500
6
$25,000
shall
be
used
for
the
public
purpose
of
continuation
7
of
a
grant
to
a
child
welfare
services
provider
headquartered
8
in
a
county
with
a
population
between
205,000
and
215,000
in
9
the
latest
certified
federal
census
that
provides
multiple
10
services
including
but
not
limited
to
a
psychiatric
medical
11
institution
for
children,
shelter,
residential
treatment,
after
12
school
programs,
school-based
programming,
and
an
Asperger’s
13
syndrome
program,
to
be
used
for
support
services
for
children
14
with
autism
spectrum
disorder
and
their
families.
15
c.
Of
the
funds
allocated
in
this
subsection,
$12,500
16
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
17
a
hospital-based
provider
headquartered
in
a
county
with
a
18
population
between
90,000
and
95,000
in
the
latest
certified
19
federal
census
that
provides
multiple
services
including
20
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
21
services
to
individuals
with
autism
spectrum
disorder
across
22
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
23
to
continue
the
pilot
project
to
determine
the
necessary
24
support
services
for
children
with
autism
spectrum
disorder
and
25
their
families
to
be
included
in
the
children’s
disabilities
26
services
system.
The
grant
recipient
shall
submit
findings
and
27
recommendations
based
upon
the
results
of
the
pilot
project
28
to
the
individuals
specified
in
this
division
of
this
Act
for
29
submission
of
reports
by
December
31,
2018.
30
Sec.
21.
2017
Iowa
Acts,
chapter
174,
section
53,
unnumbered
31
paragraph
2,
is
amended
to
read
as
follows:
32
For
the
state
supplementary
assistance
program:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,186,329
34
10,250,873
35
-33-
LSB
5031XC
(11)
87
pf/rn
33/
120
S.F.
_____
Sec.
22.
2017
Iowa
Acts,
chapter
174,
section
53,
is
amended
1
by
adding
the
following
new
subsection:
2
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
3
appropriated
in
this
section
that
remain
unencumbered
or
4
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
5
but
shall
remain
available
for
expenditure
for
the
purposes
6
designated
until
the
close
of
the
succeeding
fiscal
year.
7
Sec.
23.
2017
Iowa
Acts,
chapter
174,
section
54,
is
amended
8
to
read
as
follows:
9
SEC.
54.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
10
1.
There
is
appropriated
from
the
general
fund
of
the
11
state
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
16
program
pursuant
to
chapter
514I
,
including
supplemental
dental
17
services,
for
receipt
of
federal
financial
participation
under
18
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
19
children’s
health
insurance
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,259,226
21
7,064,057
22
2.
Of
the
funds
appropriated
in
this
section,
$21,400
23
$42,800
is
allocated
for
continuation
of
the
contract
for
24
outreach
with
the
department
of
public
health.
25
Sec.
24.
2017
Iowa
Acts,
chapter
174,
section
55,
unnumbered
26
paragraph
2,
is
amended
to
read
as
follows:
27
For
child
care
programs:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,671,808
29
40,816,831
30
Sec.
25.
2017
Iowa
Acts,
chapter
174,
section
55,
31
subsections
1
and
4,
are
amended
to
read
as
follows:
32
1.
Of
the
funds
appropriated
in
this
section,
$16,746,808
33
$34,966,931
shall
be
used
for
state
child
care
assistance
in
34
accordance
with
section
237A.13
.
35
-34-
LSB
5031XC
(11)
87
pf/rn
34/
120
S.F.
_____
4.
Of
the
funds
appropriated
in
this
section,
$2,925,000
1
$5,850,000
shall
be
credited
to
the
early
childhood
programs
2
grants
account
in
the
early
childhood
Iowa
fund
created
3
in
section
256I.11
.
The
moneys
shall
be
distributed
for
4
funding
of
community-based
early
childhood
programs
targeted
5
to
children
from
birth
through
five
years
of
age
developed
6
by
early
childhood
Iowa
areas
in
accordance
with
approved
7
community
plans
as
provided
in
section
256I.8
.
8
Sec.
26.
2017
Iowa
Acts,
chapter
174,
section
56,
is
amended
9
to
read
as
follows:
10
SEC.
56.
JUVENILE
INSTITUTION.
There
is
appropriated
11
from
the
general
fund
of
the
state
to
the
department
of
human
12
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
13
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
14
necessary,
to
be
used
for
the
purposes
designated:
15
1.
For
operation
of
the
state
training
school
at
Eldora
and
16
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
17
and
for
not
more
than
the
following
full-time
equivalent
18
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,675,221
20
12,762,443
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
189.00
22
Of
the
funds
appropriated
in
this
subsection,
$45,575
23
$91,150
shall
be
used
for
distribution
to
licensed
classroom
24
teachers
at
this
and
other
institutions
under
the
control
of
25
the
department
of
human
services
based
upon
the
average
student
26
yearly
enrollment
at
each
institution
as
determined
by
the
27
department.
28
2.
A
portion
of
the
moneys
appropriated
in
this
section
29
shall
be
used
by
the
state
training
school
at
Eldora
for
30
grants
for
adolescent
pregnancy
prevention
activities
at
the
31
institution
in
the
fiscal
year
beginning
July
1,
2018.
32
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
33
shall
be
used
by
the
state
training
school
at
Eldora
for
a
34
substance
use
disorder
treatment
program
at
the
institution
in
35
-35-
LSB
5031XC
(11)
87
pf/rn
35/
120
S.F.
_____
the
fiscal
year
beginning
July
1,
2018.
1
Sec.
27.
2017
Iowa
Acts,
chapter
174,
section
57,
is
amended
2
to
read
as
follows:
3
SEC.
57.
CHILD
AND
FAMILY
SERVICES.
4
1.
There
is
appropriated
from
the
general
fund
of
the
5
state
to
the
department
of
human
services
for
the
fiscal
year
6
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
7
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purpose
designated:
9
For
child
and
family
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,639,687
11
84,939,774
12
2.
The
department
may
transfer
funds
appropriated
in
this
13
section
as
necessary
to
pay
the
nonfederal
costs
of
services
14
reimbursed
under
the
medical
assistance
program,
state
child
15
care
assistance
program,
or
the
family
investment
program
which
16
are
provided
to
children
who
would
otherwise
receive
services
17
paid
under
the
appropriation
in
this
section.
The
department
18
may
transfer
funds
appropriated
in
this
section
to
the
19
appropriations
made
in
this
division
of
this
Act
for
general
20
administration
and
for
field
operations
for
resources
necessary
21
to
implement
and
operate
the
services
funded
in
this
section.
22
3.
a.
Of
the
funds
appropriated
in
this
section,
up
23
to
$17,868,324
$34,536,648
is
allocated
as
the
statewide
24
expenditure
target
under
section
232.143
for
group
foster
care
25
maintenance
and
services.
If
the
department
projects
that
such
26
expenditures
for
the
fiscal
year
will
be
less
than
the
target
27
amount
allocated
in
this
paragraph
“a”,
the
department
may
28
reallocate
the
excess
to
provide
additional
funding
for
shelter
29
care
or
the
child
welfare
emergency
services
addressed
with
the
30
allocation
for
shelter
care.
31
b.
If
at
any
time
after
September
30,
2018,
annualization
32
of
a
service
area’s
current
expenditures
indicates
a
service
33
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
34
target
under
section
232.143
by
more
than
5
percent,
the
35
-36-
LSB
5031XC
(11)
87
pf/rn
36/
120
S.F.
_____
department
and
juvenile
court
services
shall
examine
all
1
group
foster
care
placements
in
that
service
area
in
order
to
2
identify
those
which
might
be
appropriate
for
termination.
3
In
addition,
any
aftercare
services
believed
to
be
needed
4
for
the
children
whose
placements
may
be
terminated
shall
be
5
identified.
The
department
and
juvenile
court
services
shall
6
initiate
action
to
set
dispositional
review
hearings
for
the
7
placements
identified.
In
such
a
dispositional
review
hearing,
8
the
juvenile
court
shall
determine
whether
needed
aftercare
9
services
are
available
and
whether
termination
of
the
placement
10
is
in
the
best
interest
of
the
child
and
the
community.
11
4.
In
accordance
with
the
provisions
of
section
232.188
,
12
the
department
shall
continue
the
child
welfare
and
juvenile
13
justice
funding
initiative
during
fiscal
year
2018-2019.
Of
14
the
funds
appropriated
in
this
section,
$858,876
$1,717,753
15
is
allocated
specifically
for
expenditure
for
fiscal
year
16
2018-2019
through
the
decategorization
services
funding
pools
17
and
governance
boards
established
pursuant
to
section
232.188
.
18
5.
A
portion
of
the
funds
appropriated
in
this
section
19
may
be
used
for
emergency
family
assistance
to
provide
other
20
resources
required
for
a
family
participating
in
a
family
21
preservation
or
reunification
project
or
successor
project
to
22
stay
together
or
to
be
reunified.
23
6.
Notwithstanding
section
234.35
or
any
other
provision
24
of
law
to
the
contrary,
state
funding
for
shelter
care
and
25
the
child
welfare
emergency
services
contracting
implemented
26
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
27
limited
to
$4,048,079
$8,096,158
.
28
7.
Federal
funds
received
by
the
state
during
the
fiscal
29
year
beginning
July
1,
2018,
as
the
result
of
the
expenditure
30
of
state
funds
appropriated
during
a
previous
state
fiscal
31
year
for
a
service
or
activity
funded
under
this
section
are
32
appropriated
to
the
department
to
be
used
as
additional
funding
33
for
services
and
purposes
provided
for
under
this
section.
34
Notwithstanding
section
8.33
,
moneys
received
in
accordance
35
-37-
LSB
5031XC
(11)
87
pf/rn
37/
120
S.F.
_____
with
this
subsection
that
remain
unencumbered
or
unobligated
at
1
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
2
shall
remain
available
for
the
purposes
designated
until
the
3
close
of
the
succeeding
fiscal
year.
4
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
5
$1,645,000
$3,290,000
is
allocated
for
the
payment
of
the
6
expenses
of
court-ordered
services
provided
to
juveniles
7
who
are
under
the
supervision
of
juvenile
court
services,
8
which
expenses
are
a
charge
upon
the
state
pursuant
to
9
section
232.141,
subsection
4
.
Of
the
amount
allocated
in
10
this
paragraph
“a”,
up
to
$778,143
$1,556,287
shall
be
made
11
available
to
provide
school-based
supervision
of
children
12
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
13
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
14
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
15
the
school
district
or
other
funding
source
as
approved
by
the
16
chief
juvenile
court
officer.
17
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
18
$748,985
is
allocated
for
the
payment
of
the
expenses
of
19
court-ordered
services
provided
to
children
who
are
under
the
20
supervision
of
the
department,
which
expenses
are
a
charge
upon
21
the
state
pursuant
to
section
232.141,
subsection
4
.
22
c.
Notwithstanding
section
232.141
or
any
other
provision
23
of
law
to
the
contrary,
the
amounts
allocated
in
this
24
subsection
shall
be
distributed
to
the
judicial
districts
25
as
determined
by
the
state
court
administrator
and
to
the
26
department’s
service
areas
as
determined
by
the
administrator
27
of
the
department
of
human
services’
division
of
child
and
28
family
services.
The
state
court
administrator
and
the
29
division
administrator
shall
make
the
determination
of
the
30
distribution
amounts
on
or
before
June
15,
2018.
31
d.
Notwithstanding
chapter
232
or
any
other
provision
of
32
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
33
order
any
service
which
is
a
charge
upon
the
state
pursuant
34
to
section
232.141
if
there
are
insufficient
court-ordered
35
-38-
LSB
5031XC
(11)
87
pf/rn
38/
120
S.F.
_____
services
funds
available
in
the
district
court
or
departmental
1
service
area
distribution
amounts
to
pay
for
the
service.
The
2
chief
juvenile
court
officer
and
the
departmental
service
area
3
manager
shall
encourage
use
of
the
funds
allocated
in
this
4
subsection
such
that
there
are
sufficient
funds
to
pay
for
5
all
court-related
services
during
the
entire
year.
The
chief
6
juvenile
court
officers
and
departmental
service
area
managers
7
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
8
in
the
distribution
amounts
and
shall
cooperatively
request
the
9
state
court
administrator
or
division
administrator
to
transfer
10
funds
between
the
judicial
districts’
or
departmental
service
11
areas’
distribution
amounts
as
prudent.
12
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
13
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
14
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
15
entered
under
chapter
232
which
is
a
charge
upon
the
state
16
under
section
232.141,
subsection
4
.
17
f.
Of
the
funds
allocated
in
this
subsection,
not
more
18
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
19
administration
of
the
requirements
under
this
subsection.
20
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
21
shall
be
used
by
the
department
of
human
services
to
support
22
the
interstate
commission
for
juveniles
in
accordance
with
23
the
interstate
compact
for
juveniles
as
provided
in
section
24
232.173
.
25
9.
Of
the
funds
appropriated
in
this
section,
$6,126,613
26
$12,253,227
is
allocated
for
juvenile
delinquent
graduated
27
sanctions
services.
Any
state
funds
saved
as
a
result
of
28
efforts
by
juvenile
court
services
to
earn
a
federal
Tit.
IV-E
29
match
for
juvenile
court
services
administration
may
be
used
30
for
the
juvenile
delinquent
graduated
sanctions
services.
31
10.
Of
the
funds
appropriated
in
this
section,
$829,142
32
$1,658,285
is
transferred
to
the
department
of
public
health
33
to
be
used
for
the
child
protection
center
grant
program
for
34
child
protection
centers
located
in
Iowa
in
accordance
with
35
-39-
LSB
5031XC
(11)
87
pf/rn
39/
120
S.F.
_____
section
135.118
.
The
grant
amounts
under
the
program
shall
be
1
equalized
so
that
each
center
receives
a
uniform
base
amount
2
of
$122,500
$245,000
,
so
that
$25,000
$50,000
is
awarded
to
3
establish
a
satellite
child
protection
center
in
a
city
in
4
north
central
Iowa
that
is
the
county
seat
of
a
county
with
5
a
population
between
44,000
and
45,000
according
to
the
2010
6
federal
decennial
census,
and
so
that
the
remaining
funds
are
7
awarded
through
a
funding
formula
based
upon
the
volume
of
8
children
served.
9
11.
If
the
department
receives
federal
approval
to
10
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
11
Security
Act
to
enable
providers
to
serve
children
who
remain
12
in
the
children’s
families
and
communities,
for
purposes
of
13
eligibility
under
the
medical
assistance
program
through
25
14
years
of
age,
children
who
participate
in
the
waiver
shall
be
15
considered
to
be
placed
in
foster
care.
16
12.
Of
the
funds
appropriated
in
this
section,
$2,012,583
17
$4,025,167
is
allocated
for
the
preparation
for
adult
living
18
program
pursuant
to
section
234.46
.
19
13.
Of
the
funds
appropriated
in
this
section,
$113,668
20
$227,337
shall
be
used
for
the
public
purpose
of
continuing
21
a
grant
to
a
nonprofit
human
services
organization
providing
22
services
to
individuals
and
families
in
multiple
locations
in
23
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
24
immediate,
sensitive
support
and
forensic
interviews,
medical
25
exams,
needs
assessments,
and
referrals
for
victims
of
child
26
abuse
and
their
nonoffending
family
members.
27
14.
Of
the
funds
appropriated
in
this
section,
$150,310
28
$300,620
is
allocated
for
the
foster
care
youth
council
29
approach
of
providing
a
support
network
to
children
placed
in
30
foster
care.
31
15.
Of
the
funds
appropriated
in
this
section,
$101,000
32
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
33
continuation
of
the
initiative
to
address
child
sexual
abuse
34
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
35
-40-
LSB
5031XC
(11)
87
pf/rn
40/
120
S.F.
_____
18,
subsection
21
.
1
16.
Of
the
funds
appropriated
in
this
section,
$315,120
2
$630,240
is
allocated
for
the
community
partnership
for
child
3
protection
sites.
4
17.
Of
the
funds
appropriated
in
this
section,
$185,625
5
$371,250
is
allocated
for
the
department’s
minority
youth
and
6
family
projects
under
the
redesign
of
the
child
welfare
system.
7
18.
Of
the
funds
appropriated
in
this
section,
$568,297
8
$851,595
is
allocated
for
funding
of
the
community
circle
of
9
care
collaboration
for
children
and
youth
in
northeast
Iowa.
10
19.
Of
the
funds
appropriated
in
this
section,
at
least
11
$73,579
$147,158
shall
be
used
for
the
continuation
of
the
12
child
welfare
provider
training
academy,
a
collaboration
13
between
the
coalition
for
family
and
children’s
services
in
14
Iowa
and
the
department.
15
20.
Of
the
funds
appropriated
in
this
section,
$105,936
16
$211,872
shall
be
used
for
continuation
of
the
central
Iowa
17
system
of
care
program
grant
through
June
30,
2019.
18
21.
Of
the
funds
appropriated
in
this
section,
$117,500
19
$235,000
shall
be
used
for
the
public
purpose
of
the
20
continuation
and
expansion
of
a
system
of
care
program
grant
21
implemented
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
22
comprehensive
and
long-term
approach
for
helping
children
23
and
families
by
addressing
the
key
areas
in
a
child’s
life
24
of
childhood
basic
needs,
education
and
work,
family,
and
25
community.
26
22.
Of
the
funds
appropriated
in
this
section,
at
least
27
$12,500
$25,000
shall
be
used
to
continue
and
to
expand
the
28
foster
care
respite
pilot
program
in
which
postsecondary
29
students
in
social
work
and
other
human
services-related
30
programs
receive
experience
by
assisting
family
foster
care
31
providers
with
respite
and
other
support.
32
23.
Of
the
funds
appropriated
in
this
section,
$55,000
33
$110,000
shall
be
used
for
the
public
purpose
of
funding
34
community-based
services
and
other
supports
with
a
system
of
35
-41-
LSB
5031XC
(11)
87
pf/rn
41/
120
S.F.
_____
care
approach
for
children
with
a
serious
emotional
disturbance
1
and
their
families
through
a
nonprofit
provider
of
child
2
welfare
services
that
has
been
in
existence
for
more
than
3
115
years,
is
located
in
a
county
with
a
population
of
more
4
than
200,000
but
less
than
220,000
according
to
the
latest
5
certified
federal
census,
is
licensed
as
a
psychiatric
medical
6
institution
for
children,
and
was
a
system
of
care
grantee
7
prior
to
July
1,
2018.
8
Sec.
28.
2017
Iowa
Acts,
chapter
174,
section
58,
subsection
9
1,
paragraph
a,
is
amended
to
read
as
follows:
10
a.
For
adoption
subsidy
payments
and
services:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,388,955
12
40,445,137
13
Sec.
29.
2017
Iowa
Acts,
chapter
174,
section
60,
is
amended
14
to
read
as
follows:
15
SEC.
60.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
16
1.
There
is
appropriated
from
the
general
fund
of
the
17
state
to
the
department
of
human
services
for
the
fiscal
year
18
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
19
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
20
purpose
designated:
21
For
the
family
support
subsidy
program
subject
to
the
22
enrollment
restrictions
in
section
225C.37,
subsection
3
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
534,641
24
949,282
25
2.
At
least
$393,750
$787,500
of
the
moneys
appropriated
in
26
this
section
is
transferred
to
the
department
of
public
health
27
for
the
family
support
center
component
of
the
comprehensive
28
family
support
program
under
chapter
225C
,
subchapter
V.
29
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
30
funding
available
for
the
family
support
subsidy
program
31
is
reduced
from
the
amount
initially
used
to
establish
the
32
figure
for
the
number
of
family
members
for
whom
a
subsidy
33
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
34
notwithstanding
section
225C.38,
subsection
2
,
the
department
35
-42-
LSB
5031XC
(11)
87
pf/rn
42/
120
S.F.
_____
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
1
of
funding
available.
2
Sec.
30.
2017
Iowa
Acts,
chapter
174,
section
61,
is
amended
3
to
read
as
follows:
4
SEC.
61.
CONNER
DECREE.
There
is
appropriated
from
the
5
general
fund
of
the
state
to
the
department
of
human
services
6
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
7
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purpose
designated:
9
For
building
community
capacity
through
the
coordination
10
and
provision
of
training
opportunities
in
accordance
with
the
11
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
12
Iowa,
July
14,
1994):
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
14
33,632
15
Sec.
31.
2017
Iowa
Acts,
chapter
174,
section
62,
subsection
16
1,
is
amended
to
read
as
follows:
17
1.
There
is
appropriated
from
the
general
fund
of
the
18
state
to
the
department
of
human
services
for
the
fiscal
year
19
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
20
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purposes
designated:
22
a.
For
operation
of
the
state
mental
health
institute
at
23
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
24
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
25
more
than
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,935,127
27
13,870,254
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
162.00
29
b.
For
operation
of
the
state
mental
health
institute
at
30
Independence
as
required
by
chapters
218
and
226
for
salaries,
31
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
32
more
than
the
following
full-time
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,756,810
34
17,513,621
35
-43-
LSB
5031XC
(11)
87
pf/rn
43/
120
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
204.00
1
Sec.
32.
2017
Iowa
Acts,
chapter
174,
section
63,
subsection
2
1,
is
amended
to
read
as
follows:
3
1.
There
is
appropriated
from
the
general
fund
of
the
4
state
to
the
department
of
human
services
for
the
fiscal
year
5
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
6
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
7
purposes
designated:
8
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
9
support,
maintenance,
and
miscellaneous
purposes:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,943,890
11
16,858,523
12
b.
For
the
state
resource
center
at
Woodward
for
salaries,
13
support,
maintenance,
and
miscellaneous
purposes:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,038,517
15
11,386,679
16
Sec.
33.
2017
Iowa
Acts,
chapter
174,
section
64,
subsection
17
1,
is
amended
to
read
as
follows:
18
1.
There
is
appropriated
from
the
general
fund
of
the
19
state
to
the
department
of
human
services
for
the
fiscal
year
20
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
21
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
22
purpose
designated:
23
For
costs
associated
with
the
commitment
and
treatment
of
24
sexually
violent
predators
in
the
unit
located
at
the
state
25
mental
health
institute
at
Cherokee,
including
costs
of
legal
26
services
and
other
associated
costs,
including
salaries,
27
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
28
more
than
the
following
full-time
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,732,373
30
10,864,747
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
112.00
32
132.00
33
Sec.
34.
2017
Iowa
Acts,
chapter
174,
section
65,
is
amended
34
to
read
as
follows:
35
-44-
LSB
5031XC
(11)
87
pf/rn
44/
120
S.F.
_____
SEC.
65.
FIELD
OPERATIONS.
There
is
appropriated
from
the
1
general
fund
of
the
state
to
the
department
of
human
services
2
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
3
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
4
to
be
used
for
the
purposes
designated:
5
For
field
operations,
including
salaries,
support,
6
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
7
the
following
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,242,217
9
49,074,517
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,583.00
11
1,539.00
12
Priority
in
filling
full-time
equivalent
positions
shall
be
13
given
to
those
positions
related
to
child
protection
services
14
and
eligibility
determination
for
low-income
families.
15
Sec.
35.
2017
Iowa
Acts,
chapter
174,
section
66,
is
amended
16
to
read
as
follows:
17
SEC.
66.
GENERAL
ADMINISTRATION.
There
is
appropriated
18
from
the
general
fund
of
the
state
to
the
department
of
human
19
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
20
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purpose
designated:
22
For
general
administration,
including
salaries,
support,
23
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
24
the
following
full-time
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,016,520
26
13,833,040
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
28
2.
Of
the
funds
appropriated
in
this
section,
$75,000
29
$150,000
shall
be
used
to
continue
the
contract
for
the
30
provision
of
a
program
to
provide
technical
assistance,
31
support,
and
consultation
to
providers
of
habilitation
services
32
and
home
and
community-based
services
waiver
services
for
33
adults
with
disabilities
under
the
medical
assistance
program.
34
3.
Of
the
funds
appropriated
in
this
section,
$25,000
35
-45-
LSB
5031XC
(11)
87
pf/rn
45/
120
S.F.
_____
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
1
used
for
administrative
support
of
the
council
on
homelessness
2
established
in
section
16.2D
and
for
the
council
to
fulfill
its
3
duties
in
addressing
and
reducing
homelessness
in
the
state.
4
4.
Of
the
funds
appropriated
in
this
section,
$100,000
5
$200,000
shall
be
transferred
to
and
deposited
in
the
6
administrative
fund
of
the
Iowa
ABLE
savings
plan
trust
7
created
in
section
12I.4
,
to
be
used
for
implementation
and
8
administration
activities
of
the
Iowa
ABLE
savings
plan
trust.
9
5.
Of
the
funds
appropriated
in
this
section,
$100,000
10
$200,000
is
transferred
to
the
economic
development
authority
11
for
the
Iowa
commission
on
volunteer
services
to
continue
12
to
be
used
for
RefugeeRISE
AmeriCorps
program
established
13
under
section
15H.8
for
member
recruitment
and
training
to
14
improve
the
economic
well-being
and
health
of
economically
15
disadvantaged
refugees
in
local
communities
across
Iowa.
Funds
16
transferred
may
be
used
to
supplement
federal
funds
under
17
federal
regulations.
18
7.
Of
the
funds
appropriated
in
this
section,
$300,000
shall
19
be
used
to
contract
for
children’s
well-being
collaboratives
20
grants
for
the
development
and
implementation
of
children’s
21
well-being
collaboratives
to
establish
and
coordinate
22
prevention
and
early
intervention
services
to
promote
improved
23
mental
health
and
well-being
for
children
and
families,
as
24
enacted
in
2017
Iowa
Acts,
chapter
174,
section
88.
25
8.
The
department
of
human
services
shall
submit
the
26
strategic
plan
to
create
and
implement
a
children’s
mental
27
health
system
submitted
to
the
governor
by
the
children’s
28
system
state
board
established
by
Executive
Order
Number
Two
29
issued
April
23,
2018,
to
the
general
assembly
by
November
15,
30
2018.
31
Sec.
36.
2017
Iowa
Acts,
chapter
174,
section
67,
is
amended
32
to
read
as
follows:
33
SEC.
67.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
34
from
the
general
fund
of
the
state
to
the
department
of
human
35
-46-
LSB
5031XC
(11)
87
pf/rn
46/
120
S.F.
_____
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
1
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
2
necessary,
to
be
used
for
the
purposes
designated:
3
For
salaries,
support,
maintenance,
and
miscellaneous
4
purposes
at
facilities
under
the
purview
of
the
department
of
5
human
services:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,439,637
7
2,879,274
8
Sec.
37.
2017
Iowa
Acts,
chapter
174,
section
68,
is
amended
9
to
read
as
follows:
10
SEC.
68.
VOLUNTEERS.
There
is
appropriated
from
the
general
11
fund
of
the
state
to
the
department
of
human
services
for
the
12
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
13
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
14
used
for
the
purpose
designated:
15
For
development
and
coordination
of
volunteer
services:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
17
84,686
18
Sec.
38.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
19
1,
paragraph
f,
subparagraph
(1),
is
amended
to
read
as
20
follows:
21
(1)
For
the
fiscal
year
beginning
July
1,
2018,
22
reimbursement
rates
for
home
health
agencies
shall
continue
to
23
be
based
on
the
Medicare
low
utilization
payment
adjustment
24
(LUPA)
methodology
with
state
geographic
wage
adjustments
and
25
shall
be
adjusted
to
increase
the
rates
to
the
extent
possible
26
within
the
$1,000,000
of
state
funding
appropriated
for
this
27
purpose
.
The
department
shall
continue
to
update
the
rates
28
every
two
years
to
reflect
the
most
recent
Medicare
LUPA
rates
29
to
the
extent
possible
within
the
state
funding
appropriated
30
for
this
purpose.
31
Sec.
39.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
32
1,
paragraphs
j
and
k,
are
amended
to
read
as
follows:
33
j.
For
the
fiscal
year
beginning
July
1,
2018,
unless
34
otherwise
specified
in
this
Act,
all
noninstitutional
medical
35
-47-
LSB
5031XC
(11)
87
pf/rn
47/
120
S.F.
_____
assistance
provider
reimbursement
rates
shall
remain
at
the
1
rates
in
effect
on
June
30,
2018,
except
for
area
education
2
agencies,
local
education
agencies,
infant
and
toddler
3
services
providers,
home
and
community-based
services
providers
4
including
consumer-directed
attendant
care
providers
under
a
5
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
6
providers,
and
those
providers
whose
rates
are
required
to
be
7
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
8
mental
health
parity
requirements
.
9
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
10
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rate
11
for
anesthesiologists
shall
be
adjusted
to
implement
the
cost
12
containment
strategies
authorized
for
the
medical
assistance
13
program
in
this
2017
Act
remain
at
the
rate
in
effect
on
June
14
30,
2018,
and
updated
on
January
1,
2019,
to
align
with
the
15
most
current
Iowa
Medicare
anesthesia
base
rate
.
16
Sec.
40.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
17
11,
is
amended
to
read
as
follows:
18
11.
a.
For
the
fiscal
year
beginning
July
1,
2018,
19
Effective
July
1,
2018,
the
child
care
provider
reimbursement
20
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
21
Effective
January
1,
2019,
for
child
care
providers
reimbursed
22
under
the
state
child
care
assistance
program,
the
department
23
shall
set
utilize
$3,000,000
of
the
amount
appropriated
for
24
child
care
assistance
under
this
division
to
increase
provider
25
reimbursement
rates
based
on
the
rate
reimbursement
survey
26
completed
in
December
2004
2014
.
Effective
July
1,
2018,
27
the
child
care
provider
reimbursement
rates
shall
remain
at
28
the
rates
in
effect
on
June
30,
2018.
The
department
shall
29
increase
the
lowest
rate
that
is
furthest
from
the
fiftieth
30
percentile
to
a
rate
consistent
with
the
relative
percentage
of
31
the
second
lowest
rate
as
compared
to
the
fiftieth
percentile.
32
As
funds
remain
available,
the
department
shall
increase
33
the
subsequent
lowest
rates
in
a
similar
manner
until
the
34
$3,000,000
is
projected
to
be
fully
expended
in
the
fiscal
35
-48-
LSB
5031XC
(11)
87
pf/rn
48/
120
S.F.
_____
year.
The
department
shall
set
rates
in
a
manner
so
as
to
1
provide
incentives
for
a
nonregistered
provider
to
become
2
registered
by
applying
the
increase
only
to
registered
and
3
licensed
providers.
4
b.
Effective
January
1,
2019,
for
infant
and
toddler
5
child
care
providers
reimbursed
under
the
state
child
6
care
assistance
program,
the
department
shall
set
provider
7
reimbursement
rates
at
the
seventy-fifth
percentile
of
the
rate
8
reimbursement
survey
completed
in
December
2014,
within
the
9
expected
increase
for
the
federal
child
care
and
development
10
block
grant
expenditure
requirement
for
infant
and
toddler
11
quality
improvement,
subject
to
quality
rating
system
criteria
12
developed
pursuant
to
section
237A.30.
The
department
shall
13
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
14
nonregistered
provider
to
become
registered
by
applying
the
15
increase
only
to
registered
and
licensed
providers.
16
Sec.
41.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
17
13,
is
amended
by
striking
the
subsection.
18
Sec.
42.
REPEAL.
2017
Iowa
Acts,
chapter
174,
section
69,
19
is
repealed.
20
DIVISION
VI
21
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2018-2019
22
Sec.
43.
2017
Iowa
Acts,
chapter
174,
section
75,
is
amended
23
to
read
as
follows:
24
SEC.
75.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
25
appropriated
from
the
pharmaceutical
settlement
account
created
26
in
section
249A.33
to
the
department
of
human
services
for
the
27
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
28
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
29
used
for
the
purpose
designated:
30
Notwithstanding
any
provision
of
law
to
the
contrary,
to
31
supplement
the
appropriations
made
in
this
Act
for
medical
32
contracts
under
the
medical
assistance
program
for
the
fiscal
33
year
beginning
July
1,
2018,
and
ending
June
30,
2019:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
35
-49-
LSB
5031XC
(11)
87
pf/rn
49/
120
S.F.
_____
1,446,266
1
Sec.
44.
2017
Iowa
Acts,
chapter
174,
section
76,
is
amended
2
to
read
as
follows:
3
SEC.
76.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
4
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
5
subject
to
the
availability
of
funds,
there
is
appropriated
6
from
the
quality
assurance
trust
fund
created
in
section
7
249L.4
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
9
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
10
designated:
11
To
supplement
the
appropriation
made
in
this
Act
from
the
12
general
fund
of
the
state
to
the
department
of
human
services
13
for
medical
assistance
for
the
same
fiscal
year:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,352,604
15
36,705,208
16
Sec.
45.
2017
Iowa
Acts,
chapter
174,
section
77,
is
amended
17
to
read
as
follows:
18
SEC.
77.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
19
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
20
the
contrary
and
subject
to
the
availability
of
funds,
there
is
21
appropriated
from
the
hospital
health
care
access
trust
fund
22
created
in
section
249M.4
to
the
department
of
human
services
23
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
24
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
25
necessary,
for
the
purposes
designated:
26
To
supplement
the
appropriation
made
in
this
Act
from
the
27
general
fund
of
the
state
to
the
department
of
human
services
28
for
medical
assistance
for
the
same
fiscal
year:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,960,277
30
33,920,554
31
DIVISION
VII
32
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS
33
FEDERAL
FUNDING
34
Sec.
46.
2017
Iowa
Acts,
chapter
165,
section
13,
subsection
35
-50-
LSB
5031XC
(11)
87
pf/rn
50/
120
S.F.
_____
3,
paragraphs
b
and
e,
are
amended
to
read
as
follows:
1
b.
Child
and
family
services:
2
(1)
FFY
2017-2018:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,672,390
4
8,022,390
5
(2)
FFY
2018-2019:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,672,390
7
8,272,390
8
e.
For
distribution
to
counties
for
state
case
services
9
provided
for
persons
with
mental
illness,
intellectual
10
disability,
or
a
developmental
disability
in
accordance
with
11
section
331.440
,
Code
2013,
or
in
accordance
with
a
dispute
12
resolution
process
implemented
in
accordance
with
section
13
331.394,
subsections
5
or
6
:
14
(1)
FFY
2017-2018:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
16
250,000
17
(2)
FFY
2018-2019:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
19
0
20
Moneys
appropriated
in
this
lettered
paragraph
“e”
21
that
remain
unencumbered
or
unallocated
at
the
close
of
a
22
federal
fiscal
year
shall
not
revert
but
shall
be
retained
23
by
the
department
and
used
to
supplement
amounts
otherwise
24
appropriated
for
child
and
family
services
under
paragraph
“b”.
25
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
(TANF)
26
Sec.
47.
2017
Iowa
Acts,
chapter
174,
section
6,
is
amended
27
to
read
as
follows:
28
SEC.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
29
GRANT.
There
is
appropriated
from
the
fund
created
in
section
30
8.41
to
the
department
of
human
services
for
the
fiscal
year
31
beginning
July
1,
2017,
and
ending
June
30,
2018,
from
moneys
32
received
under
the
federal
temporary
assistance
for
needy
33
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
34
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
35
-51-
LSB
5031XC
(11)
87
pf/rn
51/
120
S.F.
_____
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
1
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
2
purposes
designated:
3
1.
To
be
credited
to
the
family
investment
program
account
4
and
used
for
assistance
under
the
family
investment
program
5
under
chapter
239B
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,112,462
7
4,539,006
8
2.
To
be
credited
to
the
family
investment
program
account
9
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
10
program
and
implementing
family
investment
agreements
in
11
accordance
with
chapter
239B
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,575,693
13
5,412,060
14
3.
To
be
used
for
the
family
development
and
15
self-sufficiency
grant
program
in
accordance
with
section
16
216A.107
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
18
2,883,980
19
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
20
subsection
that
remain
unencumbered
or
unobligated
at
the
close
21
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
22
for
expenditure
for
the
purposes
designated
until
the
close
of
23
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
24
encumbered
or
obligated
on
or
before
September
30,
2018,
the
25
moneys
shall
revert.
26
4.
For
field
operations:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
28
5.
For
general
administration:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
30
6.
For
state
child
care
assistance:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,866,826
32
53,603,561
33
a.
Of
the
funds
appropriated
in
this
subsection,
34
$26,328,097
$26,205,412
is
transferred
to
the
child
care
35
-52-
LSB
5031XC
(11)
87
pf/rn
52/
120
S.F.
_____
and
development
block
grant
appropriation
made
by
the
1
Eighty-seventh
General
Assembly,
2017
session,
for
the
federal
2
fiscal
year
beginning
October
1,
2017,
and
ending
September
30,
3
2018.
Of
this
amount,
$200,000
shall
be
used
for
provision
4
of
educational
opportunities
to
registered
child
care
home
5
providers
in
order
to
improve
services
and
programs
offered
6
by
this
category
of
providers
and
to
increase
the
number
of
7
providers.
The
department
may
contract
with
institutions
8
of
higher
education
or
child
care
resource
and
referral
9
centers
to
provide
the
educational
opportunities.
Allowable
10
administrative
costs
under
the
contracts
shall
not
exceed
5
11
percent.
The
application
for
a
grant
shall
not
exceed
two
12
pages
in
length.
13
b.
Any
funds
appropriated
in
this
subsection
remaining
14
unallocated
shall
be
used
for
state
child
care
assistance
15
payments
for
families
who
are
employed
including
but
not
16
limited
to
individuals
enrolled
in
the
family
investment
17
program.
18
7.
For
child
and
family
services:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
20
8.
For
child
abuse
prevention
grants:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
22
9.
For
pregnancy
prevention
grants
on
the
condition
that
23
family
planning
services
are
funded:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
25
1,913,203
26
Pregnancy
prevention
grants
shall
be
awarded
to
programs
27
in
existence
on
or
before
July
1,
2017,
if
the
programs
have
28
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
29
pregnancy
prevention
programs
which
are
developed
after
July
30
1,
2017,
if
the
programs
are
based
on
existing
models
that
31
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
32
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
33
section
14,
subsections
1
and
2
,
including
the
requirement
that
34
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
35
-53-
LSB
5031XC
(11)
87
pf/rn
53/
120
S.F.
_____
the
awarding
of
grants
shall
be
given
to
programs
that
serve
1
areas
of
the
state
which
demonstrate
the
highest
percentage
of
2
unplanned
pregnancies
of
females
of
childbearing
age
within
the
3
geographic
area
to
be
served
by
the
grant.
4
10.
For
technology
needs
and
other
resources
necessary
5
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
6
management
requirements:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
8
294,155
9
11.
a.
Notwithstanding
any
provision
to
the
contrary,
10
including
but
not
limited
to
requirements
in
section
8.41
or
11
provisions
in
2016
or
2017
Iowa
Acts
regarding
the
receipt
and
12
appropriation
of
federal
block
grants,
federal
funds
from
the
13
temporary
assistance
for
needy
families
block
grant
received
by
14
the
state
and
not
otherwise
appropriated
in
this
section
and
15
remaining
available
for
the
fiscal
year
beginning
July
1,
2017,
16
are
appropriated
to
the
department
of
human
services
to
the
17
extent
as
may
be
necessary
to
be
used
in
the
following
priority
18
order:
the
family
investment
program,
for
state
child
care
19
assistance
program
payments
for
families
who
are
employed,
and
20
for
the
family
investment
program
share
of
costs
to
develop
and
21
maintain
a
new,
integrated
eligibility
determination
system.
22
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
23
expended
only
after
all
other
funds
appropriated
in
subsection
24
1
for
assistance
under
the
family
investment
program,
in
25
subsection
6
for
child
care
assistance,
or
in
subsection
10
26
for
technology
costs
related
to
the
family
investment
program,
27
as
applicable,
have
been
expended.
For
the
purposes
of
this
28
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
29
“a”,
for
transfer
to
the
child
care
and
development
block
grant
30
appropriation
are
considered
fully
expended
when
the
full
31
amount
has
been
transferred.
32
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
33
legislative
services
agency
and
department
of
management
of
34
the
amount
of
funds
appropriated
in
this
subsection
that
was
35
-54-
LSB
5031XC
(11)
87
pf/rn
54/
120
S.F.
_____
expended
in
the
prior
quarter.
1
12.
Of
the
amounts
appropriated
in
this
section,
2
$12,962,008
for
the
fiscal
year
beginning
July
1,
2017,
is
3
transferred
to
the
appropriation
of
the
federal
social
services
4
block
grant
made
to
the
department
of
human
services
for
that
5
fiscal
year.
6
13.
For
continuation
of
the
program
providing
categorical
7
eligibility
for
the
food
assistance
program
as
specified
8
for
the
program
in
the
section
of
this
division
of
this
Act
9
relating
to
the
family
investment
program
account:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
11
14,236
12
14.
The
department
may
transfer
funds
allocated
in
this
13
section
to
the
appropriations
made
in
this
division
of
this
Act
14
for
the
same
fiscal
year
for
general
administration
and
field
15
operations
for
resources
necessary
to
implement
and
operate
the
16
services
referred
to
in
this
section
and
those
funded
in
the
17
appropriation
made
in
this
division
of
this
Act
for
the
same
18
fiscal
year
for
the
family
investment
program
from
the
general
19
fund
of
the
state.
20
15.
With
the
exception
of
moneys
allocated
under
this
21
section
for
the
family
development
and
self-sufficiency
grant
22
program,
to
the
extent
moneys
allocated
in
this
section
are
23
deemed
by
the
department
not
to
be
necessary
to
support
the
24
purposes
for
which
they
are
allocated,
such
moneys
may
be
25
credited
used
in
the
same
fiscal
year
for
any
other
purpose
for
26
which
funds
are
allocated
in
this
section
or
in
section
7
of
27
this
division
for
the
family
investment
program
account.
If
28
there
are
competing
needs,
priority
shall
first
be
given
to
the
29
family
investment
program
account
as
specified
under
subsection
30
1
of
this
section
and
used
for
the
purposes
of
assistance
31
under
the
family
investment
program
in
accordance
with
chapter
32
239B
in
the
same
fiscal
year
,
followed
by
state
child
care
33
assistance
program
payments
for
families
who
are
employed,
34
followed
by
other
priorities
as
specified
by
the
department
.
35
-55-
LSB
5031XC
(11)
87
pf/rn
55/
120
S.F.
_____
MEDICAID
TRANSFERS
TO
SUPPORT
REVIEWS
AND
QUALITY
CONTROL
1
ACTIVITIES
2
Sec.
48.
2017
Iowa
Acts,
chapter
174,
section
12,
subsection
3
8,
is
amended
to
read
as
follows:
4
8.
A
portion
of
the
funds
appropriated
in
this
section
5
may
be
transferred
to
the
appropriations
in
this
division
of
6
this
Act
for
general
administration,
medical
contracts,
the
7
children’s
health
insurance
program,
or
field
operations
to
be
8
used
for
the
state
match
cost
to
comply
with
the
payment
error
9
rate
measurement
(PERM)
program
for
both
the
medical
assistance
10
and
children’s
health
insurance
programs
as
developed
by
the
11
centers
for
Medicare
and
Medicaid
services
of
the
United
States
12
department
of
health
and
human
services
to
comply
with
the
13
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
14
No.
107-300
,
and
to
support
other
reviews
and
quality
control
15
activities
to
improve
the
integrity
of
these
programs
.
16
STATE
SUPPLEMENTARY
ASSISTANCE
17
Sec.
49.
2017
Iowa
Acts,
chapter
174,
section
14,
is
amended
18
by
adding
the
following
new
subsection:
19
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
20
appropriated
in
this
section
that
remain
unencumbered
or
21
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
22
but
shall
remain
available
for
expenditure
for
the
purposes
23
designated
until
the
close
of
the
succeeding
fiscal
year.
24
JUVENILE
INSTITUTION
25
Sec.
50.
2017
Iowa
Acts,
chapter
174,
section
17,
is
amended
26
by
adding
the
following
new
subsection:
27
NEW
SUBSECTION
.
3.
Notwithstanding
section
8.33,
moneys
28
appropriated
in
this
section
that
remain
unencumbered
or
29
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
30
but
shall
remain
available
for
expenditure
for
the
purposes
31
designated
until
the
close
of
the
succeeding
fiscal
year.
32
MENTAL
HEALTH
INSTITUTES
33
Sec.
51.
2017
Iowa
Acts,
chapter
174,
section
23,
is
amended
34
by
adding
the
following
new
subsection:
35
-56-
LSB
5031XC
(11)
87
pf/rn
56/
120
S.F.
_____
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
1
appropriated
in
this
section
that
remain
unencumbered
or
2
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
3
but
shall
remain
available
for
expenditure
for
the
purposes
4
designated
until
the
close
of
the
succeeding
fiscal
year.
5
STATE
RESOURCE
CENTERS
6
Sec.
52.
2017
Iowa
Acts,
chapter
174,
section
24,
is
amended
7
by
adding
the
following
new
subsection:
8
NEW
SUBSECTION
.
6.
Notwithstanding
section
8.33,
and
9
notwithstanding
the
amount
limitation
specified
in
section
10
222.92,
moneys
appropriated
in
this
section
that
remain
11
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
12
shall
not
revert
but
shall
remain
available
for
expenditure
13
for
the
purposes
designated
until
the
close
of
the
succeeding
14
fiscal
year.
15
SEXUALLY
VIOLENT
PREDATORS
16
Sec.
53.
2017
Iowa
Acts,
chapter
174,
section
25,
is
amended
17
by
adding
the
following
new
subsection:
18
NEW
SUBSECTION
.
3.
Notwithstanding
section
8.33,
moneys
19
appropriated
in
this
section
that
remain
unencumbered
or
20
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
21
but
shall
remain
available
for
expenditure
for
the
purposes
22
designated
until
the
close
of
the
succeeding
fiscal
year.
23
Sec.
54.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
24
deemed
of
immediate
importance,
takes
effect
upon
enactment.
25
Sec.
55.
RETROACTIVE
APPLICABILITY.
This
division
of
this
26
Act
applies
retroactively
to
July
1,
2017.
27
DIVISION
VIII
28
DECATEGORIZATION
29
Sec.
56.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
30
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
31
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
32
pool
that
remained
unencumbered
or
unobligated
at
the
close
33
of
the
fiscal
year
beginning
July
1,
2015,
and
were
deemed
34
carryover
funding
to
remain
available
for
the
two
succeeding
35
-57-
LSB
5031XC
(11)
87
pf/rn
57/
120
S.F.
_____
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
1
the
close
of
the
fiscal
year
beginning
July
1,
2017,
shall
2
not
revert
but
shall
be
transferred
to
the
medical
assistance
3
program
for
the
fiscal
year
beginning
July
1,
2018.
4
Sec.
57.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
5
deemed
of
immediate
importance,
takes
effect
upon
enactment.
6
Sec.
58.
RETROACTIVE
APPLICABILITY.
This
division
of
this
7
Act
applies
retroactively
to
July
1,
2017.
8
DIVISION
IX
9
STATE
CASES
10
Sec.
59.
Section
218.99,
Code
2018,
is
amended
to
read
as
11
follows:
12
218.99
Counties
to
be
notified
of
patients’
personal
13
accounts.
14
The
administrator
in
control
of
a
state
institution
shall
15
direct
the
business
manager
of
each
institution
under
the
16
administrator’s
jurisdiction
which
is
mentioned
in
section
17
331.424,
subsection
1
,
paragraph
“a”
,
subparagraphs
(1)
and
18
(2),
and
for
which
services
are
paid
under
section
331.424A
,
19
to
quarterly
inform
the
county
of
residence
of
any
patient
or
20
resident
who
has
an
amount
in
excess
of
two
hundred
dollars
on
21
account
in
the
patients’
personal
deposit
fund
and
the
amount
22
on
deposit.
The
administrators
shall
direct
the
business
23
manager
to
further
notify
the
county
of
residence
at
least
24
fifteen
days
before
the
release
of
funds
in
excess
of
two
25
hundred
dollars
or
upon
the
death
of
the
patient
or
resident.
26
If
the
patient
or
resident
has
no
residency
in
this
state
27
or
the
person’s
residency
is
unknown
so
that
the
person
is
28
deemed
to
be
a
state
case
,
notice
shall
be
made
to
the
director
29
of
human
services
and
the
administrator
in
control
of
the
30
institution
involved.
31
Sec.
60.
Section
222.60,
subsection
1,
paragraph
b,
Code
32
2018,
is
amended
to
read
as
follows:
33
b.
The
state
when
the
person
is
a
resident
in
another
state
34
or
in
a
foreign
country,
or
when
the
person’s
residence
is
35
-58-
LSB
5031XC
(11)
87
pf/rn
58/
120
S.F.
_____
unknown.
The
payment
responsibility
shall
be
deemed
to
be
a
1
state
case.
2
Sec.
61.
Section
222.60,
subsection
2,
paragraph
b,
Code
3
2018,
is
amended
to
read
as
follows:
4
b.
The
cost
of
a
regional
administrator-required
diagnosis
5
and
an
evaluation
is
at
the
mental
health
and
disability
6
services
region’s
expense.
For
a
state
case
When
a
person
is
7
a
resident
in
another
state
or
in
a
foreign
country,
or
when
8
the
persons’
residence
is
unknown
,
the
state
may
apply
the
9
diagnosis
and
evaluation
provisions
of
this
subsection
at
the
10
state’s
expense.
11
Sec.
62.
Section
222.65,
subsection
1,
Code
2018,
is
amended
12
to
read
as
follows:
13
1.
If
the
administrator
concurs
with
a
certified
14
determination
as
to
residency
of
the
person
so
that
the
15
person
is
deemed
a
state
case
in
another
state
or
in
a
foreign
16
country,
or
the
person’s
residence
is
unknown
under
section
17
222.60
,
the
administrator
shall
cause
the
person
either
to
be
18
transferred
to
a
resource
center
or
a
special
unit
or
to
be
19
transferred
to
the
place
of
foreign
residency.
20
Sec.
63.
Section
222.66,
Code
2018,
is
amended
to
read
as
21
follows:
22
222.66
Transfers
——
state
cases
no
residency
in
the
state
or
23
residency
unknown
——
expenses.
24
1.
The
transfer
to
a
resource
center
or
a
special
unit
or
25
to
the
place
of
residency
of
a
person
with
an
intellectual
26
disability
who
has
no
residence
in
this
state
or
whose
27
residency
is
unknown,
shall
be
made
in
accordance
with
such
28
directions
as
shall
be
prescribed
by
the
administrator
and
29
when
practicable
by
employees
of
the
state
resource
center
or
30
the
special
unit.
The
actual
and
necessary
expenses
of
such
31
transfers
shall
be
paid
by
the
department
on
itemized
vouchers
32
sworn
to
by
the
claimants
and
approved
by
the
administrator
and
33
the
approved
amount
is
appropriated
to
the
department
from
any
34
funds
in
the
state
treasury
not
otherwise
appropriated.
35
-59-
LSB
5031XC
(11)
87
pf/rn
59/
120
S.F.
_____
2.
The
case
of
a
person
with
an
intellectual
disability
1
who
is
determined
to
have
no
residence
in
this
state
or
whose
2
residence
is
unknown
shall
be
considered
a
state
case.
3
Sec.
64.
Section
222.67,
Code
2018,
is
amended
to
read
as
4
follows:
5
222.67
Charge
on
finding
of
residency.
6
If
a
person
has
been
received
into
a
resource
center
or
a
7
special
unit
as
a
patient
whose
residency
is
unknown
and
the
8
administrator
determines
that
the
residency
of
the
patient
9
was
at
the
time
of
admission
in
a
county
of
this
state,
the
10
administrator
shall
certify
the
determination
and
charge
11
all
legal
costs
and
expenses
pertaining
to
the
admission
12
and
support
of
the
patient
to
the
county
of
residence.
The
13
certification
shall
be
sent
to
the
county
of
residence.
The
14
certification
shall
be
accompanied
by
a
copy
of
the
evidence
15
supporting
the
determination.
If
the
person’s
residency
status
16
has
been
determined
in
accordance
with
section
331.394
,
the
17
legal
costs
and
expenses
shall
be
charged
to
the
county
or
as
a
18
state
case
in
accordance
with
that
determination.
The
costs
19
and
expenses
shall
be
collected
as
provided
by
law
in
other
20
cases.
21
Sec.
65.
Section
222.70,
Code
2018,
is
amended
to
read
as
22
follows:
23
222.70
Residency
disputes.
24
If
a
dispute
arises
between
counties
or
between
the
25
department
and
a
county
as
to
the
residency
of
a
person
26
admitted
to
a
resource
center
,
or
a
special
unit
,
or
a
27
community-based
service
,
the
dispute
shall
be
resolved
as
28
provided
in
section
331.394
.
29
Sec.
66.
Section
226.45,
Code
2018,
is
amended
to
read
as
30
follows:
31
226.45
Reimbursement
to
county
or
state.
32
If
a
patient
is
not
receiving
medical
assistance
under
33
chapter
249A
and
the
amount
to
in
the
account
of
any
patient
34
in
the
patients’
personal
deposit
fund
exceeds
two
hundred
35
-60-
LSB
5031XC
(11)
87
pf/rn
60/
120
S.F.
_____
dollars,
the
business
manager
of
the
hospital
may
apply
any
1
of
the
excess
to
reimburse
the
county
of
residence
or
the
2
state
for
a
state
case
when
the
patient
is
a
resident
in
3
another
state
or
in
a
foreign
country,
or
when
the
patient’s
4
residence
is
unknown
for
liability
incurred
by
the
county
or
5
the
state
for
the
payment
of
care,
support
and
maintenance
of
6
the
patient,
when
billed
by
the
county
of
residence
or
by
the
7
administrator
for
a
state
case
when
the
patient
is
a
resident
8
in
another
state
or
in
a
foreign
country,
or
when
the
patient’s
9
residence
is
unknown
.
10
Sec.
67.
Section
230.1,
subsection
1,
paragraph
b,
Code
11
2018,
is
amended
to
read
as
follows:
12
b.
By
the
state
as
a
state
case
if
such
person
has
no
13
residence
in
this
state,
if
the
person’s
residence
is
unknown,
14
or
if
the
person
is
under
eighteen
years
of
age.
15
Sec.
68.
Section
230.2,
Code
2018,
is
amended
to
read
as
16
follows:
17
230.2
Finding
of
residence.
18
If
a
person’s
residency
status
is
disputed,
the
residency
19
shall
be
determined
in
accordance
with
section
331.394
.
20
Otherwise,
the
district
court
may,
when
the
person
is
21
ordered
placed
in
a
hospital
for
psychiatric
examination
and
22
appropriate
treatment,
or
as
soon
thereafter
as
the
court
23
obtains
the
proper
information,
make
one
of
the
following
24
determinations
and
enter
of
record
whether
the
residence
of
the
25
person
is
in
a
county
or
the
person
is
deemed
to
be
a
state
case
26
a
resident
in
another
state
or
in
a
foreign
country,
or
when
27
the
person’s
residence
is
unknown
,
as
follows:
28
1.
That
the
person’s
residence
is
in
the
county
from
which
29
the
person
was
placed
in
the
hospital.
30
2.
That
the
person’s
residence
is
in
another
county
of
the
31
state.
32
3.
That
the
person’s
residence
is
in
a
foreign
state
or
33
country
and
the
person
is
deemed
to
be
a
state
case
.
34
4.
That
the
person’s
residence
is
unknown
and
the
person
is
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deemed
to
be
a
state
case
.
1
Sec.
69.
Section
230.8,
Code
2018,
is
amended
to
read
as
2
follows:
3
230.8
Transfers
of
persons
with
mental
illness
——
expenses.
4
The
transfer
to
any
state
hospitals
or
to
the
places
of
their
5
residence
of
persons
with
mental
illness
who
have
no
residence
6
in
this
state
or
whose
residence
is
unknown
and
deemed
to
be
a
7
state
case
,
shall
be
made
according
to
the
directions
of
the
8
administrator,
and
when
practicable
by
employees
of
the
state
9
hospitals.
The
actual
and
necessary
expenses
of
such
transfers
10
shall
be
paid
by
the
department
on
itemized
vouchers
sworn
to
11
by
the
claimants
and
approved
by
the
administrator.
12
Sec.
70.
Section
230.9,
Code
2018,
is
amended
to
read
as
13
follows:
14
230.9
Subsequent
discovery
of
residence.
15
If,
after
a
person
has
been
received
by
a
state
hospital
16
for
persons
with
mental
illness
as
a
state
case
patient
17
whose
residence
is
supposed
to
be
outside
this
state,
the
18
administrator
determines
that
the
residence
of
the
person
19
was,
at
the
time
of
admission
or
commitment,
in
a
county
of
20
this
state,
the
administrator
shall
certify
the
determination
21
and
charge
all
legal
costs
and
expenses
pertaining
to
the
22
admission
or
commitment
and
support
of
the
person
to
the
county
23
of
residence.
The
certification
shall
be
sent
to
the
county
24
of
residence.
The
certification
shall
be
accompanied
by
a
25
copy
of
the
evidence
supporting
the
determination.
The
costs
26
and
expenses
shall
be
collected
as
provided
by
law
in
other
27
cases.
If
the
person’s
residency
status
has
been
determined
in
28
accordance
with
section
331.394
,
the
legal
costs
and
expenses
29
shall
be
charged
to
the
county
of
residence
or
as
a
state
case
30
in
accordance
with
that
determination.
31
Sec.
71.
Section
230.11,
Code
2018,
is
amended
to
read
as
32
follows:
33
230.11
Recovery
of
costs
from
state.
34
Costs
and
expenses
attending
the
taking
into
custody,
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care,
and
investigation
of
a
person
who
has
been
admitted
1
or
committed
to
a
state
hospital,
United
States
department
2
of
veterans
affairs
hospital,
or
other
agency
of
the
United
3
States
government,
for
persons
with
mental
illness
and
who
4
has
no
residence
in
this
state
or
whose
residence
is
unknown,
5
including
cost
of
commitment,
if
any,
shall
be
paid
as
a
state
6
case
as
approved
by
the
administrator.
The
amount
of
the
costs
7
and
expenses
approved
by
the
administrator
is
appropriated
8
to
the
department
from
any
money
in
the
state
treasury
9
not
otherwise
appropriated.
Payment
shall
be
made
by
the
10
department
on
itemized
vouchers
executed
by
the
auditor
of
the
11
county
which
has
paid
them,
and
approved
by
the
administrator.
12
Sec.
72.
Section
249A.26,
subsection
2,
paragraph
b,
Code
13
2018,
is
amended
to
read
as
follows:
14
b.
The
state
shall
pay
for
one
hundred
percent
of
the
15
nonfederal
share
of
the
costs
of
case
management
provided
for
16
adults,
day
treatment,
partial
hospitalization,
and
the
home
17
and
community-based
services
waiver
services
for
persons
who
18
have
no
residence
in
this
state
or
whose
residence
is
unknown
19
so
that
the
persons
are
deemed
to
be
state
cases
.
20
Sec.
73.
Section
249A.26,
subsection
7,
Code
2018,
is
21
amended
by
striking
the
subsection.
22
Sec.
74.
Section
331.394,
Code
2018,
is
amended
to
read
as
23
follows:
24
331.394
County
of
residence
——
services
to
residents
——
25
service
authorization
appeals
——
disputes
between
counties
or
26
regions
and
the
department
.
27
1.
For
the
purposes
of
this
section
,
unless
the
context
28
otherwise
requires:
29
a.
“County
of
residence”
means
the
county
in
this
state
in
30
which,
at
the
time
a
person
applies
for
or
receives
services,
31
the
person
is
living
and
has
established
an
ongoing
presence
32
with
the
declared,
good
faith
intention
of
living
in
the
33
county
for
a
permanent
or
indefinite
period
of
time.
The
34
county
of
residence
of
a
person
who
is
a
homeless
person
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is
the
county
where
the
homeless
person
usually
sleeps.
A
1
person
maintains
residency
in
the
county
or
state
in
which
the
2
person
last
resided
while
the
person
is
present
in
another
3
county
or
this
state
receiving
services
in
a
hospital,
a
4
correctional
facility,
a
halfway
house
for
community-based
5
corrections
or
substance-related
treatment,
a
nursing
facility,
6
an
intermediate
care
facility
for
persons
with
an
intellectual
7
disability,
or
a
residential
care
facility,
or
for
the
purpose
8
of
attending
a
college
or
university.
9
b.
“Homeless
person”
means
the
same
as
defined
in
section
10
48A.2
.
11
c.
“Mental
health
professional”
means
the
same
as
defined
12
in
section
228.1
.
13
d.
“Person”
means
a
person
who
is
a
United
States
citizen
or
14
a
qualified
alien
as
defined
in
8
U.S.C.
§1641.
15
2.
If
a
person
appeals
a
decision
regarding
a
service
16
authorization
or
other
services-related
decision
made
by
a
17
regional
administrator
that
cannot
be
resolved
informally,
18
the
appeal
shall
be
heard
in
a
contested
case
proceeding
by
a
19
state
administrative
law
judge.
The
administrative
law
judge’s
20
decision
shall
be
considered
final
agency
action
under
chapter
21
17A
.
22
3.
If
a
service
authorization
or
other
services-related
23
decision
made
by
a
regional
administrator
concerning
a
person
24
varies
from
the
type
and
amount
of
service
identified
to
be
25
necessary
for
the
person
in
a
clinical
determination
made
by
a
26
mental
health
professional
and
the
mental
health
professional
27
believes
that
failure
to
provide
the
type
and
amount
of
service
28
identified
could
cause
an
immediate
danger
to
the
person’s
29
health
or
safety,
the
person
may
request
an
expedited
review
30
of
the
regional
administrator’s
decision
to
be
made
by
the
31
department
of
human
services.
An
expedited
review
held
in
32
accordance
with
this
subsection
is
subject
to
the
following
33
procedures:
34
a.
The
request
for
the
expedited
review
shall
be
filed
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within
five
business
days
of
receiving
the
notice
of
decision
1
by
the
regional
administrator.
The
request
must
be
in
writing,
2
plainly
state
the
request
for
an
expedited
review
in
the
3
caption
and
body
of
the
request,
and
be
supported
by
written
4
documentation
from
the
mental
health
professional
who
made
the
5
clinical
determination
stating
how
the
notice
of
decision
on
6
services
could
cause
an
immediate
danger
to
the
person’s
health
7
or
safety.
8
b.
The
expedited
review
shall
be
performed
by
a
mental
9
health
professional,
who
is
either
the
administrator
of
the
10
division
of
mental
health
and
disability
services
of
the
11
department
of
human
services
or
the
administrator’s
designee.
12
If
the
administrator
is
not
a
mental
health
professional,
13
the
expedited
review
shall
be
performed
by
a
designee
of
the
14
administrator
who
is
a
mental
health
professional
and
is
free
15
of
any
conflict
of
interest
to
perform
the
expedited
review.
16
The
expedited
review
shall
be
performed
within
two
business
17
days
of
the
time
the
request
is
filed.
If
the
reviewer
18
determines
the
information
submitted
in
connection
with
the
19
request
is
inadequate
to
perform
the
review,
the
reviewer
shall
20
request
the
submission
of
additional
information
and
the
review
21
shall
be
performed
within
two
business
days
of
the
time
that
22
adequate
information
is
submitted.
The
regional
administrator
23
and
the
person,
with
the
assistance
of
the
mental
health
24
professional
who
made
the
clinical
determination,
shall
each
25
provide
a
brief
statement
of
facts,
conclusions,
and
reasons
26
for
the
decision
made.
Supporting
clinical
information
shall
27
also
be
attached.
All
information
related
to
the
proceedings
28
and
any
related
filings
shall
be
considered
to
be
mental
health
29
information
subject
to
chapter
228
.
30
c.
The
administrator
or
designee
shall
issue
an
order,
31
including
a
brief
statement
of
findings
of
fact,
conclusions
of
32
law,
and
policy
reasons
for
the
order,
to
justify
the
decision
33
made
concerning
the
expedited
review.
If
the
decision
concurs
34
with
the
contention
that
there
is
an
immediate
danger
to
the
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person’s
health
or
safety,
the
order
shall
identify
the
type
1
and
amount
of
service
which
shall
be
provided
for
the
person.
2
The
administrator
or
designee
shall
give
such
notice
as
is
3
practicable
to
persons
who
are
required
to
comply
with
the
4
order.
The
order
is
effective
when
issued.
5
d.
The
decision
of
the
administrator
or
designee
shall
be
6
considered
a
final
agency
action
and
is
subject
to
judicial
7
review
in
accordance
with
section
17A.19
.
The
record
for
8
judicial
review
consists
of
any
documents
regarding
the
matter
9
that
were
considered
or
prepared
by
the
administrator
or
10
designee.
The
administrator
or
designee
shall
maintain
these
11
documents
as
the
official
record
of
the
decision.
If
the
12
matter
is
appealed
to
the
district
court,
the
record
shall
be
13
filed
as
confidential.
14
4.
If
a
county
of
residence
is
part
of
a
mental
health
and
15
disability
services
region
that
has
agreed
to
pool
funding
and
16
liability
for
services,
the
responsibilities
of
the
county
17
under
law
regarding
such
services
shall
be
performed
on
behalf
18
of
the
county
by
the
regional
administrator.
The
county
of
19
residence
or
the
county’s
mental
health
and
disability
services
20
region,
as
applicable,
is
responsible
for
paying
the
public
21
costs
of
the
mental
health
and
disability
services
that
are
22
not
covered
by
the
medical
assistance
program
under
chapter
23
249A
and
are
provided
in
accordance
with
the
region’s
approved
24
service
management
plan
to
persons
who
are
residents
of
the
25
county
or
region.
26
5.
a.
The
dispute
resolution
process
implemented
in
27
accordance
with
this
subsection
applies
to
residency
disputes.
28
The
dispute
resolution
process
is
not
applicable
to
disputes
29
involving
persons
committed
to
a
state
facility
pursuant
to
30
chapter
812
or
rule
of
criminal
procedure
2.22
,
Iowa
court
31
rules,
or
to
disputes
involving
service
authorization
decisions
32
made
by
a
region.
33
b.
If
a
county
,
or
region
,
or
the
department
,
as
applicable,
34
receives
a
billing
for
services
provided
to
a
resident
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in
another
county
or
region,
or
objects
to
a
residency
1
determination
certified
by
the
department
or
another
county’s
2
or
region’s
regional
administrator
and
asserts
either
that
the
3
person
has
residency
in
another
county
or
region
or
the
person
4
is
not
a
resident
of
this
state
or
the
person’s
residency
is
5
unknown
so
that
the
person
is
deemed
a
state
case
,
the
person’s
6
residency
status
shall
be
determined
as
provided
in
this
7
subsection
.
The
county
or
region
shall
notify
the
department
8
of
the
county’s
or
region’s
assertion
within
one
hundred
twenty
9
days
of
receiving
the
billing.
If
the
county
or
region
asserts
10
that
the
person
has
residency
in
another
county
or
region,
11
that
the
county
or
region
shall
be
notified
at
the
same
time
12
as
the
department.
If
the
department
disputes
a
residency
13
determination
certification
made
by
a
regional
administrator,
14
the
department
shall
notify
the
affected
counties
or
regions
of
15
the
department’s
assertion
notify
the
other
county
or
region
16
within
one
hundred
twenty
days
of
receiving
the
billing
for
17
services
.
18
c.
The
department,
county
,
or
region
that
received
the
19
notification,
as
applicable,
shall
respond
to
the
party
that
20
provided
the
notification
within
forty-five
days
of
receiving
21
the
notification.
If
the
parties
cannot
agree
to
a
settlement
22
as
to
the
person’s
residency
status
within
ninety
days
of
the
23
date
of
notification,
on
motion
of
any
of
the
parties,
the
24
matter
shall
be
referred
to
the
department
of
inspections
and
25
appeals
for
a
contested
case
hearing
under
chapter
17A
before
26
an
administrative
law
judge
assigned
in
accordance
with
section
27
10A.801
to
determine
the
person’s
residency
status.
28
d.
(1)
The
administrative
law
judge’s
determination
29
of
the
person’s
residency
status
shall
be
considered
final
30
agency
action,
notwithstanding
contrary
provisions
of
section
31
17A.15
.
The
party
that
does
not
prevail
in
the
determination
32
or
subsequent
judicial
review
is
liable
for
costs
associated
33
with
the
proceeding,
including
reimbursement
of
the
department
34
of
inspections
and
appeals’
actual
costs
associated
with
35
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the
administrative
proceeding.
Judicial
review
of
the
1
determination
may
be
sought
in
accordance
with
section
17A.19
.
2
(2)
If
following
the
determination
of
a
person’s
residency
3
status
in
accordance
with
this
subsection
,
additional
evidence
4
becomes
available
that
merits
a
change
in
that
determination,
5
the
parties
affected
may
change
the
determination
by
mutual
6
agreement.
Otherwise,
a
party
may
move
that
the
matter
be
7
reconsidered
by
the
department,
county
,
or
region,
or
by
the
8
administrative
law
judge.
9
e.
(1)
Unless
a
petition
is
filed
for
judicial
review,
10
the
administrative
law
judge’s
determination
of
the
person’s
11
residency
status
shall
result
in
one
of
the
following:
12
(a)
If
a
county
or
region
is
determined
to
be
the
person’s
13
residence,
the
county
or
region
shall
pay
the
amounts
due
and
14
shall
reimburse
any
other
amounts
paid
for
services
provided
by
15
the
other
county
or
region
or
the
department
on
the
person’s
16
behalf
prior
to
the
determination.
17
(b)
If
it
is
determined
that
the
person
is
not
a
resident
18
of
this
state
or
the
person’s
residency
is
unknown
so
that
the
19
person
is
deemed
to
be
a
state
case,
the
department
shall
pay
20
the
amounts
due
and
shall
reimburse
the
county
or
region,
as
21
applicable,
for
any
payment
made
on
behalf
of
the
person
prior
22
to
the
determination
neither
the
region
in
which
the
services
23
were
provided
nor
the
state
shall
be
liable
for
payment
of
24
amounts
due
for
services
provided
to
the
person
prior
to
the
25
determination
.
26
(2)
The
payment
or
reimbursement
shall
be
remitted
within
27
forty-five
days
of
the
date
the
determination
was
issued.
28
After
the
forty-five-day
period,
a
penalty
of
not
greater
than
29
one
percent
per
month
may
be
added
to
the
amount
due.
30
6.
a.
The
dispute
resolution
process
implemented
in
31
accordance
with
this
subsection
applies
beginning
July
1,
2012,
32
to
billing
disputes
between
the
state
and
a
county
or
region,
33
other
than
residency
disputes
or
other
dispute
processes
under
34
this
section
,
involving
the
responsibility
for
service
costs
35
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for
services
provided
on
or
after
July
1,
2011,
under
any
of
1
the
following:
2
(1)
Chapter
221
.
3
(2)
Chapter
222
.
4
(3)
Chapter
229
.
5
(4)
Chapter
230
.
6
(5)
Chapter
249A
.
7
(6)
Chapter
812
.
8
b.
If
a
county,
region,
or
the
department,
as
applicable,
9
disputes
a
billing
for
service
costs
listed
in
paragraph
“a”
,
10
the
dispute
shall
be
resolved
as
provided
in
this
subsection
.
11
The
county
or
region
shall
notify
the
department
of
the
12
county’s
or
region’s
assertion
within
ninety
days
of
receiving
13
the
billing.
However,
for
services
provided
on
or
after
July
14
1,
2011,
for
which
a
county
has
received
the
billing
as
of
July
15
1,
2012,
the
county
shall
notify
the
department
of
the
county’s
16
assertion
on
or
before
October
1,
2012.
If
the
department
17
disputes
such
a
billing
of
a
regional
administrator,
the
18
department
shall
notify
the
affected
counties
or
regions
of
the
19
department’s
assertion.
20
c.
The
department,
county,
or
region
that
received
the
21
notification,
as
applicable,
shall
respond
to
the
party
22
that
provided
the
notification
within
forty-five
days
of
23
receiving
the
notification.
If
the
parties
cannot
agree
to
a
24
settlement
as
to
the
dispute
within
ninety
days
of
the
date
25
of
notification,
on
motion
of
any
of
the
parties,
the
matter
26
shall
be
referred
to
the
department
of
inspections
and
appeals
27
for
a
contested
case
hearing
under
chapter
17A
before
an
28
administrative
law
judge
assigned
in
accordance
with
section
29
10A.801
to
determine
facts
and
issue
a
decision
to
resolve
the
30
dispute.
31
d.
(1)
The
administrative
law
judge’s
decision
is
a
final
32
agency
action,
notwithstanding
contrary
provisions
of
section
33
17A.15
.
The
party
that
does
not
prevail
in
the
decision
or
34
subsequent
judicial
review
is
liable
for
costs
associated
with
35
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the
proceeding,
including
reimbursement
of
the
department
of
1
inspections
and
appeals’
actual
costs
associated
with
the
2
administrative
proceeding.
Judicial
review
of
the
decision
may
3
be
sought
in
accordance
with
section
17A.19
.
4
(2)
If
following
the
decision
regarding
a
dispute
in
5
accordance
with
this
subsection
,
additional
evidence
becomes
6
available
that
merits
a
change
in
that
decision,
the
parties
7
affected
may
change
the
decision
by
mutual
agreement.
8
Otherwise,
a
party
may
move
that
the
matter
be
reconsidered
by
9
the
department,
county,
or
region,
or
by
the
administrative
law
10
judge.
11
e.
(1)
Unless
a
petition
is
filed
for
judicial
review,
12
the
administrative
law
judge’s
decision
regarding
a
disputed
13
billing
shall
result
in
one
of
the
following:
14
(a)
If
a
county
or
region
is
determined
to
be
responsible
15
for
the
disputed
amounts,
the
county
or
region
shall
pay
16
the
amounts
due
and
shall
reimburse
any
other
amounts
paid
17
for
services
provided
by
the
other
county
or
region
or
the
18
department
on
the
person’s
behalf
prior
to
the
decision.
19
(b)
If
it
is
determined
that
the
state
is
responsible
for
20
the
disputed
amounts,
the
state
shall
pay
the
amounts
due
and
21
shall
reimburse
the
county
or
region,
as
applicable,
for
any
22
payment
made
on
behalf
of
the
person
prior
to
the
decision.
23
(2)
The
payment
or
reimbursement
shall
be
remitted
within
24
forty-five
days
of
the
date
the
decision
was
issued.
After
25
the
forty-five-day
period,
a
penalty
of
not
greater
than
one
26
percent
per
month
may
be
added
to
the
amount
due.
27
Sec.
75.
REPEAL.
Section
226.9C,
Code
2018,
is
repealed.
28
DIVISION
X
29
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING
30
Sec.
76.
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING.
The
31
department
on
aging
and
the
department
of
human
services
shall
32
collaborate
to
develop
a
cost
allocation
plan
requesting
33
Medicaid
administrative
funding
to
provide
for
the
claiming
34
of
federal
financial
participation
for
aging
and
disability
35
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resource
center
activities
that
are
performed
to
assist
with
1
administration
of
the
Medicaid
program.
By
January
1,
2019,
2
the
department
of
human
services
shall
submit
to
the
centers
3
for
Medicare
and
Medicaid
services
of
the
United
States
4
department
of
health
and
human
services
any
Medicaid
state
plan
5
amendment
as
necessary
and
shall
enter
into
an
interagency
6
agreement
with
the
department
on
aging
to
implement
this
7
section.
8
Sec.
77.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
9
deemed
of
immediate
importance,
takes
effect
upon
enactment.
10
DIVISION
XI
11
EXECUTIVE
DIRECTOR
——
DEPARTMENT
OF
VETERANS
AFFAIRS
12
Sec.
78.
2008
Iowa
Acts,
chapter
1191,
section
14,
13
subsection
3,
is
amended
to
read
as
follows:
14
3.
The
following
are
range
3
positions:
administrator
of
15
the
division
of
criminal
and
juvenile
justice
planning
of
the
16
department
of
human
rights,
administrator
of
the
division
of
17
community
action
agencies
of
the
department
of
human
rights,
18
executive
director
of
the
department
of
veterans
affairs,
and
19
chairperson
and
members
of
the
employment
appeal
board
of
the
20
department
of
inspections
and
appeals.
21
Sec.
79.
2008
Iowa
Acts,
chapter
1191,
section
14,
22
subsection
5,
as
amended
by
2013
Iowa
Acts,
chapter
123,
23
section
63,
is
amended
to
read
as
follows:
24
5.
The
following
are
range
5
positions:
administrator
of
25
the
division
of
homeland
security
and
emergency
management
of
26
the
department
of
public
defense,
state
public
defender,
drug
27
policy
coordinator,
labor
commissioner,
workers’
compensation
28
commissioner,
director
of
the
department
of
cultural
affairs,
29
director
of
the
department
of
elder
affairs,
director
of
the
30
law
enforcement
academy,
members
of
the
property
assessment
31
appeal
board,
executive
director
of
the
department
of
veterans
32
affairs,
and
administrator
of
the
historical
division
of
the
33
department
of
cultural
affairs.
34
Sec.
80.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
35
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deemed
of
immediate
importance,
takes
effect
upon
enactment.
1
DIVISION
XII
2
FAMILY
PLANNING
SERVICES
PROGRAM
3
Sec.
81.
Section
217.41B,
subsection
3,
Code
2018,
is
4
amended
to
read
as
follows:
5
3.
a.
(1)
Distribution
of
family
planning
services
program
6
funds
shall
not
be
made
to
any
entity
that
performs
abortions
7
or
that
maintains
or
operates
a
facility
where
abortions
8
are
performed
,
which
shall
not
be
interpreted
to
include
a
9
nonpublic
entity
that
is
a
distinct
location
of
a
nonprofit
10
health
care
delivery
system,
if
the
distinct
location
provides
11
family
planning
services
but
does
not
perform
abortions
12
or
maintain
or
operate
as
a
facility
where
abortions
are
13
performed
.
14
(2)
The
department
of
human
services
shall
adopt
rules
15
pursuant
to
chapter
17A
to
require
that
as
a
condition
of
16
eligibility
as
a
provider
under
the
family
planning
services
17
program,
each
distinct
location
of
a
nonprofit
health
care
18
delivery
system
shall
enroll
in
the
program
as
a
separate
19
provider,
be
assigned
a
distinct
provider
identification
20
number,
and
complete
an
attestation
that
abortions
are
not
21
performed
at
the
distinct
location.
22
(3)
For
the
purposes
of
this
section,
“nonprofit
health
23
care
delivery
system”
means
an
Iowa
nonprofit
corporation
24
that
controls,
directly
or
indirectly,
a
regional
health
25
care
network
consisting
of
hospital
facilities
and
various
26
ambulatory
and
clinic
locations
that
provide
a
range
of
27
primary,
secondary,
and
tertiary
inpatient,
outpatient,
and
28
physician
services.
29
b.
For
the
purposes
of
this
section
,
“abortion”
does
not
30
include
any
of
the
following:
31
a.
(1)
The
treatment
of
a
woman
for
a
physical
32
disorder,
physical
injury,
or
physical
illness,
including
a
33
life-endangering
physical
condition
caused
by
or
arising
from
34
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
35
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place
the
woman
in
danger
of
death.
1
b.
(2)
The
treatment
of
a
woman
for
a
spontaneous
abortion,
2
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
3
of
human
conception
are
expelled.
4
DIVISION
XIII
5
PROVISIONAL
REGIONALIZATION
AUTHORIZATION
6
Sec.
82.
Section
331.389,
subsection
1,
paragraphs
b
and
c,
7
Code
2018,
are
amended
to
read
as
follows:
8
b.
The
director
of
human
services
shall
exempt
a
county
9
from
being
required
to
enter
into
a
regional
service
system
if
10
the
county
furnishes
evidence
that
the
county
complies
with
11
the
requirements
in
subsection
3
,
paragraphs
“c”
,
“d”
,
“e”
,
12
and
“f”
,
and
is
able
to
provide
the
core
services
required
13
by
law
to
the
county’s
residents
in
a
manner
that
is
as
cost
14
effective
and
with
outcomes
that
are
at
least
equal
to
what
15
could
be
provided
to
the
residents
if
the
county
would
provide
16
the
services
through
a
regional
service
system.
The
director
17
shall
identify
criteria
for
evaluating
the
evidence
provided
by
18
counties
applying
for
the
exemption.
The
criteria
identified
19
shall
be
specified
in
rule
adopted
by
the
state
commission.
20
c.
b.
If
a
county
has
been
exempted
pursuant
to
this
21
subsection
prior
to
July
1,
2014,
from
the
requirement
to
enter
22
into
a
regional
service
system,
the
county
and
the
county’s
23
board
of
supervisors
shall
fulfill
all
requirements
under
24
this
chapter
and
chapter
225C
for
a
regional
service
system,
25
regional
service
system
management
plan,
regional
governing
26
board,
and
regional
administrator,
and
any
other
provisions
27
applicable
to
a
region
of
counties
providing
local
mental
28
health
and
disability
services.
29
Sec.
83.
Section
331.389,
subsection
2,
Code
2018,
is
30
amended
to
read
as
follows:
31
2.
The
director
of
human
services
shall
approve
any
region
32
meeting
the
requirements
of
subsection
3
.
However,
the
33
director
of
human
services,
in
consultation
with
the
state
34
commission,
may
grant
a
waiver
from
the
requirement
relating
to
35
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the
minimum
number
of
counties
if
there
is
convincing
evidence
1
that
compliance
with
such
requirement
is
not
workable.
2
Sec.
84.
Section
331.389,
subsection
3,
paragraph
a,
Code
3
2018,
is
amended
to
read
as
follows:
4
a.
The
counties
comprising
the
region
are
contiguous
except
5
that
a
region
may
include
a
county
that
is
not
contiguous
with
6
any
of
the
other
counties
in
the
region,
if
the
county
that
is
7
not
contiguous
has
had
a
formal
relationship
for
two
years
or
8
longer
with
one
or
more
of
the
other
counties
in
the
region
for
9
the
provision
of
mental
health
and
disability
services
.
10
Sec.
85.
Section
331.389,
subsection
4,
paragraph
c,
Code
11
2018,
is
amended
to
read
as
follows:
12
c.
During
the
period
of
April
2,
2013,
through
July
1,
13
2013,
the
department
shall
work
with
any
county
that
has
not
14
agreed
to
be
part
of
a
region
in
accordance
with
paragraph
15
“a”
and
with
the
regions
forming
around
the
county
to
resolve
16
issues
preventing
the
county
from
joining
a
region.
By
July
17
1,
2013,
a
county
that
has
not
agreed
to
be
part
of
a
region
18
in
accordance
with
paragraph
“a”
shall
be
assigned
by
the
19
department
to
a
region,
unless
exempted
pursuant
to
subsection
20
1
prior
to
July
1,
2014
.
21
Sec.
86.
Section
331.389,
subsection
4,
paragraph
e,
22
unnumbered
paragraph
1,
Code
2018,
is
amended
to
read
as
23
follows:
24
On
or
before
June
30,
2014,
unless
exempted
pursuant
to
25
subsection
1
prior
to
July
1,
2014
,
all
counties
shall
be
26
in
compliance
with
all
of
the
following
mental
health
and
27
disability
services
region
implementation
criteria:
28
Sec.
87.
Section
331.424A,
subsection
8,
Code
2018,
is
29
amended
to
read
as
follows:
30
8.
a.
For
the
fiscal
year
beginning
July
1,
2017,
the
31
regional
per
capita
expenditure
target
amount
is
the
sum
of
the
32
base
expenditure
amount
for
all
counties
in
the
region
divided
33
by
the
population
of
the
region.
However,
a
regional
per
34
capita
expenditure
target
amount
shall
not
exceed
the
statewide
35
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per
capita
expenditure
target
amount.
For
the
fiscal
year
1
beginning
July
1,
2018,
and
each
subsequent
fiscal
year,
the
2
regional
per
capita
expenditure
target
amount
for
each
region
3
is
equal
to
the
regional
per
capita
expenditure
target
amount
4
for
the
fiscal
year
beginning
July
1,
2017.
5
b.
Notwithstanding
paragraph
“a”
,
for
the
fiscal
year
6
beginning
July
1,
2019,
the
regional
per
capita
expenditure
7
target
amount
for
a
region
formed
pursuant
to
the
section
of
8
this
Act
which
authorizes
regionalization
is
the
sum
of
the
9
base
expenditure
amount
for
all
counties
in
the
region
divided
10
by
the
population
of
the
region.
However,
the
regional
per
11
capita
expenditure
target
amount
shall
not
exceed
the
statewide
12
per
capita
expenditure
target
amount.
For
the
fiscal
year
13
beginning
July
1,
2020,
and
each
subsequent
fiscal
year,
the
14
regional
per
capita
expenditure
target
amount
for
the
region
15
shall
be
equal
to
the
regional
per
capita
expenditure
target
16
amount
for
the
fiscal
year
beginning
July
1,
2019.
17
Sec.
88.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
18
REGIONALIZATION
AUTHORIZATION.
19
1.
Upon
receiving
a
request
from
any
county
within
the
20
county
social
services
mental
health
and
disability
services
21
region
to
be
removed
from
the
region,
the
director
of
human
22
services
may
authorize
the
county
to
join
with
other
counties
23
requesting
to
be
removed
from
the
county
social
services
mental
24
health
and
disability
services
region
in
the
formation
of
a
25
proposed
new
mental
health
and
disability
services
region.
26
2.
County
formation
of
a
proposed
new
mental
health
and
27
disability
services
region
pursuant
to
this
section
is
subject
28
to
all
of
the
following:
29
a.
The
aggregate
population
of
all
counties
forming
30
the
region
is
at
least
100,000
and
includes
at
least
one
31
incorporated
city
with
a
population
of
more
than
24,000.
For
32
purposes
of
this
subparagraph,
“population”
means
the
same
as
33
defined
in
section
331.388,
subsection
3,
Code
2018.
34
b.
Notwithstanding
section
331.389,
subsection
4,
on
or
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before
February
1,
2019,
the
counties
forming
the
region
have
1
complied
with
section
331.389,
subsection
3,
as
amended
in
2
this
division
of
this
Act,
and
all
of
the
following
additional
3
requirements:
4
(1)
The
board
of
supervisors
of
each
county
forming
the
5
region
has
voted
to
approve
a
chapter
28E
agreement.
6
(2)
The
duly
authorized
representatives
of
all
the
counties
7
forming
the
region
have
signed
a
chapter
28E
agreement
that
is
8
in
compliance
with
section
331.392
and
441
IAC
25.14.
9
(3)
The
county
board
of
supervisors’
or
supervisors’
10
designee
members
and
other
members
of
the
region’s
governing
11
board
are
appointed
in
accordance
with
section
331.390.
12
(4)
Executive
staff
for
the
region’s
regional
administrator
13
are
identified
or
engaged.
14
(5)
The
regional
service
management
plan
is
developed
in
15
accordance
with
section
331.393
and
441
IAC
25.18
and
441
IAC
16
25.21
and
is
submitted
to
the
department.
17
(6)
The
initial
regional
service
management
plan
shall
18
identify
the
service
provider
network
for
the
region,
identify
19
the
information
technology
and
data
management
capacity
to
be
20
employed
to
support
regional
functions,
and
establish
business
21
functions,
accounting
procedures,
and
other
administrative
22
processes.
23
c.
Each
county
forming
the
region
shall
submit
the
24
compliance
information
required
in
paragraph
“b”
to
the
25
director
of
human
services
on
or
before
February
1,
2019.
26
Within
45
days
of
receipt
of
such
information,
the
director
27
of
human
services
shall
determine
if
the
region
is
in
full
28
compliance
and
shall
approve
the
region
if
the
region
has
met
29
all
of
the
requirements
of
this
section.
30
d.
The
director
of
human
services
shall
work
with
a
county
31
making
a
request
under
this
section
that
has
not
agreed
or
32
is
unable
to
join
the
proposed
new
region
to
resolve
issues
33
preventing
the
county
from
joining
the
proposed
new
region.
34
e.
By
February
1,
2019,
the
director
of
human
services
shall
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assign
a
county
making
a
request
under
this
section
that
has
1
not
reached
an
agreement
to
be
part
of
the
proposed
new
region
2
to
an
existing
region
or
to
the
new
proposed
region,
consistent
3
with
this
section.
4
3.
If
approved
by
the
department,
the
region
shall
commence
5
full
operations
no
later
than
July
1,
2019.
6
Sec.
89.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
7
deemed
of
immediate
importance,
takes
effect
upon
enactment.
8
DIVISION
XIV
9
MANDATORY
REPORTER
TRAINING
AND
CERTIFICATION
WORKGROUP
10
Sec.
90.
DEPARTMENT
OF
HUMAN
SERVICES
——
MANDATORY
REPORTER
11
TRAINING
AND
CERTIFICATION
WORKGROUP.
The
department
of
human
12
services,
in
cooperation
with
the
departments
of
education
13
and
public
health,
shall
facilitate
a
study
by
a
workgroup
of
14
stakeholders
to
make
recommendations
relating
to
mandatory
15
child
abuse
and
mandatory
dependent
adult
abuse
reporter
16
training
and
certification
requirements.
The
workgroup
shall
17
develop
interdepartmental
strategies
for
improving
mandatory
18
child
abuse
and
mandatory
dependent
adult
abuse
reporter
19
training
and
certification
requirements.
The
workgroup
20
shall
consist
of
representatives
from
the
departments
of
21
human
services,
education,
public
health,
public
safety,
and
22
human
rights,
the
department
on
aging,
and
the
office
of
the
23
attorney
general;
a
court
appointed
special
advocate;
and
other
24
experts
the
department
of
human
services
deems
necessary.
The
25
membership
of
the
workgroup
shall
also
include
four
members
of
26
the
general
assembly.
The
legislative
members
shall
serve
as
27
ex
officio,
nonvoting
members
of
the
workgroup,
with
one
member
28
to
be
appointed
by
each
of
the
following:
the
majority
leader
29
of
the
senate,
the
minority
leader
of
the
senate,
the
speaker
30
of
the
house
of
representatives,
and
the
minority
leader
of
the
31
house
of
representatives.
The
workgroup
shall
submit
a
report
32
with
recommendations,
including
but
not
limited
to
strategies
33
developed
and
other
proposed
improvements,
to
the
governor
and
34
the
general
assembly
on
or
before
December
15,
2018.
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DIVISION
XV
1
NURSING
FACILITY
QUALITY
ASSURANCE
ASSESSMENT
2
Sec.
91.
Section
249L.3,
subsection
1,
paragraph
d,
Code
3
2018,
is
amended
to
read
as
follows:
4
d.
The
aggregate
quality
assurance
assessments
imposed
under
5
this
chapter
shall
not
exceed
the
lower
of
three
percent
of
the
6
aggregate
non-Medicare
revenues
of
a
nursing
facility
or
the
7
maximum
amount
that
may
be
assessed
pursuant
to
the
indirect
8
guarantee
threshold
as
established
pursuant
to
42
C.F.R.
9
§433.68(f)(3)(i),
and
shall
be
stated
on
a
per-patient-day
10
basis.
11
Sec.
92.
Section
249L.4,
subsection
2,
Code
2018,
is
amended
12
to
read
as
follows:
13
2.
Moneys
in
the
trust
fund
shall
be
used,
subject
to
14
their
appropriation
by
the
general
assembly,
by
the
department
15
only
for
reimbursement
of
nursing
facility
services
for
which
16
federal
financial
participation
under
the
medical
assistance
17
program
is
available
to
match
state
funds.
Any
moneys
Moneys
18
appropriated
from
the
trust
fund
for
reimbursement
of
nursing
19
facilities,
in
addition
to
the
quality
assurance
assessment
20
pass-through
and
the
quality
assurance
assessment
rate
add-on
21
which
shall
be
used
as
specified
in
subsection
5
,
paragraph
“b”
,
22
shall
be
used
in
a
manner
such
that
no
less
than
thirty-five
23
percent
of
the
amount
received
by
a
nursing
facility
is
used
24
for
increases
in
compensation
and
costs
of
employment
for
25
direct
care
workers,
and
no
less
than
sixty
percent
of
the
26
total
is
used
to
increase
compensation
and
costs
of
employment
27
for
all
nursing
facility
staff.
For
the
purposes
of
use
of
28
such
funds,
“direct
care
worker”
,
“nursing
facility
staff”
,
29
“increases
in
compensation”
,
and
“costs
of
employment”
mean
as
30
defined
or
specified
in
this
chapter
.
31
Sec.
93.
DIRECTIVES
TO
DEPARTMENT
OF
HUMAN
SERVICES.
32
1.
The
department
of
human
services
shall
request
approval
33
from
the
centers
for
Medicare
and
Medicaid
services
of
the
34
United
States
department
of
health
and
human
services
for
any
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waiver
or
state
plan
amendment
necessary
to
administer
this
1
division
of
this
Act.
2
2.
The
change
in
the
quality
assurance
assessment
shall
3
accrue
beginning
on
the
first
day
of
the
calendar
quarter
4
following
the
date
of
approval
of
any
waiver
or
state
plan
5
amendment.
6
DIVISION
XVI
7
SEXUAL
OFFENSES
AND
SEX
OFFENDERS
8
Sec.
94.
Section
229A.2,
subsection
4,
Code
2018,
is
amended
9
to
read
as
follows:
10
4.
“Discharge”
means
an
unconditional
discharge
from
the
11
sexually
violent
predator
program.
A
person
released
from
a
12
secure
facility
into
a
transitional
release
program
or
released
13
with
or
without
supervision
is
not
considered
to
be
discharged.
14
Sec.
95.
Section
229A.5B,
subsection
1,
unnumbered
15
paragraph
1,
Code
2018,
is
amended
to
read
as
follows:
16
A
person
who
is
detained
pursuant
to
section
229A.5
or
is
17
subject
to
an
order
of
civil
commitment
under
this
chapter
18
shall
remain
in
custody
unless
released
by
court
order
or
19
discharged
under
section
229A.8
or
229A.10
.
A
person
who
has
20
been
placed
in
a
transitional
release
program
or
who
is
under
21
release
with
or
without
supervision
is
considered
to
be
in
22
custody.
A
person
in
custody
under
this
chapter
shall
not
do
23
any
of
the
following:
24
Sec.
96.
Section
229A.5C,
subsection
4,
Code
2018,
is
25
amended
to
read
as
follows:
26
4.
A
person
who
committed
a
public
offense
while
in
a
27
transitional
release
program
or
on
release
with
or
without
28
supervision
may
be
returned
to
a
secure
facility
operated
by
29
the
department
of
human
services
upon
completion
of
any
term
30
of
confinement
that
resulted
from
the
commission
of
the
public
31
offense.
32
Sec.
97.
Section
229A.6A,
subsection
1,
paragraph
d,
Code
33
2018,
is
amended
to
read
as
follows:
34
d.
To
a
facility
for
placement
or
treatment
in
a
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transitional
release
program
or
for
release
with
or
without
1
supervision.
A
transport
order
is
not
required
under
this
2
paragraph.
3
Sec.
98.
Section
229A.7,
subsection
7,
Code
2018,
is
amended
4
to
read
as
follows:
5
7.
The
control,
care,
and
treatment
of
a
person
determined
6
to
be
a
sexually
violent
predator
shall
be
provided
at
a
7
facility
operated
by
the
department
of
human
services.
At
all
8
times
prior
to
placement
in
a
transitional
release
program
9
or
release
with
or
without
supervision,
persons
committed
10
for
control,
care,
and
treatment
by
the
department
of
human
11
services
pursuant
to
this
chapter
shall
be
kept
in
a
secure
12
facility
and
those
patients
shall
be
segregated
at
all
times
13
from
any
other
patient
under
the
supervision
of
the
department
14
of
human
services.
A
person
committed
pursuant
to
this
chapter
15
to
the
custody
of
the
department
of
human
services
may
be
kept
16
in
a
facility
or
building
separate
from
any
other
patient
17
under
the
supervision
of
the
department
of
human
services.
18
The
department
of
human
services
may
enter
into
a
chapter
19
28E
agreement
with
the
department
of
corrections
or
other
20
appropriate
agency
in
this
state
or
another
state
for
the
21
confinement
of
patients
who
have
been
determined
to
be
sexually
22
violent
predators.
Patients
who
are
in
the
custody
of
the
23
director
of
the
department
of
corrections
pursuant
to
a
chapter
24
28E
agreement
and
who
have
not
been
placed
in
a
transitional
25
release
program
or
released
with
or
without
supervision
shall
26
be
housed
and
managed
separately
from
criminal
offenders
in
27
the
custody
of
the
director
of
the
department
of
corrections,
28
and
except
for
occasional
instances
of
supervised
incidental
29
contact,
shall
be
segregated
from
those
offenders.
30
Sec.
99.
Section
229A.8B,
subsection
3,
Code
2018,
is
31
amended
to
read
as
follows:
32
3.
Upon
the
return
of
the
committed
person
to
a
secure
33
facility,
the
director
of
human
services
or
the
director’s
34
designee
shall
notify
the
court
that
issued
the
ex
parte
order
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that
the
absconder
has
been
returned
to
a
secure
facility,
and
1
the
court
shall
set
a
hearing
within
five
days
to
determine
if
2
a
violation
occurred.
If
a
court
order
was
not
issued,
the
3
director
or
the
director’s
designee
shall
contact
the
nearest
4
district
court
with
jurisdiction
to
set
a
hearing
to
determine
5
whether
a
violation
of
the
rules
or
directives
occurred.
The
6
court
shall
schedule
a
hearing
within
five
days
of
after
7
receiving
notice
that
the
committed
person
has
been
returned
8
from
the
transitional
release
program
to
a
secure
facility.
9
Sec.
100.
Section
229A.9A,
Code
2018,
is
amended
to
read
as
10
follows:
11
229A.9A
Release
with
or
without
supervision.
12
1.
In
any
proceeding
under
section
229A.8
,
the
court
may
13
order
the
committed
person
released
with
or
without
supervision
14
if
any
of
the
following
apply:
15
a.
The
attorney
general
stipulates
to
the
release
with
or
16
without
supervision.
17
b.
The
court
or
jury
has
determined
that
the
person
should
18
be
discharged
released
from
the
program
a
secure
facility
or
19
a
transitional
release
program
,
but
the
court
has
determined
20
the
person
suffers
from
a
mental
abnormality
and
it
is
in
the
21
best
interest
of
the
community
to
order
release
with
or
without
22
supervision
before
the
committed
person
is
discharged.
23
2.
If
release
with
or
without
supervision
is
ordered,
the
24
department
of
human
services
shall
prepare
within
sixty
days
of
25
the
order
of
the
court
a
release
plan
addressing
the
person’s
26
needs
for
counseling,
medication,
community
support
services,
27
residential
services,
vocational
services,
alcohol
or
other
28
drug
abuse
treatment,
sex
offender
treatment,
or
any
other
29
treatment
or
supervision
necessary.
30
3.
The
court
shall
set
a
hearing
on
the
release
plan
31
prepared
by
the
department
of
human
services
before
the
32
committed
person
is
released
from
a
secure
facility
or
a
33
transitional
release
program.
34
4.
If
the
court
orders
release
with
supervision,
the
court
35
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shall
order
supervision
by
an
agency
with
jurisdiction
that
1
is
familiar
with
the
placement
of
criminal
offenders
in
the
2
community.
The
agency
with
jurisdiction
shall
be
responsible
3
for
initiating
proceedings
for
violations
of
the
release
plan
4
as
provided
in
section
229A.9B
.
If
the
court
orders
release
5
without
supervision,
the
agency
with
jurisdiction
shall
also
be
6
responsible
for
initiating
proceedings
for
any
violations
of
7
the
release
plan
as
provided
in
section
229A.9B
.
8
5.
A
committed
person
may
not
petition
the
court
for
release
9
with
or
without
supervision.
10
6.
A
committed
person
released
with
or
without
supervision
11
is
not
considered
discharged
from
civil
commitment
under
this
12
chapter
.
13
7.
After
being
released
with
or
without
supervision,
the
14
person
may
petition
the
court
for
discharge
as
provided
in
15
section
229A.8
.
16
8.
The
court
shall
retain
jurisdiction
over
the
committed
17
person
who
has
been
released
with
or
without
supervision
until
18
the
person
is
discharged
from
the
program.
The
department
19
of
human
services
or
a
judicial
district
department
of
20
correctional
services
shall
not
be
held
liable
for
any
acts
21
committed
by
a
committed
person
who
has
been
ordered
released
22
with
or
without
supervision.
23
Sec.
101.
Section
229A.9B,
Code
2018,
is
amended
to
read
as
24
follows:
25
229A.9B
Violations
of
release
with
or
without
supervision.
26
1.
If
a
committed
person
violates
the
release
plan,
the
27
agency
with
jurisdiction
over
the
person
may
request
the
28
district
court
to
issue
an
emergency
ex
parte
order
directing
29
any
law
enforcement
officer
to
take
the
person
into
custody
30
so
that
the
person
can
be
returned
to
a
secure
facility.
31
The
request
for
an
ex
parte
order
may
be
made
orally
or
by
32
telephone,
but
the
original
written
request
or
a
facsimile
copy
33
of
the
request
shall
be
filed
with
the
clerk
of
court
no
later
34
than
4:30
p.m.
on
the
next
business
day
the
office
of
the
clerk
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of
court
is
open.
1
2.
If
a
committed
person
has
absconded
in
violation
of
the
2
conditions
of
the
person’s
release
plan,
a
presumption
arises
3
that
the
person
poses
a
risk
to
public
safety.
The
department
4
of
human
services
or
contracting
agency,
in
cooperation
with
5
local
law
enforcement
agencies,
may
make
a
public
announcement
6
about
the
absconder.
The
public
announcement
may
include
a
7
description
of
the
committed
person,
that
the
committed
person
8
is
on
release
with
or
without
supervision
from
the
sexually
9
violent
predator
program,
and
any
other
information
pertinent
10
to
public
safety.
11
3.
Upon
the
return
of
the
committed
person
to
a
secure
12
facility,
the
director
of
human
services
or
the
director’s
13
designee
shall
notify
the
court
that
issued
the
ex
parte
14
order
that
the
committed
person
has
been
returned
to
a
secure
15
facility,
and
the
court
shall
set
hearing
within
five
days
to
16
determine
if
a
violation
occurred.
If
a
court
order
was
not
17
issued,
the
director
or
the
director’s
designee
shall
contact
18
the
nearest
district
court
with
jurisdiction
to
set
a
hearing
19
to
determine
whether
a
violation
of
the
conditions
of
the
20
release
plan
occurred.
The
court
shall
schedule
a
hearing
21
within
five
days
of
after
receiving
notice
that
the
committed
22
person
has
been
returned
to
a
secure
facility.
23
4.
At
the
hearing,
the
burden
shall
be
upon
the
attorney
24
general
to
show
by
a
preponderance
of
the
evidence
that
a
25
violation
of
the
release
plan
occurred.
26
5.
If
the
court
determines
a
violation
occurred,
the
court
27
shall
receive
release
recommendations
from
the
department
of
28
human
services
and
either
order
that
the
committed
person
be
29
returned
to
release
with
or
without
supervision
or
placed
30
in
a
transitional
release
program,
or
be
confined
in
a
31
secure
facility.
The
court
may
impose
further
conditions
32
upon
the
committed
person
if
returned
to
release
with
or
33
without
supervision
or
placed
in
the
transitional
release
34
program.
If
the
court
determines
no
violation
occurred,
the
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committed
person
shall
be
returned
to
release
with
or
without
1
supervision.
2
Sec.
102.
Section
232.68,
subsection
2,
paragraph
a,
3
subparagraph
(3),
Code
2018,
is
amended
to
read
as
follows:
4
(3)
The
commission
of
a
sexual
offense
with
or
to
a
child
5
pursuant
to
chapter
709
,
section
726.2
,
or
section
728.12,
6
subsection
1
,
as
a
result
of
the
acts
or
omissions
of
the
7
person
responsible
for
the
care
of
the
child
or
of
a
person
who
8
is
fourteen
years
of
age
or
older
and
resides
in
a
home
with
9
the
child.
Notwithstanding
section
702.5
,
the
commission
of
10
a
sexual
offense
under
this
subparagraph
includes
any
sexual
11
offense
referred
to
in
this
subparagraph
with
or
to
a
person
12
under
the
age
of
eighteen
years.
13
Sec.
103.
Section
232.68,
subsection
2,
paragraph
a,
14
subparagraph
(9),
Code
2018,
is
amended
to
read
as
follows:
15
(9)
(a)
Knowingly
A
person
who
is
responsible
for
the
16
care
of
a
child
knowingly
allowing
a
person
another
person
17
custody
or
of,
control
of
over
,
or
unsupervised
access
to
a
18
child
or
minor
child
under
the
age
of
fourteen
or
a
child
with
19
a
physical
or
mental
disability
,
after
knowing
the
person
20
other
person
is
required
to
register
or
is
on
the
sex
offender
21
registry
under
chapter
692A
for
a
violation
of
section
726.6
.
22
(b)
This
subparagraph
does
not
apply
in
any
of
the
following
23
circumstances:
24
(i)
A
child
living
with
a
parent
or
guardian
who
is
a
sex
25
offender
required
to
register
or
on
the
sex
offender
registry
26
under
chapter
692A.
27
(ii)
A
child
living
with
a
parent
or
guardian
who
is
married
28
to
and
living
with
a
sex
offender
required
to
register
or
on
29
the
sex
offender
registry
under
chapter
692A.
30
(iii)
A
child
who
is
a
sex
offender
required
to
register
or
31
on
the
sex
offender
registry
under
chapter
692A
who
is
living
32
with
the
child’s
parent,
guardian,
or
foster
parent
and
is
also
33
living
with
the
child
to
whom
access
was
allowed.
34
(c)
For
purposes
of
this
subparagraph,
“control
over”
means
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any
of
the
following:
1
(i)
A
person
who
has
accepted,
undertaken,
or
assumed
2
supervision
of
a
child
from
the
parent
or
guardian
of
the
3
child.
4
(ii)
A
person
who
has
undertaken
or
assumed
temporary
5
supervision
of
a
child
without
explicit
consent
from
the
parent
6
or
guardian
of
the
child.
7
Sec.
104.
Section
901A.2,
subsection
6,
Code
2018,
is
8
amended
to
read
as
follows:
9
6.
A
person
who
has
been
placed
in
a
transitional
release
10
program,
released
with
or
without
supervision,
or
discharged
11
pursuant
to
chapter
229A
,
and
who
is
subsequently
convicted
of
12
a
sexually
predatory
offense
or
a
sexually
violent
offense,
13
shall
be
sentenced
to
life
in
prison
on
the
same
terms
as
14
a
class
“A”
felon
under
section
902.1
,
notwithstanding
any
15
other
provision
of
the
Code
to
the
contrary.
The
terms
and
16
conditions
applicable
to
sentences
for
class
“A”
felons
under
17
chapters
901
through
909
shall
apply
to
persons
sentenced
under
18
this
subsection
.
However,
if
the
person
commits
a
sexually
19
violent
offense
which
is
a
misdemeanor
offense
under
chapter
20
709
,
the
person
shall
be
sentenced
to
life
in
prison,
with
21
eligibility
for
parole
as
provided
in
chapter
906
.
22
DIVISION
XVII
23
MEDICAID
RETROACTIVE
ELIGIBILITY
24
Sec.
105.
2017
Iowa
Acts,
chapter
174,
section
12,
25
subsection
15,
paragraph
a,
subparagraph
(7),
is
amended
to
26
read
as
follows:
27
(7)
(a)
Elimination
of
the
three-month
retroactive
28
Medicaid
coverage
benefit
for
Medicaid
applicants
effective
29
October
1,
2017.
The
department
shall
seek
a
waiver
from
30
the
centers
for
Medicare
and
Medicaid
services
of
the
United
31
States
department
of
health
and
human
services
to
implement
32
the
strategy.
If
federal
approval
is
received,
an
applicant’s
33
Medicaid
coverage
shall
be
effective
on
the
first
day
of
the
34
month
of
application,
as
allowed
under
the
Medicaid
state
plan.
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(b)
Effective
July
1,
2018,
a
three-month
retroactive
1
Medicaid
coverage
benefit
shall
apply
to
a
Medicaid
applicant
2
who
is
otherwise
Medicaid-eligible
and
is
a
resident
of
a
3
nursing
facility
licensed
under
chapter
135C.
The
department
4
shall
seek
federal
approval
for
any
Medicaid
waiver
or
state
5
plan
amendment
necessary
to
implement
this
subparagraph
(b).
6
Sec.
106.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
7
deemed
of
immediate
importance,
takes
effect
upon
enactment.
8
DIVISION
XVIII
9
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
OF
FUNDS
10
Sec.
107.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
11
OF
FUNDS.
Notwithstanding
section
331.424A,
a
county
with
a
12
population
of
over
300,000
based
on
the
most
recent
federal
13
decennial
census,
may
transfer
funds
from
any
other
fund
of
14
the
county
not
comprised
of
revenue
generated
by
a
levy
to
the
15
mental
health
and
disability
regional
services
fund
for
the
16
purposes
of
providing
mental
health
and
disability
services
for
17
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
18
2019.
The
county
shall
submit
a
report
to
the
governor
and
the
19
general
assembly
by
September
1,
2019,
including
the
source
of
20
any
funds
transferred,
the
amount
of
the
funds
transferred,
and
21
the
mental
health
and
disability
services
provided
with
the
22
transferred
funds.
23
DIVISION
XIX
24
MISCELLANEOUS
TECHNICAL
PROVISIONS
25
Sec.
108.
Section
135.15,
Code
2018,
is
amended
to
read
as
26
follows:
27
135.15
Oral
and
health
delivery
system
bureau
established
——
28
responsibilities.
29
An
oral
and
health
delivery
system
bureau
is
established
30
within
the
division
of
health
promotion
and
chronic
disease
31
prevention
of
the
department.
The
bureau
shall
be
responsible
32
for
all
of
the
following:
33
1.
Providing
population-based
oral
health
services,
34
including
public
health
training,
improvement
of
dental
support
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systems
for
families,
technical
assistance,
awareness-building
1
activities,
and
educational
services,
at
the
state
and
local
2
level
to
assist
Iowans
in
maintaining
optimal
oral
health
3
throughout
all
stages
of
life.
4
2.
Performing
infrastructure
building
and
enabling
services
5
through
the
administration
of
state
and
federal
grant
programs
6
targeting
access
improvement,
prevention,
and
local
oral
7
health
programs
utilizing
maternal
and
child
health
programs,
8
Medicaid,
and
other
new
or
existing
programs.
9
3.
Leveraging
federal,
state,
and
local
resources
for
10
programs
under
the
purview
of
the
bureau.
11
4.
Facilitating
ongoing
strategic
planning
and
application
12
of
evidence-based
research
in
oral
health
care
policy
13
development
that
improves
oral
health
care
access
and
the
14
overall
oral
health
of
all
Iowans.
15
5.
Developing
and
implementing
an
ongoing
oral
health
16
surveillance
system
for
the
evaluation
and
monitoring
of
17
the
oral
health
status
of
children
and
other
underserved
18
populations.
19
6.
Facilitating
the
provision
of
oral
health
services
20
through
dental
homes.
For
the
purposes
of
this
section,
21
“dental
home”
means
a
network
of
individualized
care
based
on
22
risk
assessment,
which
includes
oral
health
education,
dental
23
screenings,
preventive
services,
diagnostic
services,
treatment
24
services,
and
emergency
services.
25
Sec.
109.
Section
135.175,
subsection
1,
paragraph
a,
Code
26
2018,
is
amended
to
read
as
follows:
27
a.
A
health
care
workforce
support
initiative
is
established
28
to
provide
for
the
coordination
and
support
of
various
efforts
29
to
address
the
health
care
workforce
shortage
in
this
state.
30
This
initiative
shall
include
the
medical
residency
training
31
state
matching
grants
program
created
in
section
135.176
,
32
the
nurse
residency
state
matching
grants
program
created
in
33
section
135.178,
and
the
fulfilling
Iowa’s
need
for
dentists
34
matching
grant
program
created
in
section
135.179
.
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_____
Sec.
110.
Section
135.175,
subsection
5,
Code
2018,
is
1
amended
by
adding
the
following
new
paragraph:
2
NEW
PARAGRAPH
.
b.
The
nurse
residency
state
matching
grants
3
program
account.
The
nurse
residency
state
matching
grants
4
program
account
shall
be
under
the
control
of
the
department
5
and
the
moneys
in
the
account
shall
be
used
for
the
purposes
of
6
the
nurse
residency
state
matching
grants
program
as
specified
7
in
section
135.178.
Moneys
in
the
account
shall
consist
of
8
moneys
appropriated
or
allocated
for
deposit
in
or
received
9
by
the
fund
or
the
account
and
specifically
dedicated
to
the
10
nurse
residency
state
matching
grants
program
account
for
the
11
purposes
of
such
account.
12
Sec.
111.
Section
135.175,
subsection
6,
paragraph
a,
Code
13
2018,
is
amended
to
read
as
follows:
14
a.
Moneys
in
the
fund
and
the
accounts
in
the
fund
shall
15
only
be
appropriated
in
a
manner
consistent
with
the
principles
16
specified
and
the
strategic
plan
developed
pursuant
to
section
17
135.163
to
support
the
medical
residency
training
state
18
matching
grants
program,
the
nurse
residency
state
matching
19
grants
program,
the
fulfilling
Iowa’s
need
for
dentists
20
matching
grant
program,
and
to
provide
funding
for
state
health
21
care
workforce
shortage
programs
as
provided
in
this
section
.
22
DIVISION
XX
23
STATE
TRAINING
SCHOOL
——
ELDORA
24
Sec.
112.
Section
233A.1,
Code
2018,
is
amended
to
read
as
25
follows:
26
233A.1
State
training
school
——
Eldora
and
Toledo
.
27
1.
Effective
January
1,
1992,
a
diagnosis
and
evaluation
28
center
and
other
units
are
established
at
Eldora
the
29
state
training
school
to
provide
to
court-committed
30
male
juvenile
delinquents
a
program
which
focuses
upon
31
appropriate
developmental
skills,
treatment,
placements,
and
32
rehabilitation.
33
2.
The
diagnosis
and
evaluation
center
which
is
used
to
34
identify
appropriate
treatment
and
placement
alternatives
for
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juveniles
and
any
other
units
for
juvenile
delinquents
which
1
are
located
at
Eldora
and
the
unit
for
juvenile
delinquents
at
2
Toledo
shall
together
be
known
as
the
“state
training
school”
.
3
For
the
purposes
of
this
chapter
“director”
means
the
director
4
of
human
services
and
“superintendent”
means
the
administrator
5
in
charge
of
the
diagnosis
and
evaluation
center
for
juvenile
6
delinquents
and
other
units
at
Eldora
and
the
unit
for
juvenile
7
delinquents
at
Toledo
the
state
training
school
.
8
3.
The
number
of
children
present
at
any
one
time
at
the
9
state
training
school
at
Eldora
shall
not
exceed
the
population
10
guidelines
established
under
1990
Iowa
Acts,
ch.
1239,
§21
,
as
11
adjusted
for
subsequent
changes
in
the
capacity
at
the
training
12
school.
13
Sec.
113.
Section
233A.14,
Code
2018,
is
amended
to
read
as
14
follows:
15
233A.14
Transfers
to
other
institutions.
16
The
administrator
may
transfer
to
the
schools
state
training
17
school
minor
wards
of
the
state
from
any
institution
under
the
18
administrator’s
charge
but
no
person
shall
be
so
transferred
19
who
is
mentally
ill
or
has
an
intellectual
disability.
Any
20
child
in
the
schools
state
training
school
who
is
mentally
ill
21
or
has
an
intellectual
disability
may
be
transferred
by
the
22
administrator
to
the
proper
state
institution.
23
Sec.
114.
Section
915.29,
subsection
1,
unnumbered
24
paragraph
1,
Code
2018,
is
amended
to
read
as
follows:
25
The
department
of
human
services
shall
notify
a
registered
26
victim
regarding
a
juvenile
adjudicated
delinquent
for
a
27
violent
crime,
committed
to
the
custody
of
the
department
of
28
human
services,
and
placed
at
the
state
training
school
at
29
Eldora
or
Toledo
,
of
the
following:
30
DIVISION
XXI
31
GERIATRIC
PATIENT
HOUSING
REVIEW
32
Sec.
115.
GERIATRIC
PATIENT
HOUSING
REVIEW.
33
1.
During
the
2018
legislative
interim,
the
department
34
on
aging
and
the
departments
of
human
services,
inspections
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and
appeals,
and
corrections,
cooperatively,
shall
review
1
issues
and
develop
policy
recommendations
relating
to
housing
2
for
geriatric
persons,
including
geriatric
individuals
3
who
are
registered
on
the
sex
offender
registry
or
who
are
4
sexually
aggressive.
The
review
shall
address
all
aspects
5
of
the
issue
including
the
feasibility
of
private
entities
6
utilizing
facilities
located
at
Mount
Pleasant,
Clarinda,
7
or
other
vacant,
state-owned
facilities
to
care
for
such
8
geriatric
persons;
related
workforce
recruitment
and
training;
9
requirements
that
a
facility
must
meet
in
order
to
receive
10
Medicaid
reimbursement;
and
any
other
information
or
issues
11
deemed
appropriate
by
the
agencies.
12
2.
The
agencies
shall
submit
a
joint
report
with
13
recommendations
to
the
governor
and
general
assembly
by
14
December
15,
2018.
15
DIVISION
XXII
16
DISTRIBUTION
OF
FEDERAL
FUNDS
——
RESTRICTIONS
——
ABORTION
17
Sec.
116.
DISTRIBUTION
OF
FEDERAL
PUBLIC
HEALTH
SERVICES
18
ACT
FUNDS
FOR
FAMILY
PLANNING.
19
1.
The
department
of
public
health
shall
annually
apply
20
to
the
United
States
department
of
health
and
human
services
21
for
grant
funding
under
Tit.
X
of
the
federal
Public
Health
22
Services
Act,
42
U.S.C.
§300
et
seq.
The
department
shall
23
distribute
all
grant
funding
received
to
applicants
in
the
24
following
order
of
priority:
25
a.
Public
entities
that
provide
family
planning
services
26
including
state,
county,
or
local
community
health
clinics
and
27
federally
qualified
health
centers.
28
b.
Nonpublic
entities
that,
in
addition
to
family
planning
29
services,
provide
required
primary
health
services
as
described
30
in
42
U.S.C.
§254b(b)(1)(A).
31
c.
Nonpublic
entities
that
provide
family
planning
32
services
but
do
not
provide
required
primary
health
services
as
33
described
in
42
U.S.C.
§254b(b)(1)(A).
34
2.
Distribution
of
funds
under
this
section
shall
be
made
in
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a
manner
that
continues
access
to
family
planning
services.
1
3.
Distribution
of
funds
shall
not
be
made
to
any
entity
2
that
performs
abortions
or
that
maintains
or
operates
a
3
facility
where
abortions
are
performed.
For
the
purposes
of
4
this
section,
“abortion”
does
not
include
any
of
the
following:
5
a.
The
treatment
of
a
woman
for
a
physical
disorder,
6
physical
injury,
or
physical
illness,
including
a
7
life-endangering
physical
condition
caused
by
or
arising
from
8
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
9
place
the
woman
in
danger
of
death.
10
b.
The
treatment
of
a
woman
for
a
spontaneous
abortion,
11
commonly
known
as
a
miscarriage.
12
4.
Funds
distributed
in
accordance
with
this
section
shall
13
not
be
used
for
direct
or
indirect
costs,
including
but
not
14
limited
to
administrative
costs
or
expenses,
overhead,
employee
15
salaries,
rent,
and
telephone
and
other
utility
costs,
related
16
to
providing
abortions
as
specified
in
this
section.
17
5.
The
department
of
public
health
shall
submit
a
report
to
18
the
governor
and
the
general
assembly,
annually
by
January
1,
19
listing
any
entities
that
received
funds
pursuant
to
subsection
20
1,
paragraph
“c”,
and
the
amount
and
type
of
funds
received
by
21
such
entities
during
the
preceding
calendar
year.
The
report
22
shall
provide
a
detailed
explanation
of
how
the
department
23
determined
that
distribution
of
funds
to
such
an
entity,
24
instead
of
to
an
entity
described
in
subsection
1,
paragraph
25
“a”
or
“b”,
was
necessary
to
prevent
severe
limitation
or
26
elimination
of
access
to
family
planning
services
in
the
region
27
of
the
state
where
the
entity
is
located.
28
Sec.
117.
ADMINISTRATION
OF
PERSONAL
RESPONSIBILITY
29
EDUCATION
PROGRAM
AND
ABSTINENCE
EDUCATION
GRANT
PROGRAM
30
FUNDS.
Any
contract
entered
into
on
or
after
July
1,
2018,
31
by
the
department
of
public
health
to
administer
the
personal
32
responsibility
education
program
as
specified
in
42
U.S.C.
33
§713
or
to
administer
the
abstinence
education
grant
program
34
authorized
pursuant
to
section
510
of
Tit.
V
of
the
federal
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Social
Security
Act,
shall
exclude
as
an
eligible
applicant
any
1
applicant
entity
that
provides
abortions,
maintains
or
operates
2
a
facility
where
abortions
are
performed,
or
regularly
makes
3
referrals
to
an
entity
that
provides
abortions
or
maintains
or
4
operates
a
facility
where
abortions
are
performed.
For
the
5
purposes
of
this
section,
such
referrals
include
but
are
not
6
limited
to
referrals
made
by
reference
to
an
internet
site
or
7
by
linking
to
an
internet
site
maintained
by
an
entity
that
8
provides
abortions
or
maintains
or
operates
a
facility
where
9
abortions
are
performed.
10
Sec.
118.
AWARD
OF
COMMUNITY
ADOLESCENT
PREGNANCY
11
PREVENTION
AND
SERVICES
PROGRAM
GRANT
FUNDS.
Any
contract
12
entered
into
on
or
after
July
1,
2018,
by
the
department
of
13
human
services
to
award
a
community
adolescent
pregnancy
14
prevention
and
services
program
grant
using
federal
temporary
15
assistance
for
needy
families
block
grant
funds
appropriated
16
to
the
department
shall
exclude
as
an
eligible
applicant
any
17
applicant
entity
that
provides
abortions,
maintains
or
operates
18
a
facility
where
abortions
are
performed,
or
regularly
makes
19
referrals
to
an
entity
that
provides
abortions
or
maintains
or
20
operates
a
facility
where
abortions
are
performed.
For
the
21
purposes
of
this
section,
such
referrals
include
but
are
not
22
limited
to
referrals
made
by
reference
to
an
internet
site
or
23
by
linking
to
an
internet
site
maintained
by
an
entity
that
24
provides
abortions
or
maintains
or
operates
a
facility
where
25
abortions
are
performed.
26
DIVISION
XXIII
27
WRONGFUL
BIRTH
OR
WRONGFUL
LIFE
CAUSE
OF
ACTION
28
Sec.
119.
NEW
SECTION
.
613.15B
Wrongful
birth
or
wrongful
29
life
cause
of
action
——
prohibitions
——
exceptions.
30
1.
A
cause
of
action
shall
not
arise
and
damages
shall
not
31
be
awarded,
on
behalf
of
any
person,
based
on
a
wrongful
birth
32
claim
that,
but
for
an
act
or
omission
of
the
defendant,
a
33
child
would
not
or
should
not
have
been
born.
34
2.
A
cause
of
action
shall
not
arise
and
damages
shall
not
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be
awarded,
on
behalf
of
any
person,
based
on
a
wrongful
life
1
claim
that,
but
for
an
act
or
omission
of
the
defendant,
the
2
person
bringing
the
action
would
not
or
should
not
have
been
3
born.
4
3.
The
prohibitions
specified
in
this
section
apply
to
any
5
claim
regardless
of
whether
the
child
is
born
healthy
or
with
a
6
birth
defect
or
disorder
or
other
adverse
medical
condition.
7
However,
the
prohibitions
specified
in
this
section
shall
not
8
apply
to
any
of
the
following:
9
a.
A
civil
action
for
damages
for
an
intentional
or
grossly
10
negligent
act
or
omission,
including
any
act
or
omission
that
11
constitutes
a
public
offense.
12
b.
A
civil
action
for
damages
for
the
intentional
failure
13
of
a
physician
to
comply
with
the
duty
imposed
by
licensure
14
pursuant
to
chapter
148
to
provide
a
patient
with
all
15
information
reasonably
necessary
to
make
decisions
about
a
16
pregnancy.
17
Sec.
120.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
18
deemed
of
immediate
importance,
takes
effect
upon
enactment.
19
Sec.
121.
APPLICABILITY.
This
division
of
this
Act
applies
20
on
or
after
the
effective
date
of
this
division
of
this
Act
to
21
causes
of
action
that
accrue
on
or
after
that
date.
A
cause
of
22
action
that
accrues
before
the
effective
date
of
this
division
23
of
this
Act
is
governed
by
the
law
in
effect
prior
to
the
24
effective
date
of
this
division
of
this
Act.
25
DIVISION
XXIV
26
TRANSFERS
OF
FUNDS
BETWEEN
DHS
INSTITUTIONS
27
Sec.
122.
Section
218.6,
Code
2018,
is
amended
to
read
as
28
follows:
29
218.6
Transfer
of
appropriations
made
to
institutions.
30
1.
Notwithstanding
section
8.39,
subsection
1
,
without
the
31
prior
written
consent
and
approval
of
the
governor
and
the
32
director
of
the
department
of
management,
the
director
of
human
33
services
may
transfer
funds
between
the
appropriations
made
for
34
the
institutions,
listed
as
follows:
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1.
a.
The
state
resource
centers.
1
2.
b.
The
state
mental
health
institutes.
2
3.
c.
The
state
training
school.
3
4.
d.
The
civil
commitment
unit
for
sexual
offenders.
4
2.
The
department
shall
report
any
transfer
made
pursuant
5
to
subsection
1
during
a
fiscal
quarter
to
the
legislative
6
services
agency
within
thirty
days
of
the
beginning
of
the
7
subsequent
fiscal
quarter.
8
DIVISION
XXV
9
MEDICAL
CANNABIDIOL
10
Sec.
123.
Section
124E.7,
subsections
7
and
8,
Code
2018,
11
are
amended
to
read
as
follows:
12
7.
A
medical
cannabidiol
manufacturer
shall
not
employ
13
a
person
who
is
under
eighteen
years
of
age
or
who
has
been
14
convicted
of
a
disqualifying
felony
offense.
An
employee
15
of
a
medical
cannabidiol
manufacturer
shall
be
subject
to
a
16
background
investigation
conducted
by
the
division
of
criminal
17
investigation
of
the
department
of
public
safety
and
a
national
18
criminal
history
background
check
pursuant
to
section
124E.19
.
19
8.
A
medical
cannabidiol
manufacturer
owner
shall
not
have
20
been
convicted
of
a
disqualifying
felony
offense
and
shall
be
21
subject
to
a
background
investigation
conducted
by
the
division
22
of
criminal
investigation
of
the
department
of
public
safety
23
and
a
national
criminal
history
background
check
pursuant
to
24
section
124E.19
.
25
Sec.
124.
Section
124E.9,
subsections
7
and
8,
Code
2018,
26
are
amended
to
read
as
follows:
27
7.
A
medical
cannabidiol
dispensary
shall
not
employ
a
28
person
who
is
under
eighteen
years
of
age
or
who
has
been
29
convicted
of
a
disqualifying
felony
offense.
An
employee
30
of
a
medical
cannabidiol
dispensary
shall
be
subject
to
a
31
background
investigation
conducted
by
the
division
of
criminal
32
investigation
of
the
department
of
public
safety
and
a
national
33
criminal
history
background
check
pursuant
to
section
124E.19
.
34
8.
A
medical
cannabidiol
dispensary
owner
shall
not
have
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been
convicted
of
a
disqualifying
felony
offense
and
shall
be
1
subject
to
a
background
investigation
conducted
by
the
division
2
of
criminal
investigation
of
the
department
of
public
safety
3
and
a
national
criminal
history
background
check
pursuant
to
4
section
124E.19
.
5
Sec.
125.
Section
124E.10,
Code
2018,
is
amended
by
striking
6
the
section
and
inserting
in
lieu
thereof
the
following:
7
124E.10
Fees.
8
All
fees
collected
by
the
department
under
this
chapter
9
shall
be
retained
by
the
department
for
operation
of
the
10
medical
cannabidiol
registration
card
program
and
the
medical
11
cannabidiol
manufacturer
and
medical
cannabidiol
dispensary
12
licensing
programs.
The
moneys
retained
by
the
department
13
shall
be
considered
repayment
receipts
as
defined
in
section
14
8.2
and
shall
be
used
for
any
of
the
department’s
duties
15
under
this
chapter,
including
but
not
limited
to
the
addition
16
of
full-time
equivalent
positions
for
program
services
and
17
investigations.
Notwithstanding
section
8.33,
moneys
retained
18
by
the
department
pursuant
to
this
section
shall
not
revert
to
19
the
general
fund
of
the
state
but
shall
remain
available
for
20
expenditure
only
for
the
purposes
specified
in
this
section.
21
Sec.
126.
NEW
SECTION
.
124E.19
Background
investigations.
22
1.
The
division
of
criminal
investigation
of
the
23
department
of
public
safety
shall
conduct
thorough
24
background
investigations
for
the
purposes
of
licensing
25
medical
cannabidiol
manufacturers
and
medical
cannabidiol
26
dispensaries
under
this
chapter.
The
results
of
any
background
27
investigation
conducted
pursuant
to
this
section
shall
be
28
presented
to
the
department.
29
a.
An
applicant
for
a
medical
cannabidiol
manufacturer
30
license
or
a
medical
cannabidiol
dispensary
license
and
their
31
owners,
investors,
and
employees
shall
submit
all
required
32
information
on
a
form
prescribed
by
the
department
of
public
33
safety.
34
b.
The
department
shall
charge
an
applicant
for
a
medical
35
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cannabidiol
manufacturer
license
or
a
medical
cannabidiol
1
dispensary
license
a
fee
determined
by
the
department
of
public
2
safety
and
adopted
by
the
department
by
rule
to
defray
the
3
costs
associated
with
background
investigations
conducted
4
pursuant
to
the
requirements
of
this
section.
The
fee
shall
5
be
in
addition
to
any
other
fees
charged
by
the
department.
6
The
fee
may
be
retained
by
the
department
of
public
safety
and
7
shall
be
considered
repayment
receipts
as
defined
in
section
8
8.2.
9
2.
The
department
shall
require
an
applicant
for
a
medical
10
cannabidiol
manufacturer
license
or
a
medical
cannabidiol
11
dispensary
license,
their
owners
and
investors,
and
applicants
12
for
employment
at
a
medical
cannabidiol
manufacturer
or
13
medical
cannabidiol
dispensary
to
submit
fingerprints
and
other
14
required
identifying
information
to
the
department
on
a
form
15
prescribed
by
the
department
of
public
safety.
The
department
16
shall
submit
the
fingerprint
cards
and
other
identifying
17
information
to
the
division
of
criminal
investigation
of
the
18
department
of
public
safety
for
submission
to
the
federal
19
bureau
of
investigation
for
the
purpose
of
conducting
a
20
national
criminal
history
record
check.
The
department
may
21
require
employees
and
contractors
involved
in
carrying
out
22
a
background
investigation
to
submit
fingerprints
and
other
23
identifying
information
for
the
same
purpose.
24
3.
The
department
may
enter
into
a
chapter
28E
agreement
25
with
the
department
of
public
safety
to
meet
the
requirements
26
of
this
section.
27
4.
An
applicant
for
a
medical
cannabidiol
manufacturer
28
license
or
a
medical
cannabidiol
dispensary
license
shall
29
submit
information
and
fees
required
by
this
section
at
the
30
time
of
application.
31
5.
The
results
of
background
investigations
conducted
32
pursuant
to
this
section
shall
not
be
considered
public
records
33
under
chapter
22.
34
Sec.
127.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
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Act,
being
deemed
of
immediate
importance,
takes
effect
upon
1
enactment.
2
DIVISION
XXVI
3
DEPARTMENT
OF
HUMAN
SERVICES
PROGRAMS
AND
ACTIVITIES
4
INMATES
OF
PUBLIC
INSTITUTIONS
——
MEDICAID
5
Sec.
128.
Section
249A.38,
Code
2018,
is
amended
to
read
as
6
follows:
7
249A.38
Inmates
of
public
institutions
——
suspension
or
8
termination
of
medical
assistance.
9
1.
The
following
conditions
shall
apply
to
Following
the
10
first
thirty
days
of
commitment,
the
department
shall
suspend
11
the
eligibility
of
an
individual
who
is
an
inmate
of
a
public
12
institution
as
defined
in
42
C.F.R.
§435.1010
,
who
is
enrolled
13
in
the
medical
assistance
program
at
the
time
of
commitment
to
14
the
public
institution,
and
who
remains
eligible
for
medical
15
assistance
as
an
individual
except
for
the
individual’s
16
institutional
status
:
17
a.
The
department
shall
suspend
the
individual’s
18
eligibility
for
up
to
the
initial
twelve
months
of
the
period
19
of
commitment.
The
department
shall
delay
the
suspension
20
of
eligibility
for
a
period
of
up
to
the
first
thirty
days
21
of
commitment
if
such
delay
is
approved
by
the
centers
for
22
Medicare
and
Medicaid
services
of
the
United
States
department
23
of
health
and
human
services.
If
such
delay
is
not
approved,
24
the
department
shall
suspend
eligibility
during
the
entirety
25
of
the
initial
twelve
months
of
the
period
of
commitment.
26
Claims
submitted
on
behalf
of
the
individual
under
the
medical
27
assistance
program
for
covered
services
provided
during
the
28
delay
period
shall
only
be
reimbursed
if
federal
financial
29
participation
is
applicable
to
such
claims.
30
b.
The
department
shall
terminate
an
individual’s
31
eligibility
following
a
twelve-month
period
of
suspension
32
of
the
individual’s
eligibility
under
paragraph
“a”
,
during
33
the
period
of
the
individual’s
commitment
to
the
public
34
institution
.
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2.
a.
A
public
institution
shall
provide
the
department
and
1
the
social
security
administration
with
a
monthly
report
of
the
2
individuals
who
are
committed
to
the
public
institution
and
of
3
the
individuals
who
are
discharged
from
the
public
institution.
4
The
monthly
report
to
the
department
shall
include
the
date
5
of
commitment
or
the
date
of
discharge,
as
applicable,
of
6
each
individual
committed
to
or
discharged
from
the
public
7
institution
during
the
reporting
period.
The
monthly
report
8
shall
be
made
through
the
reporting
system
created
by
the
9
department
for
public,
nonmedical
institutions
to
report
inmate
10
populations.
Any
medical
assistance
expenditures,
including
11
but
not
limited
to
monthly
managed
care
capitation
payments,
12
provided
on
behalf
of
an
individual
who
is
an
inmate
of
a
13
public
institution
but
is
not
reported
to
the
department
14
in
accordance
with
this
subsection,
shall
be
the
financial
15
responsibility
of
the
respective
public
institution.
16
b.
The
department
shall
provide
a
public
institution
with
17
the
forms
necessary
to
be
used
by
the
individual
in
expediting
18
restoration
of
the
individual’s
medical
assistance
benefits
19
upon
discharge
from
the
public
institution.
20
3.
This
section
applies
to
individuals
as
specified
in
21
subsection
1
on
or
after
January
1,
2012.
22
4.
3.
The
department
may
adopt
rules
pursuant
to
chapter
23
17A
to
implement
this
section.
24
MEDICAID
PROGRAM
ADMINISTRATION
25
Sec.
129.
MEDICAID
PROGRAM
ADMINISTRATION.
26
1.
PROVIDER
PROCESSES
AND
PROCEDURES.
27
a.
When
all
of
the
required
documents
and
other
information
28
necessary
to
process
a
claim
have
been
received
by
a
managed
29
care
organization,
the
managed
care
organization
shall
30
either
provide
payment
to
the
claimant
within
the
timelines
31
specified
in
the
managed
care
contract
or,
if
the
managed
32
care
organization
is
denying
the
claim
in
whole
or
in
part,
33
shall
provide
notice
to
the
claimant
including
the
reasons
for
34
such
denial
consistent
with
national
industry
best
practice
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guidelines.
1
b.
A
managed
care
organization
shall
correct
any
identified
2
system
configuration
error
within
a
reasonable
time
frame
3
approved
by
the
department,
and
shall
fully
and
accurately
4
reprocess
claims
affected
by
such
errors
within
thirty
days
5
of
the
successful
system
correction.
The
department
shall
6
define
“system
configuration
error”
as
appropriate
to
include
7
errors
in
provider
data
caused
by
a
managed
care
organization
8
or
improper
claims
edits
that
result
in
incorrect
payments
to
9
providers.
10
c.
A
managed
care
organization
shall
provide
written
notice
11
to
affected
individuals
at
least
sixty
days
prior
to
making
12
any
program
or
procedural
change,
as
determined
necessary
by
13
the
department.
The
department
shall
develop
and
distribute
a
14
list
of
the
types
of
changes
that
require
the
sixty-day
notice
15
to
the
managed
care
organizations
effective
July
1,
2018.
16
Such
changes
may
include
but
are
not
limited
to
billing
and
17
collection
provisions,
provider
network
provisions,
member
or
18
provider
services,
and
prior
authorization
requirements.
19
d.
The
department
of
human
services
shall
engage
dedicated
20
provider
relations
staff
to
assist
Medicaid
providers
in
21
resolving
billing
conflicts
with
managed
care
organizations
22
including
those
involving
denied
claims,
technical
omissions,
23
or
incomplete
information.
If
the
provider
relations
staff
24
observe
trends
evidencing
fraudulent
claims
or
improper
25
reimbursement,
the
staff
shall
forward
such
evidence
to
the
26
department
of
human
services
for
further
review.
27
e.
The
department
of
human
services
shall
adopt
rules
28
pursuant
to
chapter
17A
to
require
the
inclusion
by
a
managed
29
care
organization
of
advanced
registered
nurse
practitioners
30
and
physician
assistants
as
primary
care
providers
for
the
31
purposes
of
population
health
management.
32
f.
The
department
of
human
services
shall
provide
for
the
33
development
and
shall
require
the
use
of
standardized
Medicaid
34
provider
enrollment
forms
to
be
used
by
the
department
and
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uniform
Medicaid
provider
credentialing
specifications
to
be
1
used
by
managed
care
organizations.
2
2.
MEMBER
SERVICES
AND
PROCESSES.
3
a.
If
a
Medicaid
member
is
receiving
court-ordered
services
4
or
treatment
for
a
substance-related
disorder
pursuant
to
5
chapter
125
or
for
a
mental
illness
pursuant
to
chapter
229,
6
such
services
or
treatment
shall
be
provided
and
reimbursed
7
for
an
initial
period
of
three
days
before
a
managed
care
8
organization
may
apply
medical
necessity
criteria
to
determine
9
the
most
appropriate
services,
treatment,
or
placement
for
the
10
Medicaid
member.
11
b.
The
department
of
human
services
shall
maintain
and
12
update
Medicaid
member
eligibility
files
in
a
timely
manner
13
consistent
with
national
industry
best
practices.
14
c.
The
department
of
human
services
shall
utilize
an
15
independent,
external
quality
review
vendor
to
complete
a
16
review
of
a
random
case
sample
of
decreased
level
of
care
17
determinations
using
national
best
practices
to
ensure
that
18
appropriate
medically
necessary
services
are
provided
to
19
meet
Medicaid
member
needs.
The
department
shall
report
the
20
findings
of
the
review
to
the
governor
and
the
general
assembly
21
by
December
15,
2018,
including
any
plan
necessary
to
address
22
the
findings.
23
d.
The
department
of
human
services,
on
an
annual
basis,
24
shall
conduct
an
analysis
of
all
Medicaid
member
appeals
that
25
have
been
dismissed,
withdrawn,
or
overturned
to
determine
26
if
there
are
any
negative
patterns
or
trends
based
on
the
27
analysis.
The
services
of
any
member
whose
appeal
is
subject
28
to
the
analysis
shall
continue
for
the
period
during
which
an
29
interdisciplinary
team
conducts
a
new
assessment
to
determine
30
which
services
are
medically
necessary
for
that
member,
which
31
period
shall
not
exceed
ninety
days.
A
report
of
the
analysis
32
and
findings
shall
be
submitted
to
the
governor
and
the
general
33
assembly
on
a
biannual
basis
and
the
department
shall
develop
a
34
plan
as
necessary
to
address
any
negative
patterns
or
trends
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identified
by
the
analysis.
1
3.
MEDICAID
PROGRAM
REVIEW
AND
OVERSIGHT.
2
a.
(1)
The
department
of
human
services
shall
facilitate
a
3
workgroup,
in
collaboration
with
representatives
of
the
managed
4
care
organizations
and
health
home
providers,
to
review
the
5
health
home
programs.
The
review
shall
include
all
of
the
6
following:
7
(a)
An
analysis
of
the
state
plan
amendments
applicable
to
8
health
homes.
9
(b)
An
analysis
of
the
current
health
home
system,
including
10
the
rationale
for
any
recommended
changes.
11
(c)
The
development
of
a
clear
and
consistent
delivery
12
model
linked
to
program-determined
outcomes
and
data
reporting
13
requirements.
14
(d)
A
work
plan
to
be
used
in
communicating
with
15
stakeholders
regarding
the
administration
and
operation
of
the
16
health
home
programs.
17
(2)
The
department
of
human
services
shall
submit
a
18
report
of
the
workgroup’s
findings,
recommendations,
and
19
any
actions
taken
by
December
15,
2018,
to
the
governor
and
20
to
the
Eighty-eighth
General
Assembly,
2019
session,
for
21
consideration.
22
(3)
The
workgroup
and
the
workgroup’s
activities
shall
23
not
affect
the
department’s
authority
to
apply
or
enforce
the
24
Medicaid
state
plan
amendment
relative
to
health
homes.
25
b.
The
department
of
human
services,
in
collaboration
26
with
Medicaid
providers
and
managed
care
organizations,
shall
27
initiate
a
review
process
to
determine
the
effectiveness
of
28
prior
authorizations
used
by
the
managed
care
organizations
29
with
the
goal
of
making
adjustments
based
on
relevant
30
service
costs
and
member
outcomes
data
utilizing
existing
31
industry-accepted
standards.
Prior
authorization
policies
32
shall
comply
with
existing
rules,
guidelines,
and
procedures
33
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
34
the
United
States
department
of
health
and
human
services.
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c.
The
department
of
human
services
shall
enter
into
a
1
contract
with
an
independent
review
organization
to
perform
2
an
audit
of
a
random
sample
of
small
dollar
claims
paid
to
3
or
denied
Medicaid
long-term
services
and
supports
providers
4
during
the
first
quarter
of
the
2018
calendar
year.
The
5
department
of
human
services
shall
submit
a
report
of
6
the
findings
of
the
audit
to
the
governor
and
the
general
7
assembly
by
February
1,
2019.
The
department
may
take
any
8
action
specified
in
the
managed
care
contract
relative
to
9
any
claim
the
auditor
determines
to
be
incorrectly
paid
or
10
denied,
subject
to
appeal
by
the
managed
care
organization
11
to
the
director
of
human
services.
For
the
purposes
of
this
12
paragraph,
“small
dollar
claims”
means
those
claims
less
than
13
or
equal
to
two
thousand
five
hundred
dollars.
14
MEDICAID
PROGRAM
PHARMACY
COPAYMENT
15
Sec.
130.
2005
Iowa
Acts,
chapter
167,
section
42,
is
16
amended
to
read
as
follows:
17
SEC.
42.
COPAYMENTS
FOR
PRESCRIPTION
DRUGS
UNDER
THE
18
MEDICAL
ASSISTANCE
PROGRAM.
The
department
of
human
services
19
shall
require
recipients
of
medical
assistance
to
pay
the
20
following
copayments
a
copayment
of
$1
on
each
prescription
21
filled
for
a
covered
prescription
drug,
including
each
refill
22
of
such
prescription
,
as
follows:
23
1.
A
copayment
of
$1
on
each
prescription
filled
for
each
24
covered
nonpreferred
generic
prescription
drug
.
25
2.
A
copayment
of
$1
for
each
covered
preferred
brand–name
26
or
generic
prescription
drug.
27
3.
A
copayment
of
$1
for
each
covered
nonpreferred
28
brand–name
prescription
drug
for
which
the
cost
to
the
state
is
29
up
to
and
including
$25.
30
4.
A
copayment
of
$2
for
each
covered
nonpreferred
31
brand–name
prescription
drug
for
which
the
cost
to
the
state
is
32
more
than
$25
and
up
to
and
including
$50.
33
5.
A
copayment
of
$3
for
each
covered
nonpreferred
34
brand–name
prescription
drug
for
which
the
cost
to
the
state
35
-102-
LSB
5031XC
(11)
87
pf/rn
102/
120
S.F.
_____
is
more
than
$50.
1
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
2
Sec.
131.
Section
249A.4B,
subsection
2,
paragraph
a,
3
subparagraphs
(27)
and
(28),
Code
2018,
are
amended
by
striking
4
the
subparagraphs.
5
Sec.
132.
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
——
REVIEW
OF
6
MEDICAID
MANAGED
CARE
REPORT
DATA.
The
executive
committee
7
of
the
medical
assistance
advisory
council
shall
review
8
the
data
collected
and
analyzed
for
inclusion
in
periodic
9
reports
to
the
general
assembly,
including
but
not
limited
10
to
the
information
and
data
specified
in
2016
Iowa
Acts,
11
chapter
1139,
section
93,
to
determine
which
data
points
and
12
information
should
be
included
and
analyzed
to
more
accurately
13
identify
trends
and
issues
with,
and
promote
the
effective
and
14
efficient
administration
of,
Medicaid
managed
care
for
all
15
stakeholders.
At
a
minimum,
the
areas
of
focus
shall
include
16
consumer
protection,
provider
network
access
and
safeguards,
17
outcome
achievement,
and
program
integrity.
The
executive
18
committee
shall
report
its
findings
and
recommendations
to
the
19
medical
assistance
advisory
council
for
review
and
comment
by
20
October
1,
2018,
and
shall
submit
a
final
report
of
findings
21
and
recommendations
to
the
governor
and
the
general
assembly
by
22
December
31,
2018.
23
TARGETED
CASE
MANAGEMENT
AND
INPATIENT
PSYCHIATRIC
SERVICES
24
REIMBURSEMENT
25
Sec.
133.
Section
249A.31,
Code
2018,
is
amended
to
read
as
26
follows:
27
249A.31
Cost-based
reimbursement.
28
1.
Providers
of
individual
case
management
services
for
29
persons
with
an
intellectual
disability,
a
developmental
30
disability,
or
chronic
mental
illness
shall
receive
cost-based
31
reimbursement
for
one
hundred
percent
of
the
reasonable
32
costs
for
the
provision
of
the
services
in
accordance
with
33
standards
adopted
by
the
mental
health
and
disability
services
34
commission
pursuant
to
section
225C.6
.
Effective
July
1,
2018,
35
-103-
LSB
5031XC
(11)
87
pf/rn
103/
120
S.F.
_____
targeted
case
management
services
shall
be
reimbursed
based
1
on
a
statewide
fee
schedule
amount
developed
by
rule
of
the
2
department
pursuant
to
chapter
17A.
3
2.
Effective
July
1,
2010
2014
,
the
department
shall
apply
4
a
cost-based
reimbursement
methodology
for
reimbursement
of
5
psychiatric
medical
institution
for
children
providers
of
6
inpatient
psychiatric
services
for
individuals
under
twenty-one
7
years
of
age
shall
be
reimbursed
as
follows:
8
a.
For
non-state-owned
providers,
services
shall
be
9
reimbursed
according
to
a
fee
schedule
without
reconciliation
.
10
b.
For
state-owned
providers,
services
shall
be
reimbursed
11
at
one
hundred
percent
of
the
actual
and
allowable
cost
of
12
providing
the
service.
13
DIVISION
XXVII
14
PREAPPLICATION
SCREENING
ASSESSMENT
15
Sec.
134.
Section
229.5A,
Code
2018,
is
amended
to
read
as
16
follows:
17
229.5A
Preapplication
screening
assessment
——
program.
18
Prior
to
filing
an
application
pursuant
to
section
229.6
,
19
the
clerk
of
the
district
court
or
the
clerk’s
designee
20
shall
inform
the
interested
person
referred
to
in
section
21
229.6,
subsection
1
,
about
the
option
of
requesting
a
22
preapplication
screening
assessment
through
a
preapplication
23
screening
assessment
program,
if
available.
The
state
court
24
administrator
shall
prescribe
practices
and
procedures
for
25
implementation
of
the
preapplication
screening
assessment
26
program.
27
Sec.
135.
Section
602.1209,
subsection
16,
Code
2018,
is
28
amended
to
read
as
follows:
29
16.
Prescribe
practices
and
procedures
for
the
30
implementation
of
the
preapplication
screening
assessment
31
program
referred
to
in
sections
section
125.74
and
229.5A
.
32
DIVISION
XXVIII
33
COVERAGE
OF
BEHAVIORAL
HEALTH
SERVICES
PROVIDED
BY
CERTAIN
34
PROVIDERS
35
-104-
LSB
5031XC
(11)
87
pf/rn
104/
120
S.F.
_____
Sec.
136.
Section
249A.15,
Code
2018,
is
amended
to
read
as
1
follows:
2
249A.15
Licensed
psychologists
eligible
for
payment
——
3
provisional
licensees
.
4
1.
The
department
shall
adopt
rules
pursuant
to
chapter
5
17A
entitling
psychologists
who
are
licensed
pursuant
to
6
chapter
154B
and
psychologists
who
are
licensed
in
the
state
7
where
the
services
are
provided
and
have
a
doctorate
degree
8
in
psychology,
have
had
at
least
two
years
of
clinical
9
experience
in
a
recognized
health
setting,
or
have
met
the
10
standards
of
a
national
register
of
health
service
providers
11
in
psychology,
to
payment
for
services
provided
to
recipients
12
of
medical
assistance,
subject
to
limitations
and
exclusions
13
the
department
finds
necessary
on
the
basis
of
federal
laws
and
14
regulations
and
of
funds
available
for
the
medical
assistance
15
program.
The
rules
shall
also
provide
that
an
individual,
who
16
holds
a
provisional
license
to
practice
psychology
pursuant
17
to
section
154B.6,
is
entitled
to
payment
under
this
section
18
for
services
provided
to
recipients
of
medical
assistance,
19
when
such
services
are
provided
under
the
supervision
of
a
20
supervisor
who
meets
the
qualifications
determined
by
the
board
21
of
psychology
by
rule,
and
claims
for
payment
for
such
services
22
are
submitted
by
the
supervisor.
23
2.
Entitlement
to
payment
under
this
section
is
applicable
24
to
services
provided
to
recipients
of
medical
assistance
25
under
both
the
fee-for-service
and
managed
care
payment
and
26
delivery
systems.
Neither
the
fee-for-service
nor
the
managed
27
care
payment
and
delivery
system
shall
impose
a
practice
28
or
supervision
restriction
which
is
inconsistent
with
or
29
more
restrictive
than
the
authority
already
granted
by
law,
30
including
the
authority
to
provide
supervision
in
person
or
31
remotely
through
electronic
means
as
specified
by
rule
of
the
32
board
of
psychology.
33
Sec.
137.
Section
249A.15A,
Code
2018,
is
amended
to
read
34
as
follows:
35
-105-
LSB
5031XC
(11)
87
pf/rn
105/
120
S.F.
_____
249A.15A
Licensed
marital
and
family
therapists,
licensed
1
master
social
workers,
licensed
mental
health
counselors,
and
2
certified
alcohol
and
drug
counselors
——
temporary
licensees
.
3
1.
The
department
shall
adopt
rules
pursuant
to
chapter
4
17A
entitling
marital
and
family
therapists
who
are
licensed
5
pursuant
to
chapter
154D
to
payment
for
behavioral
health
6
services
provided
to
recipients
of
medical
assistance,
subject
7
to
limitations
and
exclusions
the
department
finds
necessary
8
on
the
basis
of
federal
laws
and
regulations.
The
rules
shall
9
also
provide
that
a
marital
and
family
therapist,
who
holds
10
a
temporary
license
to
practice
marital
and
family
therapy
11
pursuant
to
section
154D.7,
is
entitled
to
payment
under
this
12
section
for
behavioral
health
services
provided
to
recipients
13
of
medical
assistance,
when
such
services
are
provided
under
14
the
supervision
of
a
qualified
supervisor
as
determined
by
the
15
board
of
behavioral
science
by
rule,
and
claims
for
payment
for
16
such
services
are
submitted
by
the
qualified
supervisor.
17
2.
The
department
shall
adopt
rules
pursuant
to
chapter
18
17A
entitling
master
social
workers
who
hold
a
master’s
19
degree
approved
by
the
board
of
social
work,
are
licensed
as
20
a
master
social
worker
pursuant
to
section
154C.3,
subsection
21
1
,
paragraph
“b”
,
and
provide
treatment
services
under
the
22
supervision
of
an
independent
social
worker
licensed
pursuant
23
to
section
154C.3,
subsection
1
,
paragraph
“c”
,
to
payment
24
for
behavioral
health
services
provided
to
recipients
of
25
medical
assistance,
subject
to
limitations
and
exclusions
the
26
department
finds
necessary
on
the
basis
of
federal
laws
and
27
regulations.
28
3.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
29
entitling
mental
health
counselors
who
are
licensed
pursuant
30
to
chapter
154D
to
payment
for
behavioral
health
services
31
provided
to
recipients
of
medical
assistance,
subject
to
32
limitations
and
exclusions
the
department
finds
necessary
on
33
the
basis
of
federal
laws
and
regulations.
The
rules
shall
34
also
provide
that
a
mental
health
counselor,
who
holds
a
35
-106-
LSB
5031XC
(11)
87
pf/rn
106/
120
S.F.
_____
temporary
license
to
practice
mental
health
counseling
pursuant
1
to
section
154D.7,
is
entitled
to
payment
under
this
section
2
for
behavioral
health
services
provided
to
recipients
of
3
medical
assistance,
when
such
services
are
provided
under
the
4
supervision
of
a
qualified
supervisor
as
determined
by
the
5
board
of
behavioral
science
by
rule,
and
claims
for
payment
for
6
such
services
are
submitted
by
the
qualified
supervisor.
7
4.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
8
entitling
alcohol
and
drug
counselors
who
are
certified
by
the
9
nongovernmental
Iowa
board
of
substance
abuse
certification
to
10
payment
for
behavioral
health
services
provided
to
recipients
11
of
medical
assistance,
subject
to
limitations
and
exclusions
12
the
department
finds
necessary
on
the
basis
of
federal
laws
and
13
regulations.
14
5.
Entitlement
to
payment
under
this
section
is
applicable
15
to
services
provided
to
recipients
of
medical
assistance
16
under
both
the
fee-for-service
and
managed
care
payment
and
17
delivery
systems.
Neither
the
fee-for-service
nor
the
managed
18
care
payment
and
delivery
system
shall
impose
a
practice
19
or
supervision
restriction
which
is
inconsistent
with
or
20
more
restrictive
than
the
authority
already
granted
by
law,
21
including
the
authority
to
provide
supervision
in
person
or
22
remotely
through
electronic
means
as
specified
by
rule
of
the
23
applicable
licensing
board.
24
Sec.
138.
NEW
SECTION
.
514C.32
Services
provided
by
25
certain
licensed
master
social
workers,
licensed
mental
health
26
counselors,
and
licensed
marital
and
family
therapists.
27
1.
Notwithstanding
section
514C.6,
a
policy
or
contract
28
providing
for
third-party
payment
or
prepayment
of
health
or
29
medical
expenses
shall
include
a
provision
for
the
payment
of
30
necessary
behavioral
health
services
provided
by
any
of
the
31
following:
32
a.
A
licensed
master
social
worker
who
is
licensed
by
the
33
board
of
social
work
as
a
master
social
worker
pursuant
to
34
section
154C.3,
subsection
1,
paragraph
“b”
,
and
who
provides
35
-107-
LSB
5031XC
(11)
87
pf/rn
107/
120
S.F.
_____
services
under
the
supervision
of
an
independent
social
worker
1
licensed
pursuant
to
section
154C.3,
subsection
1,
paragraph
2
“c”
.
3
b.
A
licensed
mental
health
counselor
or
a
licensed
4
marital
and
family
therapist
who
holds
a
temporary
license
to
5
practice
mental
health
counseling
or
marital
and
family
therapy
6
pursuant
to
section
154D.7,
and
who
provides
services
under
7
the
supervision
of
a
qualified
supervisor
as
determined
by
the
8
board
of
behavioral
science
by
rule.
9
2.
A
policy
or
contract
subject
to
this
section
shall
10
not
impose
a
practice
or
supervision
restriction
which
is
11
inconsistent
with
or
more
restrictive
than
the
authority
12
already
granted
by
law,
including
the
authority
to
provide
13
supervision
in
person
or
remotely
through
electronic
means
as
14
specified
by
rule
of
the
applicable
licensing
board.
15
3.
The
requirements
of
this
section
apply
to
and
supersede
16
any
conflicting
requirements
regarding
services
provided
under
17
a
policy
or
contract,
which
is
delivered,
issued
for
delivery,
18
continued,
or
renewed
in
this
state
on
or
after
the
effective
19
date
of
this
Act,
and
apply
to
and
supersede
any
conflicting
20
requirements
regarding
services
contained
in
an
existing
policy
21
or
contract
on
the
policy’s
or
contract’s
anniversary
or
22
renewal
date,
whichever
is
later.
23
4.
For
the
purposes
of
this
section,
third-party
payment
or
24
prepayment
includes
an
individual
or
group
policy
of
accident
25
or
health
insurance
or
individual
or
group
hospital
or
health
26
care
service
contract
issued
pursuant
to
chapter
509,
514,
or
27
514A,
an
individual
or
group
health
maintenance
organization
28
contract
issued
and
regulated
under
chapter
514B,
or
a
29
preferred
provider
organization
contract
regulated
pursuant
to
30
chapter
514F.
31
5.
Nothing
in
this
section
shall
be
interpreted
to
require
32
an
individual
or
group
health
maintenance
organization
or
a
33
preferred
provider
organization
or
arrangement
to
provide
34
payment
or
prepayment
for
services
provided
by
a
licensed
35
-108-
LSB
5031XC
(11)
87
pf/rn
108/
120
S.F.
_____
master
social
worker
providing
behavioral
health
services
1
under
the
supervision
of
an
independent
social
worker,
or
to
2
a
licensed
mental
health
counselor
or
licensed
marital
and
3
family
therapist
who
holds
a
temporary
license
to
practice
4
mental
health
counseling
or
marital
and
family
therapy
5
providing
behavioral
health
services
under
the
supervision
of
6
a
qualified
supervisor,
as
specified
in
this
section,
unless
7
the
supervising
independent
social
worker
or
the
qualified
8
supervisor,
respectively,
has
entered
into
a
contract
or
other
9
agreement
to
provide
behavioral
health
services
with
the
10
individual
or
group
health
maintenance
organization
or
the
11
preferred
provider
organization
or
arrangement.
12
Sec.
139.
NEW
SECTION
.
514C.33
Services
provided
by
13
provisionally
licensed
psychologists.
14
1.
Notwithstanding
section
514C.6,
a
policy
or
contract
15
providing
for
third-party
payment
or
prepayment
of
health
or
16
medical
expenses
shall
include
a
provision
for
the
payment
of
17
necessary
behavioral
health
services
provided
by
a
person
who
18
holds
a
provisional
license
to
practice
psychology
pursuant
to
19
section
154B.6,
and
who
practices
under
the
supervision
of
a
20
supervisor
who
meets
the
qualifications
determined
by
the
board
21
of
psychology
by
rule.
22
2.
A
policy
or
contract
subject
to
this
section
shall
23
not
impose
a
practice
or
supervision
restriction
which
is
24
inconsistent
with
or
more
restrictive
than
the
authority
25
already
granted
by
law,
including
the
authority
to
provide
26
supervision
in
person
or
remotely
through
electronic
means
as
27
specified
by
rule
of
the
board
of
psychology.
28
3.
The
requirements
of
this
section
apply
to
and
supersede
29
any
conflicting
requirements
regarding
services
provided
under
30
a
policy
or
contract
which
is
delivered,
issued
for
delivery,
31
continued,
or
renewed
in
this
state
on
or
after
the
effective
32
date
of
this
Act,
and
apply
to
and
supersede
any
conflicting
33
requirements
regarding
services
contained
in
an
existing
policy
34
or
contract
on
the
policy’s
or
contract’s
anniversary
or
35
-109-
LSB
5031XC
(11)
87
pf/rn
109/
120
S.F.
_____
renewal
date,
whichever
is
later.
1
4.
For
the
purposes
of
this
section,
third-party
payment
or
2
prepayment
includes
an
individual
or
group
policy
of
accident
3
or
health
insurance
or
individual
or
group
hospital
or
health
4
care
service
contract
issued
pursuant
to
chapter
509,
514,
or
5
514A,
an
individual
or
group
health
maintenance
organization
6
contract
issued
and
regulated
under
chapter
514B,
or
a
7
preferred
provider
organization
contract
regulated
pursuant
to
8
chapter
514F.
9
5.
Nothing
in
this
section
shall
be
interpreted
to
require
10
an
individual
or
group
health
maintenance
organization
or
a
11
preferred
provider
organization
or
arrangement
to
provide
12
payment
or
prepayment
for
services
provided
by
a
provisionally
13
licensed
psychologist
providing
behavioral
health
services
14
under
the
supervision
of
a
supervisor
as
specified
in
this
15
section,
unless
the
supervisor
has
entered
into
a
contract
or
16
other
agreement
to
provide
behavioral
health
services
with
the
17
individual
or
group
health
maintenance
organization
or
the
18
preferred
provider
organization
or
arrangement.
19
Sec.
140.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
20
deemed
of
immediate
importance,
takes
effect
upon
enactment.
21
DIVISION
XXIX
22
PHARMACY
BENEFITS
MANAGER
——
RIGHTS
OF
COVERED
INDIVIDUALS
23
Sec.
141.
NEW
SECTION
.
510B.10
Rights
related
to
covered
24
individuals.
25
1.
A
pharmacy
or
pharmacist,
as
defined
in
section
155A.3,
26
has
the
right
to
provide
a
covered
individual
information
27
regarding
the
amount
of
the
covered
individual’s
cost
share
28
for
a
prescription
drug.
A
pharmacy
benefits
manager
shall
29
not
prohibit
a
pharmacy
or
pharmacist
from
discussing
any
such
30
information
or
from
selling
a
more
affordable
alternative
to
31
the
covered
individual,
if
one
is
available.
32
2.
A
health
benefit
plan,
as
defined
in
section
514J.102,
33
issued
or
renewed
on
or
after
July
1,
2018,
that
provides
34
coverage
for
pharmacy
benefits
shall
not
require
a
covered
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individual
to
pay
a
copayment
for
pharmacy
benefits
that
1
exceeds
the
pharmacy’s
or
pharmacist’s
submitted
charges.
2
3.
Any
amount
paid
by
a
covered
individual
for
a
covered
3
prescription
drug
pursuant
to
this
section
shall
be
applied
4
toward
any
deductible
imposed
by
the
covered
individual’s
5
health
benefit
plan
in
accordance
with
the
covered
individual’s
6
health
benefit
plan
coverage
documents.
7
4.
To
the
extent
that
any
provision
of
this
section
is
8
inconsistent
or
conflicts
with
applicable
federal
law,
rule,
9
or
regulation,
such
federal
law,
rule,
or
regulation
shall
10
prevail
to
the
extent
necessary
to
eliminate
the
inconsistency
11
or
conflict.
12
EXPLANATION
13
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
14
the
explanation’s
substance
by
the
members
of
the
general
assembly.
15
This
bill
relates
to
appropriations
for
health
and
human
16
services
for
fiscal
year
2018-2019
to
the
department
of
17
veterans
affairs,
Iowa
veterans
home,
department
on
aging
18
(IDA),
office
of
long-term
care
ombudsman,
department
of
public
19
health
(DPH),
Iowa
finance
authority,
department
of
human
20
rights,
and
department
of
human
services
(DHS).
21
The
bill
is
organized
into
divisions.
22
DEPARTMENT
ON
AGING.
This
division
makes
appropriations
23
from
the
general
fund
of
the
state
to
the
department
on
aging
24
for
FY
2018-2019.
25
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
makes
26
appropriations
from
the
general
fund
of
the
state
to
the
office
27
of
long-term
care
ombudsman
for
FY
2018-2019.
28
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
makes
29
appropriations
from
the
general
fund
of
the
state
to
the
30
department
of
public
health
for
FY
2018-2019.
31
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
32
division
makes
appropriations
from
the
general
fund
of
the
33
state
to
the
department
of
veterans
affairs
for
FY
2018-2019
34
for
administration,
the
Iowa
veterans
home,
for
transfer
to
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the
Iowa
finance
authority
for
the
home
ownership
assistance
1
program,
and
for
the
county
commissions
of
veteran
affairs.
2
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
makes
3
appropriations
from
the
general
fund
of
the
state
and
the
4
federal
temporary
assistance
for
needy
families
block
grant
5
to
DHS
for
FY
2018-2019.
The
allocation
for
the
family
6
development
and
self-sufficiency
grant
program
is
made
directly
7
to
the
department
of
human
rights.
The
reimbursement
section
8
addresses
reimbursement
for
providers
reimbursed
by
the
9
department
of
human
services.
10
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
makes
certain
11
health-related
appropriations
for
FY
2018-2019.
A
number
12
of
the
appropriations
are
made
for
purposes
of
the
medical
13
assistance
(Medicaid)
program
in
addition
to
the
general
fund
14
appropriations
made
for
this
purpose
for
the
same
fiscal
year.
15
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS.
This
16
division
adjusts
allocations
and
provides
for
the
17
prioritization
of
the
use
of
TANF
funds
that
are
not
necessary
18
for
the
purposes
for
which
they
are
allocated;
provides
19
that
any
portion
of
the
funds
transferred
from
the
Medicaid
20
appropriation
to
the
appropriations
for
general
administration,
21
medical
contracts,
the
children’s
health
insurance
program,
or
22
field
operations
may
be
used,
in
addition
to
the
payment
error
23
rate
measurement
(PERM)
program,
for
other
reviews
and
quality
24
control
activities
to
improve
program
integrity;
provides
for
25
the
nonreversion
of
funds
appropriated
for
FY
2017-2018
for
26
state
supplementary
assistance,
the
juvenile
institution,
the
27
mental
health
institutes,
the
state
resource
centers,
and
28
sexually
violent
predators;
and
adjusts
the
state
payment
29
program
federal
funds
amounts
appropriated
for
federal
fiscal
30
years
2017-2018
and
2018-2019.
These
provisions
take
effect
31
upon
enactment
and
are
retroactively
applicable
to
July
1,
32
2017.
33
DECATEGORIZATION.
This
division
provides
for
the
transfer
34
to
the
medical
assistance
appropriation
for
FY
2018-2019
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of
state-appropriated
moneys
in
the
funding
pool
for
1
decategorization
that
remain
unencumbered
or
unobligated
at
2
the
close
of
the
fiscal
year
beginning
July
1,
2015,
and
that
3
were
deemed
carryover
funding
to
remain
available
for
the
two
4
succeeding
fiscal
years
that
still
remain
unencumbered
or
5
unobligated
at
the
close
of
the
fiscal
year
beginning
July
6
1,
2017.
This
provision
takes
effect
upon
enactment
and
is
7
retroactively
applicable
to
July
1,
2017.
8
STATE
CASES.
This
division
eliminates
the
state’s
9
responsibility
for
payment
of
the
costs
of
mental
health
10
and
disability
services
provided
to
an
individual
whose
11
county
of
residence
cannot
be
determined,
and
eliminates
12
the
responsibility
of
both
the
state
and
any
region
for
the
13
costs
of
mental
health
and
disability
services
provided
to
an
14
individual
who
is
not
a
resident
of
the
state.
The
division
15
makes
other
conforming
changes
related
to
the
elimination
of
16
the
references
to
state
cases.
17
MEDICAID
CLAIMING.
This
division
authorizes
the
department
18
on
aging
to
implement
Medicaid
claiming
for
certain
aging
and
19
disability
resource
center
activities.
The
division
takes
20
effect
upon
enactment.
21
VETERANS
AFFAIRS
——
EXECUTIVE
DIRECTOR.
This
division
22
provides
that
the
salary
range
for
the
executive
director
of
23
the
department
of
veterans
affairs
is
a
range
5
rather
than
a
24
range
3
position.
This
division
takes
effect
upon
enactment.
25
FAMILY
PLANNING
SERVICES
PROGRAM.
This
division
provides
26
for
the
participation
of
certain
providers
in
the
state
family
27
planning
services
program
by
allowing
that
any
entity
that
28
performs
abortions
or
that
maintains
or
operates
a
facility
29
where
abortions
are
performed
is
not
to
be
interpreted
to
30
include
a
nonpublic
entity
that
is
a
distinct
location
of
31
a
nonprofit
health
care
delivery
system,
if
the
distinct
32
location
provides
family
planning
services
but
does
not
perform
33
abortions
or
maintain
or
operate
as
a
facility
where
abortions
34
are
performed.
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PROVISIONAL
REGIONALIZATION
AUTHORIZATION.
This
division
1
provides
that
upon
receiving
a
request
to
be
removed
from
the
2
region
from
any
county
within
the
county
social
services
mental
3
health
and
disability
services
region,
the
director
of
the
4
department
of
human
services
may
authorize
the
county
to
join
5
in
the
formation
of
a
proposed
new
mental
health
and
disability
6
services
region,
subject
to
certain
requirements.
The
division
7
provides
that
if
approved
by
the
department,
the
region
shall
8
commence
full
operations
no
later
than
July
1,
2019.
9
The
division
amends
current
law
to
specify
that
only
a
10
region
formed
prior
to
July
1,
2014,
may
be
exempt
from
11
the
requirement
to
enter
into
a
regional
mental
health
and
12
disabilities
services
region
under
Code
section
331.389.
13
The
division
takes
effect
upon
enactment.
14
MANDATORY
REPORTER
TRAINING
AND
CERTIFICATION
WORKGROUP.
15
This
division
requires
the
department
of
human
services
16
to
facilitate
a
study
by
a
workgroup,
in
cooperation
with
17
the
departments
of
education
and
public
health,
related
to
18
mandatory
child
abuse
and
mandatory
dependent
adult
abuse
19
reporter
training
and
certification
requirements.
The
20
workgroup
is
required
to
develop
interdepartmental
strategies
21
for
improving
mandatory
child
abuse
and
mandatory
dependent
22
adult
abuse
reporter
training
and
certification
requirements
23
and
to
submit
a
report
with
recommendations
to
the
governor
and
24
the
general
assembly
on
or
before
December
15,
2018.
25
NURSING
FACILITY
QUALITY
ASSURANCE
ASSESSMENT.
This
26
division
adjusts
the
maximum
amount
for
the
nursing
facility
27
quality
assurance
assessment
to
provide
that
the
maximum
shall
28
not
exceed
the
maximum
amount
allowed
under
federal
law,
rather
29
than
the
lower
of
3
percent
of
the
aggregate
non-Medicare
30
revenues
of
a
nursing
facility
or
the
maximum
amount
allowed
31
under
federal
law.
The
division
also
clarifies
that
the
32
moneys
in
the
quality
assurance
trust
fund
are
to
be
used
by
33
the
department
of
human
services
only
for
reimbursement
of
34
nursing
facility
services
for
which
Medicaid
federal
financial
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participation
is
available.
1
SEXUAL
OFFENSES
AND
SEX
OFFENDERS.
This
division
relates
to
2
sexually
violent
predators
and
accumulation
of
earned
time
by
3
offenders.
4
The
division
strikes
a
provision
permitting
a
person
5
committed
as
a
sexually
violent
predator
under
Code
chapter
6
229A
(committed
person)
to
be
released
from
a
secure
facility
7
or
a
transitional
release
program
without
supervision.
8
Currently,
a
committed
person
may
be
released
with
or
without
9
supervision.
10
Currently,
if
a
committed
person
absconds
from
the
11
transitional
release
program,
the
court
is
required
to
set
a
12
hearing
within
five
days
of
the
committed
person’s
return
to
a
13
secure
facility
in
order
to
determine
if
a
violation
occurred.
14
The
division
strikes
the
five-day
requirement
and
instead
15
requires
the
court
to
schedule
a
hearing
after
receiving
notice
16
that
the
committed
person
has
been
returned
to
the
secure
17
facility.
18
Under
current
law,
if
the
court
or
jury
has
determined
that
a
19
committed
person
should
be
discharged
from
the
sexually
violent
20
predator
program,
the
court
may
release
the
committed
person
21
with
or
without
supervision
prior
to
such
discharge,
if
the
22
court
determines
it
is
in
the
best
interests
of
the
community.
23
Under
the
division,
if
the
court
or
jury
has
determined
that
a
24
committed
person
should
be
released
from
a
secure
facility
or
a
25
transitional
release
program,
but
the
court
has
determined
the
26
committed
person
suffers
from
a
mental
abnormality
and
it
is
in
27
the
best
interest
of
the
community,
the
court
shall
release
the
28
committed
person
with
supervision
prior
to
discharge.
29
Currently,
the
department
of
human
services
is
the
only
30
designated
agency
that
is
not
liable
for
the
acts
of
a
31
committed
person
released
with
supervision.
Under
the
32
division,
if
a
committed
person
is
released
with
supervision,
33
the
division
specifies
that
a
judicial
district
of
department
34
of
correctional
services
shall
not
be
held
liable
for
any
acts
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of
the
committed
person.
1
If
a
person
is
released
with
supervision,
and
the
person
2
absconds
in
violation
of
the
release
plan,
the
division
strikes
3
the
requirement
that
a
hearing
be
held
within
five
days
of
4
the
committed
person’s
return
to
a
secure
facility
in
order
5
to
determine
if
a
violation
occurred
and
instead
requires
the
6
court
to
schedule
a
hearing
after
the
committed
person
has
been
7
returned
to
a
secure
facility.
8
The
division
also
provides
that
child
abuse
includes
a
9
person
who
is
responsible
for
the
care
of
a
child
knowingly
10
allowing
another
person
custody
of,
control
over,
or
11
unsupervised
access
to
a
child
under
the
age
of
14
or
a
child
12
with
a
physical
or
mental
disability,
after
knowing
the
other
13
person
is
required
to
register
or
is
on
the
sex
offender
14
registry.
The
division
provides
exceptions
for
a
child
living
15
with
a
parent
or
guardian
who
is
a
sex
offender
required
to
16
register
or
on
the
sex
offender
registry,
a
child
living
with
17
a
parent
or
guardian
who
is
married
to
and
living
with
a
sex
18
offender
required
to
register
or
on
the
sex
offender
registry,
19
and
a
child
who
is
a
sex
offender
required
to
register
or
on
the
20
sex
offender
registry
who
is
living
with
the
child’s
parent,
21
guardian,
or
foster
parent
and
is
also
living
with
the
child
to
22
whom
access
was
allowed.
23
MEDICAID
RETROACTIVE
ELIGIBILITY.
This
division
provides
24
that
effective
July
1,
2018,
a
three-month
retroactive
Medicaid
25
coverage
benefit
shall
apply
to
Medicaid
applicants
who
are
26
residents
of
licensed
nursing
facilities.
The
division
takes
27
effect
upon
enactment.
28
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
OF
FUNDS.
29
This
division
provides
that
notwithstanding
a
provision
to
the
30
contrary,
a
county
with
a
population
of
over
300,000
based
on
31
the
most
recent
federal
decennial
census,
may
transfer
funds
32
from
any
other
fund
of
the
county
not
comprised
of
revenue
33
generated
by
a
levy
to
the
mental
health
and
disability
34
regional
services
fund
for
purposes
of
providing
mental
health
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and
disability
services
for
the
fiscal
year
beginning
July
1,
1
2018,
and
ending
June
30,
2019.
The
county
is
required
to
2
submit
a
report
to
the
governor
and
the
general
assembly
by
3
September
1,
2019,
regarding
the
activities
related
to
the
4
transfer
of
any
funds.
5
MISCELLANEOUS
TECHNICAL
PROVISIONS.
This
division
makes
6
technical
changes
to
Code
section
135.15,
updating
the
name
of
7
the
oral
health
bureau
to
the
oral
and
health
delivery
system
8
bureau
and
providing
a
context
for
the
use
of
the
definition
9
of
“dental
home”;
and
to
Code
section
135.175
relating
to
the
10
nurse
residency
state
matching
grants
program.
11
STATE
TRAINING
SCHOOL.
This
division
relates
to
the
state
12
training
school
at
Eldora.
Under
current
law,
“state
training
13
school”
is
defined
to
include
units
for
juvenile
delinquents
14
located
at
Eldora
and
Toledo.
The
division
amends
the
15
definition
of
“state
training
school”
to
eliminate
references
16
to
Toledo
and
makes
conforming
changes
to
Code
sections
233A.14
17
(transfers
to
other
institutions)
and
915.29
(notification
of
18
victim
of
juvenile
by
department
of
human
services).
19
GERIATRIC
PATIENT
HOUSING
REVIEW.
This
division
requires
20
the
department
on
aging
and
the
department
of
human
services,
21
inspections
and
appeals,
and
corrections
during
the
2018
22
legislative
interim
to
cooperatively
review
issues
and
develop
23
policy
recommendations
relating
to
housing
for
geriatric
24
persons
including
geriatric
individuals
on
the
sex
offender
25
registry
or
who
are
sexually
aggressive.
The
agencies
are
26
directed
to
submit
a
joint
report
with
recommendations
to
the
27
governor
and
general
assembly
by
December
15,
2018.
28
DISTRIBUTION
OF
FEDERAL
FUNDS
——
ABORTIONS.
This
division
29
includes
limitations
on
the
distribution
to
certain
applicants
30
of
federal
funds
received
under
Title
X
of
the
federal
Public
31
Health
Services
Act,
the
personal
responsibility
education
32
program,
the
abstinence
education
grant
program,
and
the
33
community
adolescent
pregnancy
prevention
and
services
grant
34
program,
based
on
whether
the
applicant
performs
abortions
or
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maintains
or
operates
a
facility
where
abortions
are
performed.
1
WRONGFUL
BIRTH
OR
WRONGFUL
LIFE
CAUSE
OF
ACTION.
This
2
division
relates
to
causes
of
action
for
wrongful
birth
and
3
wrongful
life.
The
division
prohibits
a
cause
of
action
and
4
the
awarding
of
damages
on
behalf
of
a
person,
based
on
a
5
wrongful
birth
claim
that,
but
for
an
act
or
omission
of
the
6
defendant,
a
child
would
not
or
should
not
have
been
born.
The
7
division
also
prohibits
a
cause
of
action
and
the
awarding
of
8
damages
on
behalf
of
any
person,
based
on
a
wrongful
life
claim
9
that,
but
for
an
act
or
omission
of
the
defendant,
the
person
10
bringing
the
action
would
not
or
should
not
have
been
born.
11
The
prohibitions
apply
to
any
claim
regardless
of
whether
12
the
child
is
born
healthy
or
with
a
birth
defect
or
disorder
or
13
other
adverse
medical
condition.
However,
the
division
does
14
not
apply
to
a
civil
action
for
damages
for
an
intentional
15
or
grossly
negligent
act
or
omission,
including
any
act
or
16
omission
that
constitutes
a
public
offense,
or
to
a
civil
17
action
for
damages
for
the
intentional
failure
of
a
physician
18
to
comply
with
the
duty
imposed
by
licensure
to
provide
a
19
patient
with
all
information
reasonably
necessary
to
make
20
decisions
about
a
pregnancy.
21
The
division
takes
effect
upon
enactment
and
applies
to
a
22
cause
of
action
that
accrues
on
or
after
the
effective
date
of
23
the
division.
A
cause
of
action
that
accrues
before
that
date
24
is
governed
by
the
law
applicable
to
such
a
cause
of
action
25
prior
to
that
date.
26
The
division,
in
part,
is
a
response
to
the
Iowa
supreme
27
court’s
decision
in
Plowman
v.
Fort
Madison
Community
Hospital,
28
No.
15-0974
(June
2,
2017),
holding,
in
part,
that
a
wrongful
29
birth
action
fits
within
common
law
tort
principles
governing
30
medical
negligence
claims.
31
TRANSFER
OF
FUNDS
BETWEEN
DHS
INSTITUTIONS.
This
division
32
requires
the
department
of
human
services
to
report
any
33
transfer
made
during
a
fiscal
quarter
by
the
director
of
DHS
34
between
appropriations
made
to
the
institutions
under
the
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purview
of
the
department,
that
are
not
subject
to
prior
1
written
consent
and
approval
of
the
governor
and
the
department
2
of
management,
to
the
legislative
services
agency
within
30
3
days
of
the
beginning
of
the
subsequent
fiscal
quarter.
4
MEDICAL
CANNABIDIOL.
This
division
relates
to
the
5
collection
of
fees
and
the
performance
of
background
6
investigations
under
the
medical
cannabidiol
Act
(Code
chapter
7
124E).
8
With
respect
to
fees
collected
by
the
department
of
public
9
health
pursuant
to
Code
chapter
124E,
the
department
shall
10
use
such
fees
for
the
operation
of
the
medical
cannabidiol
11
registration
card
program
and
the
medical
cannabidiol
12
manufacturer
and
medical
cannabidiol
dispensary
licensing
13
programs.
Any
remaining
funds
are
to
be
used
to
administer
any
14
of
the
department’s
duties
under
Code
chapter
124E,
including
15
the
addition
of
full-time
equivalent
positions
for
program
16
services
and
investigations.
17
The
division
also
directs
the
division
of
criminal
18
investigation
of
the
department
of
public
safety
to
conduct
19
background
investigations
of
applicants
for
medical
cannabidiol
20
manufacturer
and
medical
cannabidiol
dispensary
licenses,
21
including
employees,
owners
of,
and
investors
in,
any
such
22
applicants.
In
addition
to
the
background
investigation,
23
the
department
of
public
safety
must
require
applicants,
24
their
employees,
and
their
owners
and
investors
to
submit
25
fingerprints
and
other
identifying
information
to
the
26
department
for
submittal
to
the
federal
bureau
of
investigation
27
for
the
purpose
of
conducting
a
national
criminal
history
28
record
check.
The
department
of
public
safety
shall
collect
29
fees
to
offset
the
costs
associated
with
the
background
30
investigations
and
the
criminal
history
record
checks.
31
The
division
takes
effect
upon
enactment.
32
DHS
PROGRAMS
AND
ACTIVITIES.
This
division
relates
to
33
programs
and
activities
under
the
purview
of
the
department
of
34
human
services
including
inmates
of
public
institutions
under
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the
Medicaid
program;
Medicaid
program
administration;
Medicaid
1
program
pharmacy
copayments;
the
medical
assistance
advisory
2
council;
and
reimbursement
for
targeted
case
management
3
services
and
for
inpatient
psychiatric
services
for
individuals
4
under
21
years
of
age.
5
PREAPPLICATION
SCREENING
ASSESSMENTS.
This
division
relates
6
to
preapplication
screening
assessments
for
mental
health
and
7
substance
abuse
commitments.
Under
current
law,
the
state
8
court
administrator
prescribes
practices
and
procedures
for
9
implementation
of
the
preapplication
screening
assessment
10
program
for
both
mental
health
and
substance
abuse
commitments.
11
The
division
strikes
the
requirements
the
court
administrator
12
prescribes
practices
and
procedures
for
implementation
of
the
13
preapplication
screening
assessment
program
for
the
mental
14
health
commitments.
Under
2018
Acts,
House
File
2456,
section
15
15,
the
department
of
human
services,
in
coordination
with
the
16
mental
health
and
disability
services
commission,
instead
is
17
required
to
adopt
administrative
rules
pursuant
to
Code
chapter
18
17A,
relating
to
the
civil
commitment
prescreening
assessments.
19
COVERAGE
OF
BEHAVIORAL
HEALTH
SERVICES
PROVIDED
BY
CERTAIN
20
PROVIDERS.
This
division
provides
for
coverage
under
the
21
Medicaid
program
and
through
third-party
payment
or
prepayment
22
policies
or
contracts
for
licensed
marital
and
family
23
therapists,
licensed
master
social
workers,
licensed
mental
24
health
counselors,
and
psychologists,
holding
provisional
25
or
temporary
licenses
and
practicing
under
the
supervision
26
of
a
specified
supervisor.
The
division
takes
effect
upon
27
enactment.
28
PHARMACY
BENEFITS
MANAGER
——
RIGHTS
OF
COVERED
INDIVIDUALS.
29
This
division
establishes
certain
requirements
regarding
a
30
pharmacy
benefits
manager
relative
to
a
covered
individual.
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