Text: SSB3215            Text: SSB3217


Senate Study Bill 3216

SENATE/HOUSE FILE BY (PROPOSED GOVERNOR'S BUDGET BILL) Passed Senate, Date Passed House, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to and making appropriations for health and human 2 services and including other related provisions and 3 appropriations, and providing effective and applicability date 4 provisions. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 6 TLSB 5012XG 82 7 pf/jp/14 PAG LIN 1 1 DIVISION I 1 2 GENERAL FUND AND BLOCK GRANT APPROPRIATIONS 1 3 ELDER AFFAIRS 1 4 Section 1. DEPARTMENT OF ELDER AFFAIRS. There is 1 5 appropriated from the general fund of the state to the 1 6 department of elder affairs for the fiscal year beginning July 1 7 1, 2008, and ending June 30, 2009, the following amount, or so 1 8 much thereof as is necessary, to be used for the purposes 1 9 designated: 1 10 For aging programs for the department of elder affairs and 1 11 area agencies on aging to provide citizens of Iowa who are 60 1 12 years of age and older with case management for the frail 1 13 elderly only if the monthly cost per client for case 1 14 management for the frail elderly services provided does not 1 15 exceed an average of $70, resident advocate committee 1 16 coordination, employment, and other services which may include 1 17 but are not limited to adult day services, respite care, chore 1 18 services, telephone reassurance, information and assistance, 1 19 and home repair services, and for the construction of entrance 1 20 ramps which make residences accessible to the physically 1 21 handicapped, and for salaries, support, administration, 1 22 maintenance, and miscellaneous purposes: 1 23 .................................................. $ 4,866,698 1 24 1. Funds appropriated in this section may be used to 1 25 supplement federal funds under federal regulations. To 1 26 receive funds appropriated in this section, a local area 1 27 agency on aging shall match the funds with moneys from other 1 28 sources according to rules adopted by the department. Funds 1 29 appropriated in this section may be used for elderly services 1 30 not specifically enumerated in this section only if approved 1 31 by an area agency on aging for provision of the service within 1 32 the area. 1 33 2. Of the funds appropriated in this section, $2,788,223 1 34 shall be used for case management for the frail elderly. Of 1 35 the funds allocated in this subsection, $1,385,015 shall be 2 1 transferred to the department of human services in equal 2 2 amounts on a quarterly basis for reimbursement of case 2 3 management services provided under the medical assistance 2 4 elderly waiver. The department of human services shall adopt 2 5 rules for case management services provided under the medical 2 6 assistance elderly waiver in consultation with the department 2 7 of elder affairs. The monthly cost per client for case 2 8 management for the frail elderly services provided shall not 2 9 exceed an average of $70. 2 10 3. Of the funds appropriated in this section, $200,198 2 11 shall be transferred to the department of economic development 2 12 for the Iowa commission on volunteer services to be used for 2 13 the retired and senior volunteer program. 2 14 PUBLIC HEALTH 2 15 Sec. 2. DEPARTMENT OF PUBLIC HEALTH. There is 2 16 appropriated from the general fund of the state to the 2 17 department of public health for the fiscal year beginning July 2 18 1, 2008, and ending June 30, 2009, the following amounts, or 2 19 so much thereof as is necessary, to be used for the purposes 2 20 designated: 2 21 1. ADDICTIVE DISORDERS 2 22 For reducing the prevalence of use of tobacco, alcohol, and 2 23 other drugs, and treating individuals affected by addictive 2 24 behaviors, including gambling: 2 25 .................................................. $ 22,780,614 2 26 The requirement of section 123.53, subsection 3, is met by 2 27 the appropriations made in this Act for purposes of addictive 2 28 disorders for the fiscal year beginning July 1, 2008. 2 29 2. HEALTHY CHILDREN AND FAMILIES 2 30 For promoting the optimum health status for children, 2 31 adolescents from birth through 21 years of age, and families: 2 32 .................................................. $ 3,536,913 2 33 a. Of the funds appropriated in this subsection, not more 2 34 than $645,917 shall be used for the healthy opportunities to 2 35 experience success (HOPES)=healthy families Iowa (HFI) program 3 1 established pursuant to section 135.106. The department shall 3 2 transfer the funding allocated for the HOPES=HFI program to 3 3 the Iowa empowerment board for distribution and shall assist 3 4 the board in managing the contracting for the funding. The 3 5 funding shall be distributed to renew the grants that were 3 6 provided to the grantees that operated the program during the 3 7 fiscal year ending June 30, 2008. 3 8 b. Of the funds appropriated in this subsection, 3 9 $1,000,000 is allocated for a family planning grants program. 3 10 3. CHRONIC CONDITIONS 3 11 For serving individuals identified as having chronic 3 12 conditions or special health care needs: 3 13 .................................................. $ 2,243,840 3 14 a. Of the combined funds appropriated in this subsection 3 15 and the funds appropriated for purposes of this subsection 3 16 from the health care trust fund, $900,000 is allocated for a 3 17 healthy communities initiative that promotes physical fitness 3 18 and healthy eating habits to lessen the impacts of obesity on 3 19 health care needs. 3 20 b. Of the funds appropriated in this subsection, $75,000 3 21 is allocated to implement a governor's physical fitness 3 22 challenge initiative. 3 23 4. COMMUNITY CAPACITY 3 24 For strengthening the health care delivery system at the 3 25 local level: 3 26 .................................................. $ 3,303,014 3 27 Of the funds appropriated in this subsection, $159,700 is 3 28 allocated for continuation of an initiative implemented at the 3 29 university of Iowa and $140,300 is allocated for an initiative 3 30 at the state mental health institute at Cherokee to expand and 3 31 improve the workforce engaged in mental health treatment and 3 32 services. The initiatives shall receive input from the 3 33 university of Iowa, the department of human services, the 3 34 department of public health, and the mental health, mental 3 35 retardation, developmental disabilities, and brain injury 4 1 commission to address the focus of the initiatives. The 4 2 department of human services, the department of public health, 4 3 and the commission shall receive regular updates concerning 4 4 the status of the initiatives. 4 5 5. ELDERLY WELLNESS 4 6 For promotion of healthy aging and optimization of the 4 7 health of older adults: 4 8 .................................................. $ 9,233,985 4 9 6. ENVIRONMENTAL HAZARDS 4 10 For reducing the public's exposure to hazards in the 4 11 environment, primarily chemical hazards: 4 12 .................................................. $ 1,113,118 4 13 7. INFECTIOUS DISEASES 4 14 For reducing the incidence and prevalence of communicable 4 15 diseases: 4 16 .................................................. $ 2,658,286 4 17 Of the funds appropriated in this subsection, $1,000,000 is 4 18 allocated for an increase in purchasing of vaccines for 4 19 immunizations. 4 20 8. PUBLIC PROTECTION 4 21 For protecting the health and safety of the public through 4 22 establishing standards and enforcing regulations: 4 23 .................................................. $ 4,262,978 4 24 a. Of the funds appropriated in this subsection, $643,500 4 25 shall be credited to the emergency medical services fund 4 26 created in section 135.25. Moneys in the emergency medical 4 27 services fund are appropriated to the department to be used 4 28 for the purposes of the fund. 4 29 b. Of the funds appropriated in this subsection, $400,000 4 30 is allocated for start up costs to implement licensing of 4 31 plumbers and mechanical professionals in accordance with 2007 4 32 Iowa Acts, ch. 198. 4 33 9. RESOURCE MANAGEMENT 4 34 For establishing and sustaining the overall ability of the 4 35 department to deliver services to the public: 5 1 .................................................. $ 1,205,933 5 2 The university of Iowa hospitals and clinics under the 5 3 control of the state board of regents shall not receive 5 4 indirect costs from the funds appropriated in this section. 5 5 Sec. 3. GAMBLING TREATMENT FUND == APPROPRIATION. 5 6 1. In lieu of the appropriation made in section 135.150, 5 7 subsection 1, there is appropriated from funds available in 5 8 the gambling treatment fund created in section 135.150 to the 5 9 department of public health for the fiscal year beginning July 5 10 1, 2008, and ending June 30, 2009, the following amount, or so 5 11 much thereof as is necessary, to be used for the purposes 5 12 designated: 5 13 To be utilized for the benefit of persons with addictive 5 14 disorders: 5 15 .................................................. $ 2,215,000 5 16 It is the intent of the general assembly that from the 5 17 moneys appropriated in this subsection persons with a dual 5 18 diagnosis of substance abuse and gambling addictions shall be 5 19 given priority in treatment services. 5 20 2. The amount remaining in the gambling treatment fund 5 21 after the appropriation made in subsection 1 is appropriated 5 22 to the department to be used for funding of administrative 5 23 costs and to provide programs which may include but are not 5 24 limited to outpatient and follow=up treatment for persons 5 25 affected by problem gambling, rehabilitation and residential 5 26 treatment programs, information and referral services, 5 27 education and preventive services, and financial management 5 28 services. Of the amount appropriated in this subsection, up 5 29 to $100,000 may be used for the licensing of gambling 5 30 treatment programs as provided in section 135.150. 5 31 DEPARTMENT OF VETERANS AFFAIRS 5 32 Sec. 4. DEPARTMENT OF VETERANS AFFAIRS. There is 5 33 appropriated from the general fund of the state to the 5 34 department of veterans affairs for the fiscal year beginning 5 35 July 1, 2008, and ending June 30, 2009, the following amounts, 6 1 or so much thereof as is necessary, to be used for the 6 2 purposes designated: 6 3 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 6 4 For salaries, support, maintenance, and miscellaneous 6 5 purposes, including the war orphans educational assistance 6 6 fund established pursuant to section 35.8: 6 7 .................................................. $ 1,163,457 6 8 2. IOWA VETERANS HOME 6 9 For salaries, support, maintenance, and miscellaneous 6 10 purposes: 6 11 .................................................. $ 12,694,154 6 12 3. VETERANS HOME OWNERSHIP GRANT PROGRAM 6 13 For continuation of the veterans home ownership grant 6 14 program in accordance with section 35A.15 for persons who are 6 15 or were eligible members of the armed forces of the United 6 16 States: 6 17 .................................................. $ 1,600,000 6 18 The active duty service period used for program eligibility 6 19 under the definition in section 35A.15, subsection 1, shall 6 20 begin September 11, 2001, and end June 30, 2009. 6 21 Notwithstanding section 8.33, moneys appropriated in this 6 22 subsection that remain unencumbered or unobligated at the 6 23 close of the fiscal year shall not revert but shall remain 6 24 available for expenditure for the purposes designated until 6 25 the close of the succeeding fiscal year. 6 26 4. COUNTY GRANT PROGRAM FOR VETERANS 6 27 For providing matching grants to counties to provide 6 28 improved services to veterans: 6 29 .................................................. $ 600,000 6 30 The department shall establish or continue a grant 6 31 application process and shall require each county applying for 6 32 a grant to submit a plan for utilizing the grant to improve 6 33 services for veterans. The maximum matching grant to be 6 34 awarded to a county shall be $10,000 and the amount awarded 6 35 shall be matched on a $1=for=$1 basis by the county. Each 7 1 county receiving a grant shall submit a report to the 7 2 department identifying the impact of the grant on increasing 7 3 services to veterans as specified by the department. The 7 4 department shall submit a report to the general assembly by 7 5 October 1, 2008, concerning the impact of the grant program on 7 6 services to veterans. 7 7 Notwithstanding section 8.33, moneys appropriated in this 7 8 subsection that remain unencumbered or unobligated at the 7 9 close of the fiscal year shall not revert to the fund from 7 10 which appropriated but shall be credited to the veterans trust 7 11 fund. 7 12 5. STATE EDUCATIONAL ASSISTANCE == CHILDREN OF DECEASED 7 13 VETERANS 7 14 For provision of educational assistance pursuant to section 7 15 35.9: 7 16 .................................................. $ 27,000 7 17 HUMAN SERVICES 7 18 Sec. 5. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 7 19 GRANT. There is appropriated from the fund created in section 7 20 8.41 to the department of human services for the fiscal year 7 21 beginning July 1, 2008, and ending June 30, 2009, from moneys 7 22 received under the federal temporary assistance for needy 7 23 families (TANF) block grant pursuant to the federal Personal 7 24 Responsibility and Work Opportunity Reconciliation Act of 7 25 1996, Pub. L. No. 104=193, and successor legislation, which 7 26 are federally appropriated for the federal fiscal years 7 27 beginning October 1, 2007, and ending September 30, 2008, and 7 28 beginning October 1, 2008, and ending September 30, 2009, the 7 29 following amounts, or so much thereof as is necessary, to be 7 30 used for the purposes designated: 7 31 1. To be credited to the family investment program account 7 32 and used for assistance under the family investment program 7 33 under chapter 239B: 7 34 .................................................. $ 28,101,513 7 35 2. To be credited to the family investment program account 8 1 and used for the job opportunities and basic skills (JOBS) 8 2 program and implementing family investment agreements in 8 3 accordance with chapter 239B: 8 4 .................................................. $ 13,334,528 8 5 Notwithstanding section 8.33, not more than 5 percent of 8 6 the moneys designated in this subsection that are allocated by 8 7 the department for contracted services, other than family 8 8 self=sufficiency grant services allocated under this 8 9 subsection, that remain unencumbered or unobligated at the 8 10 close of the fiscal year shall not revert but shall remain 8 11 available for expenditure for the purposes designated until 8 12 the close of the succeeding fiscal year. However, unless such 8 13 moneys are encumbered or obligated on or before September 30, 8 14 2009, the moneys shall revert. 8 15 3. To be used for the family development and 8 16 self=sufficiency grant program administered by the department 8 17 of human rights as provided under this division of this Act: 8 18 .................................................. $ 2,998,675 8 19 4. For field operations: 8 20 .................................................. $ 17,707,495 8 21 5. For general administration: 8 22 .................................................. $ 3,744,000 8 23 6. For local administrative costs: 8 24 .................................................. $ 2,189,830 8 25 7. For state child care assistance: 8 26 .................................................. $ 25,886,177 8 27 a. Of the funds appropriated in this subsection, 8 28 $18,986,177 shall be transferred to the child care and 8 29 development block grant appropriation made for the federal 8 30 fiscal year beginning October 1, 2008, and ending September 8 31 30, 2009. Of this amount, $200,000 shall be used for 8 32 provision of educational opportunities to registered child 8 33 care home providers in order to improve services and programs 8 34 offered by this category of providers and to increase the 8 35 number of such providers. The department may contract with 9 1 institutions of higher education or child care resource and 9 2 referral centers to provide the educational opportunities. 9 3 Allowable administrative costs under the contracts shall not 9 4 exceed 5 percent. The application used for the contract 9 5 process shall not exceed two pages in length. 9 6 b. Any funds appropriated in this subsection remaining 9 7 unallocated shall be used for state child care assistance 9 8 payments for individuals enrolled in the family investment 9 9 program who are employed. 9 10 8. For mental health and developmental disabilities 9 11 community services: 9 12 .................................................. $ 4,894,052 9 13 9. For child and family services: 9 14 .................................................. $ 32,084,430 9 15 10. For child abuse prevention grants: 9 16 .................................................. $ 250,000 9 17 11. For pregnancy prevention grants on the condition that 9 18 family planning services are funded: 9 19 .................................................. $ 1,930,067 9 20 Pregnancy prevention grants shall be awarded to programs in 9 21 existence on or before July 1, 2008, if the programs are 9 22 comprehensive in scope and have demonstrated positive 9 23 outcomes. Grants shall be awarded to pregnancy prevention 9 24 programs which are developed after July 1, 2008, if the 9 25 programs are comprehensive in scope and are based on existing 9 26 models that have demonstrated positive outcomes. Grants shall 9 27 comply with the requirements provided in 1997 Iowa Acts, 9 28 chapter 208, section 14, subsections 1 and 2, including the 9 29 requirement that grant programs must emphasize sexual 9 30 abstinence. Priority in the awarding of grants shall be given 9 31 to programs that serve areas of the state which demonstrate 9 32 the highest percentage of unplanned pregnancies of females of 9 33 childbearing age within the geographic area to be served by 9 34 the grant. 9 35 12. For technology needs and other resources necessary to 10 1 meet federal welfare reform reporting, tracking, and case 10 2 management requirements: 10 3 .................................................. $ 1,037,186 10 4 13. For the healthy opportunities for parents to 10 5 experience success (HOPES) program administered by the 10 6 department of public health to target child abuse prevention: 10 7 .................................................. $ 200,000 10 8 14. To be credited to the state child care assistance 10 9 appropriation made in this section to be used for funding of 10 10 community=based early childhood programs targeted to children 10 11 from birth through five years of age developed by community 10 12 empowerment areas as provided in section 28.9: 10 13 .................................................. $ 7,350,000 10 14 The department shall transfer TANF block grant funding 10 15 appropriated and allocated in this subsection to the child 10 16 care and development block grant appropriation in accordance 10 17 with federal law as necessary to comply with the provisions of 10 18 this subsection. 10 19 15. For a pilot program to be established in one or more 10 20 judicial districts, selected by the department and the 10 21 judicial council, to provide employment and support services 10 22 to delinquent child support obligors as an alternative to 10 23 commitment to jail as punishment for contempt of court: 10 24 .................................................. $ 200,000 10 25 Of the amounts appropriated in this section, $12,962,008 10 26 for the fiscal year beginning July 1, 2008, shall be 10 27 transferred to the appropriation of the federal social 10 28 services block grant for that fiscal year. 10 29 The department may transfer funds allocated in this section 10 30 to the appropriations in this Act for general administration 10 31 and field operations for resources necessary to implement and 10 32 operate the services referred to in this section and those 10 33 funded in the appropriation made in this division of this Act 10 34 for the family investment program from the general fund of the 10 35 state. 11 1 Sec. 6. FAMILY INVESTMENT PROGRAM ACCOUNT. 11 2 1. Moneys credited to the family investment program (FIP) 11 3 account for the fiscal year beginning July 1, 2008, and ending 11 4 June 30, 2009, shall be used to provide assistance in 11 5 accordance with chapter 239B. 11 6 2. The department may use a portion of the moneys credited 11 7 to the FIP account under this section as necessary for 11 8 salaries, support, maintenance, and miscellaneous purposes. 11 9 3. The department may transfer funds allocated in this 11 10 section to the appropriations in this Act for general 11 11 administration and field operations for resources necessary to 11 12 implement and operate the services referred to in this section 11 13 and those funded in the appropriation made in this division of 11 14 this Act for the family investment program from the general 11 15 fund of the state. 11 16 4. Moneys appropriated in this division of this Act and 11 17 credited to the FIP account for the fiscal year beginning July 11 18 1, 2008, and ending June 30, 2009, are allocated as follows: 11 19 a. To be retained by the department of human services to 11 20 be used for coordinating with the department of human rights 11 21 to more effectively serve participants in the FIP program and 11 22 other shared clients and to meet federal reporting 11 23 requirements under the federal temporary assistance for needy 11 24 families block grant: 11 25 .................................................. $ 20,000 11 26 b. To the department of human rights for staffing, 11 27 administration, and implementation of the family development 11 28 and self=sufficiency grant program: 11 29 .................................................. $ 5,563,042 11 30 (1) Of the funds allocated for the family development and 11 31 self=sufficiency grant program in this lettered paragraph, not 11 32 more than 5 percent of the funds shall be used for the 11 33 administration of the grant program. 11 34 (2) The department of human rights may continue to 11 35 implement the family development and self=sufficiency grant 12 1 program statewide during fiscal year 2008=2009. 12 2 (3) The department of human rights is responsible for 12 3 complying with all federal temporary assistance for needy 12 4 families block grant requirements with respect to the funds 12 5 allocated in this lettered paragraph and for any federal 12 6 penalty that may result from a failure to meet the 12 7 requirements. These responsibilities include but are not 12 8 limited to ensuring that all expenditures of federal block 12 9 grant and state maintenance of effort funds are appropriate 12 10 and allowable in accordance with federal requirements and meet 12 11 federal work participation requirements with respect to the 12 12 population receiving benefits or services under the family 12 13 development and self=sufficiency grant program that are 12 14 subject to work requirements. 12 15 (4) With the allocation of funding for the family 12 16 development and self=sufficiency grant program directly to the 12 17 department of human rights in lieu of allocation through the 12 18 department of human services, the department of human rights 12 19 shall assume all responsibility for the grant program. The 12 20 responsibility includes identifying and addressing 12 21 implementation of any revisions in state law or administrative 12 22 rule needed to effect this change, including but not limited 12 23 to identifying any amendments needed to section 217.12. 12 24 (5) The department of human rights, consistent with the 12 25 accountable government Act in chapter 8E, shall adopt 12 26 appropriate performance measures for the grant program, 12 27 including but not limited to measures demonstrating how the 12 28 program helps families achieve self=sufficiency. The 12 29 department of human rights shall submit to the governor and 12 30 general assembly on or before October 31, 2009, a report 12 31 detailing these measurers and outcomes achieved for the fiscal 12 32 year beginning July 1, 2008, and ending June 30, 2009. 12 33 (6) The department of human rights shall develop a 12 34 memorandum of agreement with the department of human services 12 35 to coordinate referrals and delivery of services to 13 1 participants in the family investment program and other shared 13 2 clients and shall provide the department of human services 13 3 with information necessary for compliance with federal 13 4 temporary assistance for needy families block grant state plan 13 5 and reporting requirements, including but not limited to 13 6 financial and data reports. 13 7 c. For the diversion subaccount of the FIP account: 13 8 .................................................. $ 2,814,000 13 9 (1) A portion of the moneys allocated for the subaccount 13 10 may be used for field operations salaries, data management 13 11 system development, and implementation costs and support 13 12 deemed necessary by the director of human services in order to 13 13 administer the FIP diversion program. 13 14 (2) Of the funds allocated in this lettered paragraph, not 13 15 more than $250,000 shall be used to develop or continue 13 16 community=level parental obligation pilot projects. The 13 17 requirements established under 2001 Iowa Acts, chapter 191, 13 18 section 3, subsection 5, paragraph "c", subparagraph (3), 13 19 shall remain applicable to the parental obligation pilot 13 20 projects for fiscal year 2008=2009. Notwithstanding 441 IAC 13 21 100.8, providing for termination of rules relating to the 13 22 pilot projects the earlier of October 1, 2006, or when 13 23 legislative authority is discontinued, the rules relating to 13 24 the pilot projects shall remain in effect until June 30, 2009. 13 25 d. For continuation of the program to provide transitional 13 26 benefits to families with members who are employed at the time 13 27 the family leaves the family investment program in accordance 13 28 with section 239B.11A: 13 29 .................................................. $ 2,000,000 13 30 e. For the food stamp employment and training program: 13 31 .................................................. $ 68,059 13 32 f. For the JOBS program: 13 33 .................................................. $ 22,310,116 13 34 5. Of the child support collections assigned under FIP, an 13 35 amount equal to the federal share of support collections shall 14 1 be credited to the child support recovery appropriation. Of 14 2 the remainder of the assigned child support collections 14 3 received by the child support recovery unit, a portion shall 14 4 be credited to the FIP account, a portion may be used to 14 5 increase recoveries, and a portion may be used to sustain cash 14 6 flow in the child support payments account. If as a result 14 7 the appropriations allocated in this section are insufficient 14 8 to sustain cash assistance payments and meet federal 14 9 maintenance of effort requirements, the department shall seek 14 10 supplemental funding. If child support collections assigned 14 11 under FIP are greater than estimated or are otherwise 14 12 determined not to be required for maintenance of effort, the 14 13 state share of either amount may be transferred to or retained 14 14 in the child support payment account. 14 15 6. The department may adopt emergency rules for the family 14 16 investment, JOBS, family development and self=sufficiency 14 17 grant, food stamp, and medical assistance programs if 14 18 necessary to comply with federal requirements. 14 19 Sec. 7. FAMILY INVESTMENT PROGRAM GENERAL FUND. There is 14 20 appropriated from the general fund of the state to the 14 21 department of human services for the fiscal year beginning 14 22 July 1, 2008, and ending June 30, 2009, the following amount, 14 23 or so much thereof as is necessary, to be used for the purpose 14 24 designated: 14 25 To be credited to the family investment program (FIP) 14 26 account and used for family investment program assistance 14 27 under chapter 239B: 14 28 .................................................. $ 42,368,632 14 29 1. Of the funds appropriated in this section, $8,975,588 14 30 is allocated for the JOBS program. 14 31 2. Of the funds appropriated in this section, $2,584,367 14 32 is allocated for the family development and self=sufficiency 14 33 grant program as provided under section 217.12 and this 14 34 division of this Act. The department of human rights shall 14 35 ensure that the expenditures of moneys allocated from the 15 1 general fund of the state pursuant to this subsection are 15 2 eligible to be considered as state maintenance of effort 15 3 expenditures under federal temporary assistance for needy 15 4 families block grant requirements. 15 5 3. Of the funds appropriated in this section, $250,000 15 6 shall be used to continue a grant to an Iowa=based nonprofit 15 7 organization with a history of providing tax preparation 15 8 assistance to low=income Iowans in order to expand the usage 15 9 of the earned income tax credit. The purpose of the grant is 15 10 to supply this assistance to underserved areas of the state. 15 11 The grant shall be provided to an organization that has 15 12 existing national foundation support for supplying such 15 13 assistance that can also secure local charitable match 15 14 funding. 15 15 4. Of the funds appropriated in this section, $200,000 is 15 16 allocated for financial literacy grants. 15 17 5. Notwithstanding section 8.39, for the fiscal year 15 18 beginning July 1, 2008, if necessary to meet federal 15 19 maintenance of effort requirements or to transfer federal 15 20 temporary assistance for needy families block grant funding to 15 21 be used for purposes of the federal social services block 15 22 grant or to meet cash flow needs resulting from delays in 15 23 receiving federal funding or to implement, in accordance with 15 24 this division of this Act, activities currently funded with 15 25 juvenile court services, county, or community moneys, and 15 26 state moneys used in combination with such moneys, the 15 27 department of human services may transfer funds within or 15 28 between any of the appropriations made in this division of 15 29 this Act and appropriations in law for the federal social 15 30 services block grant to the department for the following 15 31 purposes, provided that the combined amount of state and 15 32 federal temporary assistance for needy families block grant 15 33 funding for each appropriation remains the same before and 15 34 after the transfer: 15 35 a. For the family investment program. 16 1 b. For child care assistance. 16 2 c. For child and family services. 16 3 d. For field operations. 16 4 e. For general administration. 16 5 f. MH/MR/DD/BI community services (local purchase). 16 6 This subsection shall not be construed to prohibit the use 16 7 of existing state transfer authority for other purposes. The 16 8 department shall report any transfers made pursuant to this 16 9 subsection to the legislative services agency. 16 10 Sec. 8. CHILD SUPPORT RECOVERY. There is appropriated 16 11 from the general fund of the state to the department of human 16 12 services for the fiscal year beginning July 1, 2008, and 16 13 ending June 30, 2009, the following amount, or so much thereof 16 14 as is necessary, to be used for the purposes designated: 16 15 For child support recovery, including salaries, support, 16 16 maintenance, and miscellaneous purposes: 16 17 .................................................. $ 15,316,323 16 18 1. The department shall expend up to $31,000, including 16 19 federal financial participation, for the fiscal year beginning 16 20 July 1, 2008, for a child support public awareness campaign. 16 21 The department and the office of the attorney general shall 16 22 cooperate in continuation of the campaign. The public 16 23 awareness campaign shall emphasize, through a variety of media 16 24 activities, the importance of maximum involvement of both 16 25 parents in the lives of their children as well as the 16 26 importance of payment of child support obligations. 16 27 2. Federal access and visitation grant moneys shall be 16 28 issued directly to private not=for=profit agencies that 16 29 provide services designed to increase compliance with the 16 30 child access provisions of court orders, including but not 16 31 limited to neutral visitation sites and mediation services. 16 32 3. The appropriation made to the department for child 16 33 support recovery may be used throughout the fiscal year in the 16 34 manner necessary for purposes of cash flow management, and for 16 35 cash flow management purposes the department may temporarily 17 1 draw more than the amount appropriated, provided the amount 17 2 appropriated is not exceeded at the close of the fiscal year. 17 3 Sec. 9. MEDICAL ASSISTANCE. There is appropriated from 17 4 the general fund of the state to the department of human 17 5 services for the fiscal year beginning July 1, 2008, and 17 6 ending June 30, 2009, the following amount, or so much thereof 17 7 as is necessary, to be used for the purpose designated: 17 8 For medical assistance reimbursement and associated costs 17 9 as specifically provided in the reimbursement methodologies in 17 10 effect on June 30, 2008, except as otherwise expressly 17 11 authorized by law, including reimbursement for abortion 17 12 services which shall be available under the medical assistance 17 13 program only for those abortions which are medically 17 14 necessary: 17 15 .................................................. $695,858,450 17 16 1. Medically necessary abortions are those performed under 17 17 any of the following conditions: 17 18 a. The attending physician certifies that continuing the 17 19 pregnancy would endanger the life of the pregnant woman. 17 20 b. The attending physician certifies that the fetus is 17 21 physically deformed, mentally deficient, or afflicted with a 17 22 congenital illness. 17 23 c. The pregnancy is the result of a rape which is reported 17 24 within 45 days of the incident to a law enforcement agency or 17 25 public or private health agency which may include a family 17 26 physician. 17 27 d. The pregnancy is the result of incest which is reported 17 28 within 150 days of the incident to a law enforcement agency or 17 29 public or private health agency which may include a family 17 30 physician. 17 31 e. Any spontaneous abortion, commonly known as a 17 32 miscarriage, if not all of the products of conception are 17 33 expelled. 17 34 2. The department shall utilize not more than $60,000 of 17 35 the funds appropriated in this section to continue the 18 1 AIDS/HIV health insurance premium payment program as 18 2 established in 1992 Iowa Acts, Second Extraordinary Session, 18 3 chapter 1001, section 409, subsection 6. Of the funds 18 4 allocated in this subsection, not more than $5,000 may be 18 5 expended for administrative purposes. 18 6 3. Of the funds appropriated in this Act to the department 18 7 of public health for addictive disorders, $950,000 for the 18 8 fiscal year beginning July 1, 2008, shall be transferred to 18 9 the department of human services for an integrated substance 18 10 abuse managed care system. The department shall not assume 18 11 management of the substance abuse system in place of the 18 12 managed care contractor unless such a change in approach is 18 13 specifically authorized in law. 18 14 4. a. The department shall aggressively pursue options 18 15 for providing medical assistance or other assistance to 18 16 individuals with special needs who become ineligible to 18 17 continue receiving services under the early and periodic 18 18 screening, diagnosis, and treatment program under the medical 18 19 assistance program due to becoming 21 years of age who have 18 20 been approved for additional assistance through the 18 21 department's exception to policy provisions, but who have 18 22 health care needs in excess of the funding available through 18 23 the exception to policy provisions. 18 24 b. Of the funds appropriated in this section, $100,000 18 25 shall be used for participation in one or more pilot projects 18 26 operated by a private provider to allow the individual or 18 27 individuals to receive service in the community in accordance 18 28 with principles established in Olmstead v. L.C., 527 U.S. 581 18 29 (1999), for the purpose of providing medical assistance or 18 30 other assistance to individuals with special needs who become 18 31 ineligible to continue receiving services under the early and 18 32 periodic screening, diagnosis, and treatment program under the 18 33 medical assistance program due to becoming 21 years of age who 18 34 have been approved for additional assistance through the 18 35 department's exception to policy provisions, but who have 19 1 health care needs in excess of the funding available through 19 2 the exception to the policy provisions. 19 3 5. Of the funds appropriated in this section, up to 19 4 $3,050,082 may be transferred to the field operations or 19 5 general administration appropriations in this Act for 19 6 operational costs associated with Part D of the federal 19 7 Medicare Prescription Drug, Improvement, and Modernization Act 19 8 of 2003, Pub. L. No. 108=173. 19 9 6. In addition to any other funds appropriated in this 19 10 Act, of the funds appropriated in this section, $250,000 shall 19 11 be used for continuation of the grant to the Iowa healthcare 19 12 collaborative as defined in section 135.40. 19 13 7. Of the funds appropriated in this section, up to 19 14 $500,000 shall be used to enhance outreach efforts. The 19 15 department may transfer funds allocated in this subsection to 19 16 the appropriations in this division of this Act for general 19 17 administration, the state children's health insurance program, 19 18 or medical contracts, as necessary, to implement the outreach 19 19 efforts. 19 20 8. Of the funds appropriated in this section, a sufficient 19 21 amount is allocated to supplement the incomes of residents in 19 22 nursing facilities with incomes of less than $50 per month in 19 23 the amount necessary for the residents to receive a personal 19 24 needs allowance of $50 per month. 19 25 9. Of the funds appropriated in this section, up to 19 26 $442,100 may be transferred to the appropriation in this Act 19 27 for medical contracts to be used for clinical assessment 19 28 services related to remedial services in accordance with 19 29 federal law. 19 30 10. Of the funds appropriated in this section, $1,143,522 19 31 may be used for the demonstration to maintain independence and 19 32 employment (DMIE) if the waiver for DMIE is approved by the 19 33 centers for Medicare and Medicaid services of the United 19 34 States department of health and human services. Additionally, 19 35 if the waiver is approved, $440,000 of the funds shall be 20 1 transferred to the department of corrections for DMIE 20 2 activities. 20 3 11. Of the funds appropriated in this section, the 20 4 following amounts shall be transferred to appropriations made 20 5 in this division of this Act to the state mental health 20 6 institutes: 20 7 a. Cherokee mental health institute .......... $ 5,933,659 20 8 b. Clarinda mental health institute .......... $ 1,289,526 20 9 c. Independence mental health institute ...... $ 5,899,400 20 10 d. Mount Pleasant mental health institute .... $ 3,751,626 20 11 12. a. Of the funds appropriated in this section, 20 12 $2,797,719 is allocated for state match for disproportionate 20 13 share hospital payment of $7,321,954 to hospitals that meet 20 14 both of the following conditions: 20 15 (1) The hospital qualifies for disproportionate share and 20 16 graduate medical education payments. 20 17 (2) The hospital is an Iowa state=owned hospital with more 20 18 than 500 beds and eight or more distinct residency specialty 20 19 or subspecialty programs recognized by the American college of 20 20 graduate medical education. 20 21 b. Distribution of the disproportionate share payment 20 22 shall be made on a monthly basis. The total amount of 20 23 disproportionate share payments including graduate medical 20 24 education, enhanced disproportionate share, and Iowa 20 25 state=owned teaching hospital payments shall not exceed the 20 26 amount of the state's allotment under Pub. L. No. 102=234. In 20 27 addition, the total amount of all disproportionate share 20 28 payments shall not exceed the hospital=specific 20 29 disproportionate share limits under Pub. L. No. 103=66. 20 30 13. The department shall implement cost=saving initiatives 20 31 including implementing a surcharge for claims filed on paper 20 32 when electronic filing is available, including claims for 20 33 behavioral drugs on the preferred drug list, revising the 20 34 state maximum allowable cost for generic drugs by eliminating 20 35 brand=name drugs from the calculation, collecting a 21 1 supplemental rebate on diabetic supplies, reimbursing 21 2 physicians for drugs at the same rate as pharmacists, 21 3 reimbursing anesthesiologists at Medicare rates, and revising 21 4 nursing home payments to eliminate the supplemental 21 5 accountability measures payments. 21 6 14. A portion of the funds appropriated in this section 21 7 may be transferred to the appropriations made in this division 21 8 of this Act for general administration, medical contracts, the 21 9 state children's health insurance program, or field operations 21 10 to be used for the state match cost to comply with the payment 21 11 error rate measurement (PERM) program for both the medical 21 12 assistance and state children's health insurance programs as 21 13 developed by the centers for Medicare and Medicaid services of 21 14 the United States department of health and human services to 21 15 comply with the federal Improper Payments Information Act of 21 16 2002, Pub. L. No. 107=300. 21 17 Sec. 10. HEALTH INSURANCE PREMIUM PAYMENT PROGRAM. There 21 18 is appropriated from the general fund of the state to the 21 19 department of human services for the fiscal year beginning 21 20 July 1, 2008, and ending June 30, 2009, the following amount, 21 21 or so much thereof as is necessary, to be used for the purpose 21 22 designated: 21 23 For administration of the health insurance premium payment 21 24 program, including salaries, support, maintenance, and 21 25 miscellaneous purposes: 21 26 .................................................. $ 566,338 21 27 Sec. 11. MEDICAL CONTRACTS. There is appropriated from 21 28 the general fund of the state to the department of human 21 29 services for the fiscal year beginning July 1, 2008, and 21 30 ending June 30, 2009, the following amount, or so much thereof 21 31 as is necessary, to be used for the purpose designated: 21 32 For medical contracts, including salaries, support, 21 33 maintenance, and miscellaneous purposes: 21 34 .................................................. $ 14,796,616 21 35 1. Of the funds appropriated in this section, $50,000 22 1 shall be used for electronic cross=matching with state vital 22 2 records databases through the department of public health. 22 3 2. Of the funds appropriated in this section, $500,000 22 4 shall be used for increased monitoring of home and 22 5 community=based services. 22 6 Sec. 12. STATE SUPPLEMENTARY ASSISTANCE. 22 7 1. There is appropriated from the general fund of the 22 8 state to the department of human services for the fiscal year 22 9 beginning July 1, 2008, and ending June 30, 2009, the 22 10 following amount, or so much thereof as is necessary, to be 22 11 used for the purpose designated: 22 12 For the state supplementary assistance program: 22 13 .................................................. $ 18,793,766 22 14 2. The department shall increase the personal needs 22 15 allowance for residents of residential care facilities by the 22 16 same percentage and at the same time as federal supplemental 22 17 security income and federal social security benefits are 22 18 increased due to a recognized increase in the cost of living. 22 19 The department may adopt emergency rules to implement this 22 20 subsection. 22 21 3. If during the fiscal year beginning July 1, 2008, the 22 22 department projects that state supplementary assistance 22 23 expenditures for a calendar year will not meet the federal 22 24 pass=through requirement specified in Title XVI of the federal 22 25 Social Security Act, section 1618, as codified in 42 U.S.C. } 22 26 1382g, the department may take actions including but not 22 27 limited to increasing the personal needs allowance for 22 28 residential care facility residents and making programmatic 22 29 adjustments or upward adjustments of the residential care 22 30 facility or in=home health=related care reimbursement rates 22 31 prescribed in this division of this Act to ensure that federal 22 32 requirements are met. In addition, the department may make 22 33 other programmatic and rate adjustments necessary to remain 22 34 within the amount appropriated in this section while ensuring 22 35 compliance with federal requirements. The department may 23 1 adopt emergency rules to implement the provisions of this 23 2 subsection. 23 3 Sec. 13. STATE CHILDREN'S HEALTH INSURANCE PROGRAM. 23 4 1. There is appropriated from the general fund of the 23 5 state to the department of human services for the fiscal year 23 6 beginning July 1, 2008, and ending June 30, 2009, the 23 7 following amount, or so much thereof as is necessary, to be 23 8 used for the purpose designated: 23 9 For maintenance of the healthy and well kids in Iowa (hawk= 23 10 i) program pursuant to chapter 514I for receipt of federal 23 11 financial participation under Title XXI of the federal Social 23 12 Security Act, which creates the state children's health 23 13 insurance program: 23 14 .................................................. $ 11,768,175 23 15 2. If sufficient funding is available under this Act, and 23 16 if federal reauthorization of the state children's health 23 17 insurance program provides sufficient federal allocations to 23 18 the state and authorization to cover the following populations 23 19 as an option under the state children's health insurance 23 20 program, the department may expand coverage under the state 23 21 children's health insurance program as follows: 23 22 a. By eliminating the categorical exclusion of state 23 23 employees from receiving state children's health insurance 23 24 program benefits. 23 25 b. By providing coverage for legal immigrant children and 23 26 pregnant women not eligible under current federal guidelines. 23 27 c. By covering children up to age twenty=one, or up to age 23 28 twenty=three if the child is attending school. 23 29 3. If the United States Congress does not authorize 23 30 additional federal funds necessary to address the shortfall 23 31 for the state children's health insurance program, the 23 32 department may use 100 percent of state funds from the 23 33 appropriation made in this section for the period beginning 23 34 July 1, 2008, and ending June 30, 2009, and may, after 23 35 consultation with the governor and the general assembly, 24 1 utilize funding from the appropriations made in this Act for 24 2 medical assistance to maintain the state children's health 24 3 insurance program. 24 4 Sec. 14. CHILD CARE ASSISTANCE. There is appropriated 24 5 from the general fund of the state to the department of human 24 6 services for the fiscal year beginning July 1, 2008, and 24 7 ending June 30, 2009, the following amount, or so much thereof 24 8 as is necessary, to be used for the purpose designated: 24 9 For child care programs: 24 10 .................................................. $ 41,636,097 24 11 1. Of the funds appropriated in this section, $37,630,285 24 12 shall be used for state child care assistance in accordance 24 13 with section 237A.13. 24 14 2. Nothing in this section shall be construed or is 24 15 intended as or shall imply a grant of entitlement for services 24 16 to persons who are eligible for assistance due to an income 24 17 level consistent with the waiting list requirements of section 24 18 237A.13. Any state obligation to provide services pursuant to 24 19 this section is limited to the extent of the funds 24 20 appropriated in this section. 24 21 3. Of the funds appropriated in this section, $525,524 is 24 22 allocated for the statewide program for child care resource 24 23 and referral services under section 237A.26. A list of the 24 24 registered and licensed child care facilities operating in the 24 25 area served by a child care resource and referral service 24 26 shall be made available to the families receiving state child 24 27 care assistance in that area. 24 28 4. Of the funds appropriated in this section, $2,280,288 24 29 is allocated for child care quality improvement initiatives 24 30 including but not limited to continuation of the voluntary 24 31 quality rating system in accordance with section 237A.30. 24 32 5. The department may use any of the funds appropriated in 24 33 this section as a match to obtain federal funds for use in 24 34 expanding child care assistance and related programs. For the 24 35 purpose of expenditures of state and federal child care 25 1 funding, funds shall be considered obligated at the time 25 2 expenditures are projected or are allocated to the 25 3 department's service areas. Projections shall be based on 25 4 current and projected caseload growth, current and projected 25 5 provider rates, staffing requirements for eligibility 25 6 determination and management of program requirements including 25 7 data systems management, staffing requirements for 25 8 administration of the program, contractual and grant 25 9 obligations and any transfers to other state agencies, and 25 10 obligations for decategorization or innovation projects. 25 11 6. A portion of the state match for the federal child care 25 12 and development block grant shall be provided as necessary to 25 13 meet federal matching funds requirements through the state 25 14 general fund appropriation made for child development grants 25 15 and other programs for at=risk children in section 279.51. 25 16 7. Of the funds appropriated in this section, $1,200,000 25 17 is transferred to the Iowa empowerment fund from which it is 25 18 appropriated to be used for professional development for the 25 19 system of early care, health, and education. 25 20 8. Notwithstanding section 8.33, moneys appropriated in 25 21 this section or received from the federal appropriations made 25 22 for the purposes of this section that remain unencumbered or 25 23 unobligated at the close of the fiscal year shall not revert 25 24 to any fund but shall remain available for expenditure for the 25 25 purposes designated until the close of the succeeding fiscal 25 26 year. 25 27 Sec. 15. JUVENILE INSTITUTIONS. There is appropriated 25 28 from the general fund of the state to the department of human 25 29 services for the fiscal year beginning July 1, 2008, and 25 30 ending June 30, 2009, the following amounts, or so much 25 31 thereof as is necessary, to be used for the purposes 25 32 designated: 25 33 1. For operation of the Iowa juvenile home at Toledo, and 25 34 for salaries, support, and maintenance: 25 35 .................................................. $ 7,579,484 26 1 2. For operation of the state training school at Eldora, 26 2 and for salaries, support, and maintenance: 26 3 .................................................. $ 11,948,327 26 4 3. A portion of the moneys appropriated in this section 26 5 shall be used by the state training school and by the Iowa 26 6 juvenile home for grants for adolescent pregnancy prevention 26 7 activities at the institutions in the fiscal year beginning 26 8 July 1, 2008. 26 9 Sec. 16. CHILD AND FAMILY SERVICES. 26 10 1. There is appropriated from the general fund of the 26 11 state to the department of human services for the fiscal year 26 12 beginning July 1, 2008, and ending June 30, 2009, the 26 13 following amount, or so much thereof as is necessary, to be 26 14 used for the purpose designated: 26 15 For child and family services: 26 16 .................................................. $ 93,141,701 26 17 2. In order to address a reduction of $5,200,000 from the 26 18 amount allocated under the appropriation made for the purposes 26 19 of this section in prior years for purposes of juvenile 26 20 delinquent graduated sanction services, up to $5,200,000 of 26 21 the amount of federal temporary assistance for needy families 26 22 block grant funding appropriated in this division of this Act 26 23 for child and family services shall be made available for 26 24 purposes of juvenile delinquent graduated sanction services. 26 25 3. The department may transfer funds appropriated in this 26 26 section as necessary to pay the nonfederal costs of services 26 27 reimbursed under the medical assistance program, the state 26 28 child care assistance program, or the family investment 26 29 program which are provided to children who would otherwise 26 30 receive services paid under the appropriation in this section. 26 31 The department may transfer funds appropriated in this section 26 32 to the appropriations in this division of this Act for general 26 33 administration and for field operations as necessary to 26 34 implement and operate the services funded in this section. 26 35 4. a. Of the funds appropriated in this section, up to 27 1 $35,482,162 is allocated as the statewide expenditure target 27 2 under section 232.143 for group foster care maintenance and 27 3 services. 27 4 b. If at any time after September 30, 2008, annualization 27 5 of a service area's current expenditures indicates a service 27 6 area is at risk of exceeding its group foster care expenditure 27 7 target under section 232.143 by more than 5 percent, the 27 8 department and juvenile court services shall examine all group 27 9 foster care placements in that service area in order to 27 10 identify those which might be appropriate for termination. In 27 11 addition, any aftercare services believed to be needed for the 27 12 children whose placements may be terminated shall be 27 13 identified. The department and juvenile court services shall 27 14 initiate action to set dispositional review hearings for the 27 15 placements identified. In such a dispositional review 27 16 hearing, the juvenile court shall determine whether needed 27 17 aftercare services are available and whether termination of 27 18 the placement is in the best interest of the child and the 27 19 community. 27 20 5. A portion of the funds appropriated in this section may 27 21 be used for emergency family assistance to provide other 27 22 resources required for a family participating in a family 27 23 preservation or reunification project or successor project to 27 24 stay together or to be reunified. 27 25 6. Notwithstanding section 234.35 or any other provision 27 26 of law to the contrary, for the fiscal year beginning July 1, 27 27 2008, state funding for shelter care shall be limited to the 27 28 amount necessary to fund 273 beds that are guaranteed and 27 29 seven beds that are not guaranteed. 27 30 7. Federal funds received by the state during the fiscal 27 31 year beginning July 1, 2008, as the result of the expenditure 27 32 of state funds appropriated during a previous state fiscal 27 33 year for a service or activity funded under this section are 27 34 appropriated to the department to be used as additional 27 35 funding for services and purposes provided for under this 28 1 section. Notwithstanding section 8.33, moneys received in 28 2 accordance with this subsection that remain unencumbered or 28 3 unobligated at the close of the fiscal year shall not revert 28 4 to any fund but shall remain available for the purposes 28 5 designated until the close of the succeeding fiscal year. 28 6 8. Of the funds appropriated in this section, $3,696,285 28 7 or a sufficient amount shall be used for protective child care 28 8 assistance. 28 9 9. a. Of the funds appropriated in this section, up to 28 10 $2,291,653 is allocated for the payment of the expenses of 28 11 court=ordered services provided to juveniles who are under the 28 12 supervision of juvenile court services, which expenses are a 28 13 charge upon the state pursuant to section 232.141, subsection 28 14 4. Of the amount allocated in this lettered paragraph, up to 28 15 $1,571,850 shall be made available to provide school=based 28 16 supervision of children adjudicated under chapter 232, of 28 17 which not more than $15,000 may be used for the purpose of 28 18 training. A portion of the cost of each school=based liaison 28 19 officer shall be paid by the school district or other funding 28 20 source as approved by the chief juvenile court officer. 28 21 b. Of the funds appropriated in this section, up to 28 22 $832,205 is allocated for the payment of the expenses of 28 23 court=ordered services provided to children who are under the 28 24 supervision of the department, which expenses are a charge 28 25 upon the state pursuant to section 232.141, subsection 4. 28 26 c. Notwithstanding section 232.141 or any other provision 28 27 of law to the contrary, the amounts allocated in this 28 28 subsection shall be distributed to the judicial districts as 28 29 determined by the state court administrator and to the 28 30 department's service areas as determined by the administrator 28 31 of the department's division of child and family services. 28 32 The state court administrator and the division administrator 28 33 shall make the determination of the distribution amounts on or 28 34 before June 15, 2008. 28 35 d. Notwithstanding chapter 232 or any other provision of 29 1 law to the contrary, a district or juvenile court shall not 29 2 order any service which is a charge upon the state pursuant to 29 3 section 232.141 if there are insufficient court=ordered 29 4 services funds available in the district court or departmental 29 5 service area distribution amounts to pay for the service. The 29 6 chief juvenile court officer and the departmental service area 29 7 manager shall encourage use of the funds allocated in this 29 8 subsection such that there are sufficient funds to pay for all 29 9 court=related services during the entire year. The chief 29 10 juvenile court officers and departmental service area managers 29 11 shall attempt to anticipate potential surpluses and shortfalls 29 12 in the distribution amounts and shall cooperatively request 29 13 the state court administrator or division administrator to 29 14 transfer funds between the judicial districts' or departmental 29 15 service areas' distribution amounts as prudent. 29 16 e. Notwithstanding any provision of law to the contrary, a 29 17 district or juvenile court shall not order a county to pay for 29 18 any service provided to a juvenile pursuant to an order 29 19 entered under chapter 232 which is a charge upon the state 29 20 under section 232.141, subsection 4. 29 21 f. Of the funds allocated in this subsection, not more 29 22 than $100,000 may be used by the judicial branch for 29 23 administration of the requirements under this subsection. 29 24 10. Of the funds appropriated in this section, $1,040,300 29 25 shall be transferred to the department of public health to be 29 26 used for the child protection center grant program in 29 27 accordance with section 135.118. 29 28 11. If the department receives federal approval to 29 29 implement a waiver under Title IV=E of the federal Social 29 30 Security Act to enable providers to serve children who remain 29 31 in the children's families and communities, for purposes of 29 32 eligibility under the medical assistance program children who 29 33 participate in the waiver shall be considered to be placed in 29 34 foster care. 29 35 12. Of the funds appropriated in this section, $4,188,579 30 1 is allocated for the preparation for adult living program 30 2 pursuant to section 234.46. 30 3 13. Of the funds appropriated in this section, $1,040,300 30 4 shall be used to continue juvenile drug courts. The amount 30 5 allocated in this subsection shall be distributed as follows: 30 6 a. To the judicial branch for salaries to assist with the 30 7 operation of juvenile drug court programs operated in the 30 8 following jurisdictions: 30 9 (1) Marshall county: 30 10 .................................................. $ 61,800 30 11 (2) Woodbury county: 30 12 .................................................. $ 123,862 30 13 (3) Polk county: 30 14 .................................................. $ 193,057 30 15 (4) The third judicial district: 30 16 .................................................. $ 66,950 30 17 (5) The eighth judicial district: 30 18 .................................................. $ 66,950 30 19 b. For court=ordered services to support substance abuse 30 20 services provided to the juveniles participating in the 30 21 juvenile drug court programs listed in paragraph "a" and the 30 22 juveniles' families: 30 23 .................................................. $ 527,681 30 24 The state court administrator shall allocate the funding 30 25 designated in this paragraph among the programs. 30 26 14. Of the funds appropriated in this section, $239,269 30 27 shall be used for continuation of a grant to a nonprofit human 30 28 services organization providing services to individuals and 30 29 families in multiple locations in southwest Iowa and Nebraska 30 30 for support of a project providing immediate, sensitive 30 31 support and forensic interviews, medical exams, needs 30 32 assessments, and referrals for victims of child abuse and 30 33 their nonoffending family members. 30 34 15. Of the funds appropriated in this section, $121,200 is 30 35 allocated for expansion of the elevate approach of providing a 31 1 support network to children placed in foster care. 31 2 16. Of the funds appropriated in this section, $303,000 is 31 3 allocated for continuation of sibling visitation provisions 31 4 for children subject to a court order for out=of=home 31 5 placement in accordance with section 232.108. 31 6 17. Of the funds appropriated in this section, $202,000 is 31 7 allocated for use pursuant to section 235A.1 for continuation 31 8 of the initiative to address child sexual abuse implemented 31 9 pursuant to 2007 Iowa Acts, ch. 218, section 18, subsection 31 10 21. 31 11 Sec. 17. ADOPTION SUBSIDY. 31 12 1. There is appropriated from the general fund of the 31 13 state to the department of human services for the fiscal year 31 14 beginning July 1, 2008, and ending June 30, 2009, the 31 15 following amount, or so much thereof as is necessary, to be 31 16 used for the purpose designated: 31 17 For adoption subsidy payments and services: 31 18 .................................................. $ 35,074,772 31 19 2. The department may transfer funds appropriated in this 31 20 section to the appropriations in this Act for child and family 31 21 services to be used for adoptive family recruitment and other 31 22 services to achieve adoption. 31 23 3. Federal funds received by the state during the fiscal 31 24 year beginning July 1, 2008, as the result of the expenditure 31 25 of state funds during a previous state fiscal year for a 31 26 service or activity funded under this section are appropriated 31 27 to the department to be used as additional funding for the 31 28 services and activities funded under this section. 31 29 Notwithstanding section 8.33, moneys received in accordance 31 30 with this subsection that remain unencumbered or unobligated 31 31 at the close of the fiscal year shall not revert to any fund 31 32 but shall remain available for expenditure for the purposes 31 33 designated until the close of the succeeding fiscal year. 31 34 Sec. 18. JUVENILE DETENTION HOME FUND. Moneys deposited 31 35 in the juvenile detention home fund created in section 232.142 32 1 during the fiscal year beginning July 1, 2008, and ending June 32 2 30, 2009, are appropriated to the department of human services 32 3 for the fiscal year beginning July 1, 2008, and ending June 32 4 30, 2009, for distribution as follows: 32 5 1. An amount equal to 10 percent of the costs of the 32 6 establishment, improvement, operation, and maintenance of 32 7 county or multicounty juvenile detention homes in the fiscal 32 8 year beginning July 1, 2007. Moneys appropriated for 32 9 distribution in accordance with this subsection shall be 32 10 allocated among eligible detention homes, prorated on the 32 11 basis of an eligible detention home's proportion of the costs 32 12 of all eligible detention homes in the fiscal year beginning 32 13 July 1, 2007. Notwithstanding section 232.142, subsection 3, 32 14 the financial aid payable by the state under that provision 32 15 for the fiscal year beginning July 1, 2008, shall be limited 32 16 to the amount appropriated for the purposes of this 32 17 subsection. 32 18 2. For renewal of a grant to a county with a population 32 19 between 189,000 and 196,000 in the latest preceding certified 32 20 federal census for implementation of the county's runaway 32 21 treatment plan under section 232.195: 32 22 .................................................. $ 80,000 32 23 3. For continuation and expansion of the community 32 24 partnership for child protection sites: 32 25 .................................................. $ 418,000 32 26 4. For continuation of the department's minority youth and 32 27 family projects under the redesign of the child welfare 32 28 system: 32 29 .................................................. $ 375,000 32 30 5. For funding of the state match for the federal 32 31 substance abuse and mental health services administration 32 32 (SAMHSA) system of care grant: 32 33 .................................................. $ 400,000 32 34 6. For transfer to the appropriation made in this Act for 32 35 child and family services to supplement the statewide 33 1 expenditure target amount under section 232.143 designated in 33 2 the appropriation made in this Act for child and family 33 3 services: 33 4 .................................................. $ 1,324,000 33 5 7. For training of nonlicensed relatives caring for 33 6 children in the child welfare system: 33 7 .................................................. $ 276,000 33 8 8. The remainder for additional allocations to county or 33 9 multicounty juvenile detention homes, in accordance with the 33 10 distribution requirements of subsection 1. 33 11 Sec. 19. FAMILY SUPPORT SUBSIDY PROGRAM. 33 12 1. There is appropriated from the general fund of the 33 13 state to the department of human services for the fiscal year 33 14 beginning July 1, 2008, and ending June 30, 2009, the 33 15 following amount, or so much thereof as is necessary, to be 33 16 used for the purpose designated: 33 17 For the family support subsidy program: 33 18 .................................................. $ 1,936,434 33 19 2. The department shall use at least $433,212 of the 33 20 moneys appropriated in this section for the family support 33 21 center component of the comprehensive family support program 33 22 under section 225C.47. Not more than $20,000 of the amount 33 23 allocated in this subsection shall be used for administrative 33 24 costs. 33 25 Sec. 20. CONNER DECREE. There is appropriated from the 33 26 general fund of the state to the department of human services 33 27 for the fiscal year beginning July 1, 2008, and ending June 33 28 30, 2009, the following amount, or so much thereof as is 33 29 necessary, to be used for the purpose designated: 33 30 For building community capacity through the coordination 33 31 and provision of training opportunities in accordance with the 33 32 consent decree of Conner v. Branstad, No. 4=86=CV=30871(S.D. 33 33 Iowa, July 14, 1994): 33 34 .................................................. $ 42,623 33 35 Sec. 21. STATE MENTAL HEALTH SYSTEMS == EMERGENCY 34 1 RESPONSE. There is appropriated from the general fund of the 34 2 state to the department of human services for the fiscal year 34 3 beginning July 1, 2008, and ending June 30, 2009, the 34 4 following amount, or so much thereof as is necessary, to be 34 5 used for the purposes designated: 34 6 For implementation and operation of emergency response 34 7 mental health crisis services grants: 34 8 .................................................. $ 3,000,000 34 9 The funds appropriated in this section shall be used to 34 10 award grants for the implementation of statewide emergency 34 11 response mental health crisis services. The grants shall be 34 12 awarded so that implementation is effective January 1, 2009. 34 13 Sec. 22. MENTAL HEALTH INSTITUTES. There is appropriated 34 14 from the general fund of the state to the department of human 34 15 services for the fiscal year beginning July 1, 2008, and 34 16 ending June 30, 2009, the following amounts, or so much 34 17 thereof as is necessary, to be used for the purposes 34 18 designated: 34 19 1. For the state mental health institute at Cherokee for 34 20 salaries, support, maintenance, and miscellaneous purposes: 34 21 .................................................. $ 5,727,743 34 22 2. For the state mental health institute at Clarinda for 34 23 salaries, support, maintenance, and miscellaneous purposes: 34 24 .................................................. $ 7,023,073 34 25 3. For the state mental health institute at Independence 34 26 for salaries, support, maintenance, and miscellaneous 34 27 purposes: 34 28 .................................................. $ 10,495,879 34 29 4. For the state mental health institute at Mount Pleasant 34 30 for salaries, support, maintenance, and miscellaneous 34 31 purposes: 34 32 .................................................. $ 1,874,721 34 33 Sec. 23. STATE RESOURCE CENTERS. 34 34 1. There is appropriated from the general fund of the 34 35 state to the department of human services for the fiscal year 35 1 beginning July 1, 2008, and ending June 30, 2009, the 35 2 following amounts, or so much thereof as is necessary, to be 35 3 used for the purposes designated: 35 4 a. For the state resource center at Glenwood for salaries, 35 5 support, maintenance, and miscellaneous purposes: 35 6 .................................................. $ 17,383,372 35 7 b. For the state resource center at Woodward for salaries, 35 8 support, maintenance, and miscellaneous purposes: 35 9 .................................................. $ 11,547,207 35 10 2. The department may continue to bill for state resource 35 11 center services utilizing a scope of services approach used 35 12 for private providers of ICFMR services, in a manner which 35 13 does not shift costs between the medical assistance program, 35 14 counties, or other sources of funding for the state resource 35 15 centers. 35 16 3. The state resource centers may expand the time=limited 35 17 assessment and respite services during the fiscal year. 35 18 4. If the department's administration and the department 35 19 of management concur with a finding by a state resource 35 20 center's superintendent that projected revenues can reasonably 35 21 be expected to pay the salary and support costs for a new 35 22 employee position, or that such costs for adding a particular 35 23 number of new positions for the fiscal year would be less than 35 24 the overtime costs if new positions would not be added, the 35 25 superintendent may add the new position or positions. If the 35 26 vacant positions available to a resource center do not include 35 27 the position classification desired to be filled, the state 35 28 resource center's superintendent may reclassify any vacant 35 29 position as necessary to fill the desired position. The 35 30 superintendents of the state resource centers may, by mutual 35 31 agreement, pool vacant positions and position classifications 35 32 during the course of the fiscal year in order to assist one 35 33 another in filling necessary positions. 35 34 5. If existing capacity limitations are reached in 35 35 operating units, a waiting list is in effect for a service or 36 1 a special need for which a payment source or other funding is 36 2 available for the service or to address the special need, and 36 3 facilities for the service or to address the special need can 36 4 be provided within the available payment source or other 36 5 funding, the superintendent of a state resource center may 36 6 authorize opening not more than two units or other facilities 36 7 and begin implementing the service or addressing the special 36 8 need during fiscal year 2008=2009. 36 9 Sec. 24. MI/MR/DD STATE CASES. 36 10 1. There is appropriated from the general fund of the 36 11 state to the department of human services for the fiscal year 36 12 beginning July 1, 2008, and ending June 30, 2009, the 36 13 following amount, or so much thereof as is necessary, to be 36 14 used for the purpose designated: 36 15 For distribution to counties for state case services for 36 16 persons with mental illness, mental retardation, and 36 17 developmental disabilities in accordance with section 331.440: 36 18 .................................................. $ 13,067,178 36 19 2. For the fiscal year beginning July 1, 2008, and ending 36 20 June 30, 2009, $200,000 is allocated for state case services 36 21 from the amounts appropriated from the fund created in section 36 22 8.41 to the department of human services from the funds 36 23 received from the federal government under 42 U.S.C., ch. 6A, 36 24 subch. XVII, relating to the community mental health center 36 25 block grant, for the federal fiscal years beginning October 1, 36 26 2006, and ending September 30, 2007, beginning October 1, 36 27 2007, and ending September 30, 2008, and beginning October 1, 36 28 2008, and ending September 30, 2009. The allocation made in 36 29 this subsection shall be made prior to any other distribution 36 30 allocation of the appropriated federal funds. 36 31 3. Notwithstanding section 8.33, moneys appropriated in 36 32 this section that remain unencumbered or unobligated at the 36 33 close of the fiscal year shall not revert but shall remain 36 34 available for expenditure for the purposes designated until 36 35 the close of the succeeding fiscal year. 37 1 Sec. 25. MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES == 37 2 COMMUNITY SERVICES FUND. There is appropriated from the 37 3 general fund of the state to the mental health and 37 4 developmental disabilities community services fund created in 37 5 section 225C.7 for the fiscal year beginning July 1, 2008, and 37 6 ending June 30, 2009, the following amount, or so much thereof 37 7 as is necessary, to be used for the purpose designated: 37 8 For mental health and developmental disabilities community 37 9 services in accordance with this division of this Act: 37 10 ................................................. $ 18,017,890 37 11 1. Of the funds appropriated in this section, $17,727,890 37 12 shall be allocated to counties for funding of community=based 37 13 mental health and developmental disabilities services. The 37 14 moneys shall be allocated to a county as follows: 37 15 a. Fifty percent based upon the county's proportion of the 37 16 state's population of persons with an annual income which is 37 17 equal to or less than the poverty guideline established by the 37 18 federal office of management and budget. 37 19 b. Fifty percent based upon the county's proportion of the 37 20 state's general population. 37 21 2. a. A county shall utilize the funding the county 37 22 receives pursuant to subsection 1 for services provided to 37 23 persons with a disability, as defined in section 225C.2. 37 24 However, no more than 50 percent of the funding shall be used 37 25 for services provided to any one of the service populations. 37 26 b. A county shall use at least 50 percent of the funding 37 27 the county receives under subsection 1 for contemporary 37 28 services provided to persons with a disability, as described 37 29 in rules adopted by the department. 37 30 3. Of the funds appropriated in this section, $30,000 37 31 shall be used to support the Iowa compass program providing 37 32 computerized information and referral services for Iowans with 37 33 disabilities and their families. 37 34 4. a. Funding appropriated for purposes of the federal 37 35 social services block grant is allocated for distribution to 38 1 counties for local purchase of services for persons with 38 2 mental illness, mental retardation, or other developmental 38 3 disability. 38 4 b. The funds allocated in this subsection shall be 38 5 expended by counties in accordance with the county's approved 38 6 county management plan. A county without an approved county 38 7 management plan shall not receive allocated funds until the 38 8 county's management plan is approved. 38 9 c. The funds provided by this subsection shall be 38 10 allocated to each county as follows: 38 11 (1) Fifty percent based upon the county's proportion of 38 12 the state's population of persons with an annual income which 38 13 is equal to or less than the poverty guideline established by 38 14 the federal office of management and budget. 38 15 (2) Fifty percent based upon the amount provided to the 38 16 county for local purchase of services in the preceding fiscal 38 17 year. 38 18 5. A county is eligible for funds under this section if 38 19 the county qualifies for a state payment as described in 38 20 section 331.439. 38 21 6. Of the funds appropriated in this section, $260,000 is 38 22 allocated to the department for continuing the development of 38 23 an assessment process, for use beginning in a subsequent 38 24 fiscal year as authorized specifically by a statute to be 38 25 enacted in a subsequent fiscal year, determining on a 38 26 consistent basis the needs and capacities of persons seeking 38 27 or receiving mental health, mental retardation, developmental 38 28 disabilities, or brain injury services that are paid for in 38 29 whole or in part by the state or a county. The assessment 38 30 process shall be developed with the involvement of counties 38 31 and the mental health, mental retardation, developmental 38 32 disabilities, and brain injury commission. 38 33 7. The most recent population estimates issued by the 38 34 United States bureau of the census shall be applied for the 38 35 population factors utilized in this section. 39 1 Sec. 26. SEXUALLY VIOLENT PREDATORS. 39 2 1. There is appropriated from the general fund of the 39 3 state to the department of human services for the fiscal year 39 4 beginning July 1, 2008, and ending June 30, 2009, the 39 5 following amount, or so much thereof as is necessary, to be 39 6 used for the purpose designated: 39 7 For costs associated with the commitment and treatment of 39 8 sexually violent predators in the unit located at the state 39 9 mental health institute at Cherokee, including costs of legal 39 10 services and other associated costs, including salaries, 39 11 support, maintenance, and miscellaneous purposes: 39 12 .................................................. $ 6,720,268 39 13 2. Unless specifically prohibited by law, if the amount 39 14 charged provides for recoupment of at least the entire amount 39 15 of direct and indirect costs, the department of human services 39 16 may contract with other states to provide care and treatment 39 17 of persons placed by the other states at the unit for sexually 39 18 violent predators at Cherokee. The moneys received under such 39 19 a contract shall be considered to be repayment receipts and 39 20 used for the purposes of the appropriation made in this 39 21 section. 39 22 Sec. 27. FIELD OPERATIONS. There is appropriated from the 39 23 general fund of the state to the department of human services 39 24 for the fiscal year beginning July 1, 2008, and ending June 39 25 30, 2009, the following amount, or so much thereof as is 39 26 necessary, to be used for the purposes designated: 39 27 For field operations, including salaries, support, 39 28 maintenance, and miscellaneous purposes: 39 29 .................................................. $ 71,505,340 39 30 1. The amount appropriated in this section includes an 39 31 increase for additional full=time equivalent positions to 39 32 provide for additional child and family visits. 39 33 2. Priority in filling full=time equivalent positions 39 34 shall be given to those positions related to child protection 39 35 services. 40 1 Sec. 28. GENERAL ADMINISTRATION. There is appropriated 40 2 from the general fund of the state to the department of human 40 3 services for the fiscal year beginning July 1, 2008, and 40 4 ending June 30, 2009, the following amount, or so much thereof 40 5 as is necessary, to be used for the purpose designated: 40 6 For general administration, including salaries, support, 40 7 maintenance, and miscellaneous purposes: 40 8 .................................................. $ 17,063,966 40 9 Of the funds appropriated in this section, $57,000 is 40 10 allocated for the prevention of disabilities policy council 40 11 established in section 225B.3. 40 12 Sec. 29. VOLUNTEERS. There is appropriated from the 40 13 general fund of the state to the department of human services 40 14 for the fiscal year beginning July 1, 2008, and ending June 40 15 30, 2009, the following amount, or so much thereof as is 40 16 necessary, to be used for the purpose designated: 40 17 For development and coordination of volunteer services: 40 18 .................................................. $ 109,568 40 19 Sec. 30. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY 40 20 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE 40 21 DEPARTMENT OF HUMAN SERVICES. 40 22 1. a. (1) For the fiscal year beginning July 1, 2008, 40 23 the total state funding amount for the nursing facility budget 40 24 shall not exceed $175,449,949. 40 25 (2) The department, in cooperation with nursing facility 40 26 representatives, shall review projections for state funding 40 27 expenditures for reimbursement of nursing facilities on a 40 28 quarterly basis and the department shall determine if an 40 29 adjustment to the medical assistance reimbursement rate is 40 30 necessary in order to provide reimbursement within the state 40 31 funding amount. Any temporary enhanced federal financial 40 32 participation that may become available to the Iowa medical 40 33 assistance program during the fiscal year shall not be used in 40 34 projecting the nursing facility budget. Notwithstanding 2001 40 35 Iowa Acts, chapter 192, section 4, subsection 2, paragraph 41 1 "c", and subsection 3, paragraph "a", subparagraph (2), if the 41 2 state funding expenditures for the nursing facility budget for 41 3 the fiscal year beginning July 1, 2008, are projected to 41 4 exceed the amount specified in subparagraph (1), the 41 5 department shall adjust the reimbursement for nursing 41 6 facilities reimbursed under the case=mix reimbursement system 41 7 to maintain expenditures of the nursing facility budget within 41 8 the specified amount. The department shall revise such 41 9 reimbursement as necessary to remove the outcomes factor in 41 10 accordance with the amendment in this division of this Act to 41 11 2001 Iowa Acts, ch. 192, section 4, subsection 4. 41 12 b. For the fiscal year beginning July 1, 2008, the 41 13 department shall reimburse pharmacy dispensing fees using a 41 14 single rate of $4.57 per prescription or the pharmacy's usual 41 15 and customary fee, whichever is lower. 41 16 c. (1) For the fiscal year beginning July 1, 2008, 41 17 reimbursement rates for inpatient and outpatient hospital 41 18 services shall be increased by 1 percent over the rates in 41 19 effect on June 30, 2008. The department shall continue the 41 20 outpatient hospital reimbursement system based upon ambulatory 41 21 patient groups implemented pursuant to 1994 Iowa Acts, chapter 41 22 1186, section 25, subsection 1, paragraph "f", unless the 41 23 department adopts the Medicare ambulatory payment 41 24 classification methodology authorized in subparagraph (2). 41 25 (2) The department may implement the Medicare ambulatory 41 26 payment classification methodology for reimbursement of 41 27 outpatient hospital services. Any change in hospital 41 28 reimbursement shall be budget neutral. 41 29 (3) In order to ensure the efficient use of limited state 41 30 funds in procuring health care services for low=income Iowans, 41 31 funds appropriated in this Act for hospital services shall not 41 32 be used for activities which would be excluded from a 41 33 determination of reasonable costs under the federal Medicare 41 34 program pursuant to 42 U.S.C. } 1395X(v)(1)(N). 41 35 d. For the fiscal year beginning July 1, 2008, 42 1 reimbursement rates for rural health clinics, hospices, 42 2 independent laboratories, and acute mental hospitals shall be 42 3 increased in accordance with increases under the federal 42 4 Medicare program or as supported by their Medicare audited 42 5 costs. 42 6 e. (1) For the fiscal year beginning July 1, 2008, 42 7 reimbursement rates for home health agencies shall be 42 8 increased by 1 percent over the rates in effect on June 30, 42 9 2008, not to exceed a home health agency's actual allowable 42 10 cost. 42 11 (2) The department shall establish a fixed fee 42 12 reimbursement schedule for home health agencies under the 42 13 medical assistance program beginning July 1, 2008. 42 14 f. For the fiscal year beginning July 1, 2008, federally 42 15 qualified health centers shall receive cost=based 42 16 reimbursement for 100 percent of the reasonable costs for the 42 17 provision of services to recipients of medical assistance. 42 18 g. For the fiscal year beginning July 1, 2008, the 42 19 reimbursement rates for dental services shall be increased by 42 20 1 percent over the rates in effect on June 30, 2008. 42 21 h. For the fiscal year beginning July 1, 2008, the maximum 42 22 reimbursement rate for psychiatric medical institutions for 42 23 children shall be $167.19 per day. 42 24 i. For the fiscal year beginning July 1, 2008, unless 42 25 otherwise specified in this Act, all noninstitutional medical 42 26 assistance provider reimbursement rates shall be increased by 42 27 1 percent over the rates in effect on June 30, 2008, except 42 28 for area education agencies, local education agencies, infant 42 29 and toddler services providers, and those providers whose 42 30 rates are required to be determined pursuant to section 42 31 249A.20. 42 32 j. Notwithstanding section 249A.20, for the fiscal year 42 33 beginning July 1, 2008, the average reimbursement rate for 42 34 health care providers eligible for use of the federal Medicare 42 35 resource=based relative value scale reimbursement methodology 43 1 under that section shall be increased by 1 percent over the 43 2 rate in effect on June 30, 2008; however, this rate shall not 43 3 exceed the maximum level authorized by the federal government. 43 4 k. For the fiscal year beginning July 1, 2008, the 43 5 reimbursement rate for residential care facilities shall not 43 6 be less than the minimum payment level as established by the 43 7 federal government to meet the federally mandated maintenance 43 8 of effort requirement. The flat reimbursement rate for 43 9 facilities electing not to file semiannual cost reports shall 43 10 not be less than the minimum payment level as established by 43 11 the federal government to meet the federally mandated 43 12 maintenance of effort requirement. 43 13 l. For the fiscal year beginning July 1, 2008, inpatient 43 14 mental health services provided at hospitals shall be 43 15 reimbursed at the cost of the services, subject to Medicaid 43 16 program upper payment limit rules; community mental health 43 17 centers and providers of mental health services to county 43 18 residents pursuant to a waiver approved under section 225C.7, 43 19 subsection 3, shall be reimbursed at 100 percent of the 43 20 reasonable costs for the provision of services to recipients 43 21 of medical assistance; and psychiatrists shall be reimbursed 43 22 at the medical assistance program fee for service rate. 43 23 m. Effective October 1, 2008, the reimbursement rate for 43 24 consumer directed attendant care shall be increased by 2 43 25 percent over the rates in effect on September 30, 2008. 43 26 n. For the fiscal year beginning July 1, 2008, the 43 27 reimbursement rate for anesthesiologists shall be increased by 43 28 one percent over the Medicare rate for anesthesiologists in 43 29 effect on January 1, 2008. 43 30 2. For the fiscal year beginning July 1, 2008, the 43 31 reimbursement rate for providers reimbursed under the in= 43 32 home=related care program shall not be less than the minimum 43 33 payment level as established by the federal government to meet 43 34 the federally mandated maintenance of effort requirement. 43 35 3. Unless otherwise directed in this section, when the 44 1 department's reimbursement methodology for any provider 44 2 reimbursed in accordance with this section includes an 44 3 inflation factor, this factor shall not exceed the amount by 44 4 which the consumer price index for all urban consumers 44 5 increased during the calendar year ending December 31, 2002. 44 6 4. For the fiscal year beginning July 1, 2008, the foster 44 7 family basic daily maintenance rate paid in accordance with 44 8 section 234.38, the maximum adoption subsidy rate, and the 44 9 maximum supervised apartment living foster care rate for 44 10 children ages 0 through 5 years shall be $16.36, the rate for 44 11 children ages 6 through 11 years shall be $17.01, the rate for 44 12 children ages 12 through 15 years shall be $18.62, and the 44 13 rate for children ages 16 and older shall be $18.87. 44 14 5. For the fiscal year beginning July 1, 2008, the maximum 44 15 reimbursement rates for social services providers reimbursed 44 16 under a purchase of social services contract shall be 44 17 increased by 1 percent over the rates in effect on June 30, 44 18 2008, or to the provider's actual and allowable cost plus 44 19 inflation for each service, whichever is less. The rates may 44 20 also be adjusted under any of the following circumstances: 44 21 a. If a new service was added after June 30, 2008, the 44 22 initial reimbursement rate for the service shall be based upon 44 23 actual and allowable costs. 44 24 b. If a social service provider loses a source of income 44 25 used to determine the reimbursement rate for the provider, the 44 26 provider's reimbursement rate may be adjusted to reflect the 44 27 loss of income, provided that the lost income was used to 44 28 support actual and allowable costs of a service purchased 44 29 under a purchase of service contract. 44 30 6. For the fiscal year beginning July 1, 2008, the 44 31 reimbursement rates for family=centered service providers, 44 32 family foster care service providers, group foster care 44 33 service providers, and the resource family recruitment and 44 34 retention contractor shall be increased by 1 percent over the 44 35 rates in effect on June 30, 2008. 45 1 7. The group foster care reimbursement rates paid for 45 2 placement of children out of state shall be calculated 45 3 according to the same rate=setting principles as those used 45 4 for in=state providers, unless the director of human services 45 5 or the director's designee determines that appropriate care 45 6 cannot be provided within the state. The payment of the daily 45 7 rate shall be based on the number of days in the calendar 45 8 month in which service is provided. 45 9 8. For the fiscal year beginning July 1, 2008, the 45 10 reimbursement rates for remedial service providers shall be 45 11 increased by 1 percent over the rates in effect for June 30, 45 12 2008. 45 13 9. a. For the fiscal year beginning July 1, 2008, the 45 14 combined service and maintenance components of the 45 15 reimbursement rate paid for shelter care services purchased 45 16 under a contract shall be based on the financial and 45 17 statistical report submitted to the department. The maximum 45 18 reimbursement rate shall be $92.36 per day. The department 45 19 shall reimburse a shelter care provider at the provider's 45 20 actual and allowable unit cost plus inflation, not to exceed 45 21 the maximum reimbursement rate. 45 22 b. Notwithstanding section 232.141, subsection 8, for the 45 23 fiscal year beginning July 1, 2008, the amount of the 45 24 statewide average of the actual and allowable rates for 45 25 reimbursement of juvenile shelter care homes that is utilized 45 26 for the limitation on recovery of unpaid costs shall be 45 27 increased by $0.91 over the amount in effect for this purpose 45 28 in the preceding fiscal year. 45 29 10. For the fiscal year beginning July 1, 2008, the 45 30 department shall calculate reimbursement rates for 45 31 intermediate care facilities for persons with mental 45 32 retardation at the 80th percentile. 45 33 11. For the fiscal year beginning July 1, 2008, for child 45 34 care providers reimbursed under the state child care 45 35 assistance program, the department shall set provider 46 1 reimbursement rates based on the rate reimbursement survey 46 2 completed in December 2004. Effective October 1, 2008, the 46 3 child care provider reimbursement rates shall be increased by 46 4 2 percent over the rates in effect on September 30, 2008. The 46 5 department shall set rates in a manner so as to provide 46 6 incentives for a nonregistered provider to become registered 46 7 by applying the increase only to registered and licensed 46 8 providers. 46 9 12. For the fiscal year beginning July 1, 2008, 46 10 reimbursements for providers reimbursed by the department of 46 11 human services may be modified if appropriated funding is 46 12 allocated for that purpose from the senior living trust fund 46 13 created in section 249H.4, or as specified in appropriations 46 14 from the healthy Iowans tobacco trust created in section 46 15 12.65. 46 16 13. The department may adopt emergency rules to implement 46 17 this section. 46 18 Sec. 31. 2001 Iowa Acts, chapter 192, section 4, 46 19 subsection 4, is amended to read as follows: 46 20 4. ACCOUNTABILITY MEASURERS INCREASED PAYMENTS == DIRECT 46 21 CARE WORKERS. 46 22 a. It is the intent of the general assembly that the 46 23 department of human services initiate a system to measure a 46 24 variety of elements to determine a nursing facility's capacity 46 25 to provide quality of life and appropriate access to medical 46 26 assistance program beneficiaries in a cost=effective manner. 46 27 Beginning July 1, 2001, the department shall implement a 46 28 process to collect data for these measurements and shall 46 29 develop procedures to increase nursing facility reimbursements 46 30 based upon a nursing facility's achievement of multiple 46 31 favorable outcomes as determined by these measurements. Any 46 32 increased reimbursement shall not exceed 3 percent of the 46 33 calculation of the modified price=based case=mix reimbursement 46 34 median. The increased reimbursement shall be included in the 46 35 calculation of nursing facility modified price=based payment 47 1 rates beginning July 1, 2002, with the exception of 47 2 Medicare=certified hospital=based nursing facilities, 47 3 state=operated nursing facilities, and special population 47 4 nursing facilities. 47 5 b. It is the intent of the general assembly that increases 47 6 in payments to nursing facilities under the case=mix adjusted 47 7 component shall be used for the provision of direct care with 47 8 an emphasis on compensation to direct care workers. The 47 9 department shall compile and provide a detailed analysis to 47 10 demonstrate growth of direct care costs, increased acuity, and 47 11 care needs of residents. The department shall also provide 47 12 analysis of cost reports submitted by providers and the 47 13 resulting desk review and field audit adjustment to reclassify 47 14 and amend provider cost and statistical data. The results of 47 15 these analyses shall be submitted to the general assembly for 47 16 evaluation to determine payment levels following the 47 17 transition funding period. 47 18 Sec. 32. EMERGENCY RULES. If specifically authorized by a 47 19 provision of this division of this Act, the department of 47 20 human services or the mental health, mental retardation, 47 21 developmental disabilities, and brain injury commission may 47 22 adopt administrative rules under section 17A.4, subsection 2, 47 23 and section 17A.5, subsection 2, paragraph "b", to implement 47 24 the provisions and the rules shall become effective 47 25 immediately upon filing or on a later effective date specified 47 26 in the rules, unless the effective date is delayed by the 47 27 administrative rules review committee. Any rules adopted in 47 28 accordance with this section shall not take effect before the 47 29 rules are reviewed by the administrative rules review 47 30 committee. The delay authority provided to the administrative 47 31 rules review committee under section 17A.4, subsection 5, and 47 32 section 17A.8, subsection 9, shall be applicable to a delay 47 33 imposed under this section, notwithstanding a provision in 47 34 those sections making them inapplicable to section 17A.5, 47 35 subsection 2, paragraph "b". Any rules adopted in accordance 48 1 with the provisions of this section shall also be published as 48 2 notice of intended action as provided in section 17A.4. 48 3 Sec. 33. REPORTS. Any reports or information required to 48 4 be compiled and submitted under this Act shall be submitted to 48 5 the chairpersons and ranking members of the joint 48 6 appropriations subcommittee on health and human services, the 48 7 legislative services agency, and the legislative caucus staffs 48 8 on or before the dates specified for submission of the reports 48 9 or information. 48 10 Sec. 34. EFFECTIVE DATES. The following provisions of 48 11 this division of this Act, being deemed of immediate 48 12 importance, take effect upon enactment: 48 13 The provision under the appropriation for child and family 48 14 services for the administration of the division of child and 48 15 family services of the department of human services and the 48 16 state court administration to distribute the funding allocated 48 17 for court=ordered services provided to juveniles who are under 48 18 the supervision of juvenile court services. 48 19 DIVISION II 48 20 SENIOR LIVING TRUST FUND, 48 21 PHARMACEUTICAL SETTLEMENT ACCOUNT, 48 22 IOWACARE ACCOUNT, AND HEALTH CARE 48 23 TRANSFORMATION ACCOUNT 48 24 Sec. 35. DEPARTMENT OF ELDER AFFAIRS. There is 48 25 appropriated from the senior living trust fund created in 48 26 section 249H.4 to the department of elder affairs for the 48 27 fiscal year beginning July 1, 2008, and ending June 30, 2009, 48 28 the following amount, or so much thereof as is necessary, to 48 29 be used for the purpose designated: 48 30 For the development and implementation of a comprehensive 48 31 senior living program, including case management only if the 48 32 monthly cost per client for case management for the frail 48 33 elderly services provided does not exceed an average of $70, 48 34 and including program administration and costs associated with 48 35 implementation, salaries, support, maintenance, and 49 1 miscellaneous purposes: 49 2 .................................................. $ 8,442,707 49 3 1. Of the funds appropriated in this section, $2,196,967 49 4 shall be used for case management for the frail elderly. Of 49 5 the funds allocated in this subsection, $1,010,000 shall be 49 6 transferred to the department of human services in equal 49 7 amounts on a quarterly basis for reimbursement of case 49 8 management services provided under the medical assistance 49 9 elderly waiver. The monthly cost per client for case 49 10 management for the frail elderly services provided shall not 49 11 exceed an average of $70. 49 12 2. Notwithstanding section 249H.7, the department of elder 49 13 affairs shall distribute up to $400,000 of the funds 49 14 appropriated in this section in a manner that will supplement 49 15 and maximize federal funds under the federal Older Americans 49 16 Act and shall not use the amount distributed for any 49 17 administrative purposes of either the department of elder 49 18 affairs or the area agencies on aging. 49 19 3. Of the funds appropriated in this section, $60,000 49 20 shall be used to provide dementia=specific education to direct 49 21 care workers and other providers of long=term care to enhance 49 22 existing or scheduled efforts through the Iowa caregivers 49 23 association, the Alzheimer's association, and other 49 24 organizations identified as appropriate by the department. 49 25 Sec. 36. DEPARTMENT OF INSPECTIONS AND APPEALS. There is 49 26 appropriated from the senior living trust fund created in 49 27 section 249H.4 to the department of inspections and appeals 49 28 for the fiscal year beginning July 1, 2008, and ending June 49 29 30, 2009, the following amount, or so much thereof as is 49 30 necessary, to be used for the purpose designated: 49 31 For the inspection and certification of assisted living 49 32 facilities and adult day care services, including program 49 33 administration and costs associated with implementation, 49 34 salaries, support, maintenance, and miscellaneous purposes: 49 35 .................................................. $ 1,183,303 50 1 Sec. 37. DEPARTMENT OF HUMAN SERVICES. There is 50 2 appropriated from the senior living trust fund created in 50 3 section 249H.4 to the department of human services for the 50 4 fiscal year beginning July 1, 2008, and ending June 30, 2009, 50 5 the following amount, or so much thereof as is necessary, to 50 6 be used for the purpose designated: 50 7 To supplement the medical assistance program appropriations 50 8 made in this Act, including program administration and costs 50 9 associated with implementation, salaries, support, 50 10 maintenance, and miscellaneous purposes: 50 11 .................................................. $ 65,000,000 50 12 In order to carry out the purposes of this section, the 50 13 department may transfer funds appropriated in this section to 50 14 supplement other appropriations made to the department of 50 15 human services. 50 16 Sec. 38. IOWA FINANCE AUTHORITY. There is appropriated 50 17 from the senior living trust fund created in section 249H.4 to 50 18 the Iowa finance authority for the fiscal year beginning July 50 19 1, 2008, and ending June 30, 2009, the following amount, or so 50 20 much thereof as is necessary, to be used for the purposes 50 21 designated: 50 22 To provide reimbursement for rent expenses to eligible 50 23 persons: 50 24 .................................................. $ 700,000 50 25 Participation in the rent subsidy program shall be limited 50 26 to only those persons who meet the eligibility requirements 50 27 for home and community=based services waiver services in 50 28 effect on July 1, 2008, and to those individuals who are 50 29 eligible for the federal money follows the person grant 50 30 program under the medical assistance program. 50 31 Sec. 39. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is 50 32 appropriated from the pharmaceutical settlement account 50 33 created in section 249A.33 to the department of human services 50 34 for the fiscal year beginning July 1, 2008, and ending June 50 35 30, 2009, the following amount, or so much thereof as is 51 1 necessary, to be used for the purpose designated: 51 2 To supplement the appropriations made for medical contracts 51 3 under the medical assistance program: 51 4 .................................................. $ 942,767 51 5 Sec. 40. APPROPRIATIONS FROM IOWACARE ACCOUNT. 51 6 1. There is appropriated from the IowaCare account created 51 7 in section 249J.24 to the state board of regents for 51 8 distribution to the university of Iowa hospitals and clinics 51 9 for the fiscal year beginning July 1, 2008, and ending June 51 10 30, 2009, the following amount, or so much thereof as is 51 11 necessary, to be used for the purposes designated: 51 12 For salaries, support, maintenance, equipment, and 51 13 miscellaneous purposes, for the provision of medical and 51 14 surgical treatment of indigent patients, for provision of 51 15 services to members of the expansion population pursuant to 51 16 chapter 249J, and for medical education: 51 17 .................................................. $ 27,284,584 51 18 a. Funds appropriated in this subsection shall not be used 51 19 to perform abortions except medically necessary abortions, and 51 20 shall not be used to operate the early termination of 51 21 pregnancy clinic except for the performance of medically 51 22 necessary abortions. For the purpose of this subsection, an 51 23 abortion is the purposeful interruption of pregnancy with the 51 24 intention other than to produce a live=born infant or to 51 25 remove a dead fetus, and a medically necessary abortion is one 51 26 performed under one of the following conditions: 51 27 (1) The attending physician certifies that continuing the 51 28 pregnancy would endanger the life of the pregnant woman. 51 29 (2) The attending physician certifies that the fetus is 51 30 physically deformed, mentally deficient, or afflicted with a 51 31 congenital illness. 51 32 (3) The pregnancy is the result of a rape which is 51 33 reported within 45 days of the incident to a law enforcement 51 34 agency or public or private health agency which may include a 51 35 family physician. 52 1 (4) The pregnancy is the result of incest which is 52 2 reported within 150 days of the incident to a law enforcement 52 3 agency or public or private health agency which may include a 52 4 family physician. 52 5 (5) The abortion is a spontaneous abortion, commonly known 52 6 as a miscarriage, wherein not all of the products of 52 7 conception are expelled. 52 8 b. Notwithstanding any provision of law to the contrary, 52 9 the amount appropriated in this subsection shall be allocated 52 10 in twelve equal monthly payments as provided in section 52 11 249J.24. 52 12 2. There is appropriated from the IowaCare account created 52 13 in section 249J.24 to the state board of regents for 52 14 distribution to the university of Iowa hospitals and clinics 52 15 for the fiscal year beginning July 1, 2008, and ending June 52 16 30, 2009, the following amount, or so much thereof as is 52 17 necessary, to be used for the purposes designated: 52 18 For salaries, support, maintenance, equipment, and 52 19 miscellaneous purposes, for the provision of medical and 52 20 surgical treatment of indigent patients, for provision of 52 21 services to members of the expansion population pursuant to 52 22 chapter 249J, and for medical education: 52 23 .................................................. $ 35,969,365 52 24 The amount appropriated in this subsection shall be 52 25 distributed only if expansion population claims adjudicated 52 26 and paid by the Iowa Medicaid enterprise exceed the 52 27 appropriation to the state board of regents for distribution 52 28 to the university of Iowa hospitals and clinics provided in 52 29 subsection 1. The amount appropriated in this subsection 52 30 shall be distributed monthly for expansion population claims 52 31 adjudicated and approved for payment by the Iowa Medicaid 52 32 enterprise using medical assistance program reimbursement 52 33 rates. 52 34 3. There is appropriated from the IowaCare account created 52 35 in section 249J.24 to the department of human services for the 53 1 fiscal year beginning July 1, 2008, and ending June 30, 2009, 53 2 the following amount, or so much thereof as is necessary, to 53 3 be used for the purposes designated: 53 4 For distribution to a publicly owned acute care teaching 53 5 hospital located in a county with a population over three 53 6 hundred fifty thousand for the provision of medical and 53 7 surgical treatment of indigent patients, for provision of 53 8 services to members of the expansion population pursuant to 53 9 chapter 249J, and for medical education: 53 10 .................................................. $ 37,000,000 53 11 Notwithstanding any provision of law to the contrary, the 53 12 amount appropriated in this subsection shall be allocated in 53 13 twelve equal monthly payments as provided in section 249J.24. 53 14 4. There is appropriated from the IowaCare account created 53 15 in section 249J.24 to the department of human services for the 53 16 fiscal year beginning July 1, 2008, and ending June 30, 2009, 53 17 the following amounts, or so much thereof as is necessary, to 53 18 be used for the purposes designated: 53 19 a. For the state mental health institute at Cherokee, for 53 20 salaries, support, maintenance, and miscellaneous purposes, 53 21 including services to members of the expansion population 53 22 pursuant to chapter 249J: 53 23 .................................................. $ 3,164,766 53 24 b. For the state mental health institute at Clarinda, for 53 25 salaries, support, maintenance, and miscellaneous purposes, 53 26 including services to members of the expansion population 53 27 pursuant to chapter 249J: 53 28 .................................................. $ 687,779 53 29 c. For the state mental health institute at Independence, 53 30 for salaries, support, maintenance, and miscellaneous 53 31 purposes, including services to members of the expansion 53 32 population pursuant to chapter 249J: 53 33 .................................................. $ 3,146,494 53 34 d. For the state mental health institute at Mount 53 35 Pleasant, for salaries, support, maintenance, and 54 1 miscellaneous purposes, including services to members of the 54 2 expansion population pursuant to chapter 249J: 54 3 .................................................. $ 2,000,961 54 4 Sec. 41. APPROPRIATIONS FROM ACCOUNT FOR HEALTH CARE 54 5 TRANSFORMATION. There is appropriated from the account for 54 6 health care transformation created in section 249J.23 to the 54 7 department of human services for the fiscal year beginning 54 8 July 1, 2008, and ending June 30, 2009, the following amounts, 54 9 or so much thereof as is necessary, to be used for the 54 10 purposes designated: 54 11 1. For the costs of medical examinations and development 54 12 of personal health improvement plans for the expansion 54 13 population pursuant to section 249J.6: 54 14 .................................................. $ 556,800 54 15 2. For the provision of a medical information hotline for 54 16 the expansion population as provided in section 249J.6: 54 17 .................................................. $ 150,000 54 18 3. For other health promotion partnership activities 54 19 pursuant to section 249J.14: 54 20 .................................................. $ 900,000 54 21 4. For the costs related to audits, performance 54 22 evaluations, and studies required pursuant to chapter 249J: 54 23 .................................................. $ 400,000 54 24 5. For administrative costs associated with chapter 249J: 54 25 .................................................. $ 1,132,412 54 26 6. For planning and development, in cooperation with the 54 27 department of public health, of a phased=in program to provide 54 28 a dental home for children: 54 29 .................................................. $ 500,000 54 30 The department shall issue a request for proposals for a 54 31 performance=based contract to implement the dental home for 54 32 children and shall apply for any waivers from the centers for 54 33 Medicare and Medicaid services of the United States department 54 34 of health and human services, as necessary, to pursue a 54 35 phased=in approach. The department shall submit progress 55 1 reports regarding the planning and development of the dental 55 2 home for children to the medical assistance projections and 55 3 assessment council on a periodic basis. 55 4 7. For a mental health transformation pilot project: 55 5 .................................................. $ 250,000 55 6 8. For mental health and developmental disability 55 7 workforce development: 55 8 .................................................. $ 1,050,000 55 9 Notwithstanding section 8.39, subsection 1, without the 55 10 prior written consent and approval of the governor and the 55 11 director of the department of management, the director of 55 12 human services may transfer funds among the appropriations 55 13 made in this section as necessary to carry out the purposes of 55 14 the account for health care transformation. The department 55 15 shall report any transfers made pursuant to this section to 55 16 the legislative services agency. 55 17 Sec. 42. TRANSFER FROM ACCOUNT FOR HEALTH CARE 55 18 TRANSFORMATION. There is transferred from the account for 55 19 health care transformation created pursuant to section 249J.23 55 20 to the IowaCare account created in section 249J.24 a total of 55 21 $2,000,000 for the fiscal year beginning July 1, 2008, and 55 22 ending June 30, 2009. 55 23 Sec. 43. MEDICAL ASSISTANCE PROGRAM == REVERSION TO SENIOR 55 24 LIVING TRUST FUND FOR FY 2008=2009. Notwithstanding section 55 25 8.33, if moneys appropriated for purposes of the medical 55 26 assistance program for the fiscal year beginning July 1, 2008, 55 27 and ending June 30, 2009, from the general fund of the state, 55 28 the senior living trust fund, and the health care trust fund 55 29 are in excess of actual expenditures for the medical 55 30 assistance program and remain unencumbered or unobligated at 55 31 the close of the fiscal year, the excess moneys shall not 55 32 revert but shall be transferred to the senior living trust 55 33 fund created in section 249H.4. 55 34 DIVISION III 55 35 MH/MR/DD/BI SERVICES 56 1 ALLOWED GROWTH FUNDING == 56 2 FY 2008=2009 56 3 Sec. 44. 2007 Iowa Acts, chapter 215, section 1, is 56 4 amended to read as follows: 56 5 SECTION 1. COUNTY MENTAL HEALTH, MENTAL RETARDATION, 56 6 DEVELOPMENTAL DISABILITIES, AND BRAIN INJURY ALLOWED GROWTH 56 7 APPROPRIATION AND ALLOCATIONS == FISCAL YEAR 2008=2009. 56 8 1. There is appropriated from the general fund of the 56 9 state to the department of human services for the fiscal year 56 10 beginning July 1, 2008, and ending June 30, 2009, the 56 11 following amount, or so much thereof as is necessary, to be 56 12 used for the purpose designated: 56 13 For To be credited to the property tax relief fund created 56 14 in section 426B.1 for distribution to counties of the county 56 15 mental health, mental retardation, and developmental 56 16 disabilities allowed growth factor adjustment for fiscal year 56 17 2008=2009, and for the brain injury services program in the 56 18 department of public health: 56 19 .................................................. $ 64,600,002 56 20 57,154,653 56 21 2. The amount appropriated in this section shall be 56 22 allocated as provided in a later enactment of the general 56 23 assembly. 56 24 2. a. To be eligible to receive an allocation from the 56 25 property tax relief fund for the allowed growth factor 56 26 adjustment, a county must meet the following requirements: 56 27 (1) The county is levying for the maximum amount allowed 56 28 for the county's mental health, mental retardation, and 56 29 developmental disabilities services fund under section 56 30 331.424A for taxes due and payable in the fiscal year 56 31 beginning July 1, 2008, or the county is levying for at least 56 32 90 percent of the maximum amount allowed for the county's 56 33 services fund and that levy rate is more than $2 per $1,000 of 56 34 the assessed value of all taxable property in the county. 56 35 (2) In the fiscal year beginning July 1, 2006, the 57 1 county's mental health, mental retardation, and developmental 57 2 disabilities services fund ending balance under generally 57 3 accepted accounting principles was equal to or less than 15 57 4 percent of the county's actual gross expenditures for that 57 5 fiscal year. 57 6 b. A county's allocation of the amount appropriated in 57 7 this subsection shall be determined based upon the county's 57 8 proportion of the general population of the counties eligible 57 9 to receive an allocation under this subsection. The most 57 10 recent population estimates issued by the United States bureau 57 11 of the census shall be applied in determining population for 57 12 the purposes of this paragraph. 57 13 3. The funding appropriated in this Act to the property 57 14 tax relief fund created in section 426B.1 is the allowed 57 15 growth factor adjustment for fiscal year 2008=2009, and is 57 16 allocated as follows: 57 17 a. To be credited to the allowed growth funding pool 57 18 created in the property tax relief fund and for distribution 57 19 in accordance with section 426B.5, subsection 1: 57 20 .................................................. $ 61,673,409 57 21 b. For transfer to the department of public health for the 57 22 brain injury services program in accordance with section 57 23 135.22B: 57 24 .................................................. $ 2,926,593 57 25 DIVISION IV 57 26 HEALTH CARE TRUST FUND APPROPRIATIONS == 57 27 HEALTH CARE ACTIVITIES 57 28 Sec. 45. DEPARTMENT OF PUBLIC HEALTH. In addition to any 57 29 other appropriation made in this Act for the purposes 57 30 designated, there is appropriated from the health care trust 57 31 fund created in section 453A.35A to the department of public 57 32 health for the fiscal year beginning July 1, 2008, and ending 57 33 June 30, 2009, the following amounts, or so much thereof as is 57 34 necessary, for the purposes designated: 57 35 1. ADDICTIVE DISORDERS 58 1 .................................................. $ 6,993,754 58 2 a. Of the funds appropriated in this subsection, $450,000 58 3 shall be used for continuation of culturally competent 58 4 substance abuse treatment pilot projects. 58 5 (1) The department shall utilize the amount allocated in 58 6 this lettered paragraph to expand existing contracts to 58 7 continue at least three pilot projects to provide culturally 58 8 competent substance abuse treatment in various areas of the 58 9 state. Each pilot project shall target a particular ethnic 58 10 minority population. The populations targeted shall include 58 11 but are not limited to African=American, Asian, and Latino. 58 12 (2) The pilot project requirements shall provide for 58 13 documentation or other means to ensure access to the cultural 58 14 competence approach used by a pilot project so that such 58 15 approach can be replicated and improved upon in successor 58 16 programs. 58 17 b. Of the funds appropriated in this subsection, 58 18 $5,861,754 shall be used for tobacco use prevention, 58 19 cessation, and treatment. The department shall utilize the 58 20 funds to provide for a variety of activities related to 58 21 tobacco use prevention, cessation, and treatment including to 58 22 support Quitline Iowa, QuitNet cessation counseling and 58 23 education, grants to school districts and community 58 24 organizations to support Just Eliminate Lies youth chapters 58 25 and youth tobacco prevention activities, expansion of the Just 58 26 Eliminate Lies tobacco prevention media campaign with a focus 58 27 on rural areas, nicotine replacement therapy, and other 58 28 prevention and cessation materials and media promotion. Of 58 29 the funds allocated in this lettered paragraph, not more than 58 30 $500,000 shall be used for cessation media promotion. Of the 58 31 funds allocated in this lettered paragraph, $255,000 may be 58 32 utilized by the department for administrative purposes. 58 33 c. Of the funds appropriated in this subsection, $682,000 58 34 shall be used for substance abuse treatment activities. 58 35 2. HEALTHY CHILDREN AND FAMILIES 59 1 .................................................. $ 657,500 59 2 a. Of the funds appropriated in this subsection, $200,000 59 3 shall be used as additional funding to address the healthy 59 4 mental development of children from birth through five years 59 5 of age through local evidence=based strategies that engage 59 6 both the public and private sectors in promoting healthy 59 7 development, prevention, and treatment for children. 59 8 b. Of the funds appropriated in this subsection, $180,000 59 9 shall be used for childhood obesity prevention. 59 10 c. Of the funds appropriated in this subsection, $39,000 59 11 shall be used for the dental screening of children program 59 12 pursuant to section 135.17. 59 13 d. Of the funds appropriated in this subsection, $238,500 59 14 shall be used to provide audiological services and hearing 59 15 aids for children. The department may enter into a contract 59 16 to administer this paragraph. 59 17 3. CHRONIC CONDITIONS 59 18 .................................................. $ 1,178,981 59 19 a. Of the funds appropriated in this subsection, $473,981 59 20 shall be used as additional funding for child health specialty 59 21 clinics. 59 22 b. Of the funds appropriated in this subsection, $500,000 59 23 shall be used for the comprehensive cancer control program to 59 24 reduce the burden of cancer in Iowa through prevention, early 59 25 detection, effective treatment, and ensuring quality of life. 59 26 The department shall utilize one of the full=time equivalent 59 27 positions authorized for the department for administration of 59 28 the activities related to the comprehensive cancer control 59 29 program. 59 30 c. Of the funds appropriated in this subsection, $5,000 59 31 shall be used for the hemophilia advisory council pursuant to 59 32 chapter 135N. 59 33 d. Of the funds appropriated in this subsection, $200,000 59 34 shall be used for cervical and colon cancer screening. 59 35 4. COMMUNITY CAPACITY 60 1 .................................................. $ 2,830,000 60 2 a. Of the funds appropriated in this subsection, $200,000 60 3 shall be used for the mental health professional shortage area 60 4 program implemented pursuant to section 135.80. 60 5 b. Of the funds appropriated in this subsection, $50,000 60 6 shall be used for a grant to a statewide association of 60 7 psychologists that is affiliated with the American 60 8 psychological association to be used for continuation of a 60 9 program to rotate intern psychologists in placements in urban 60 10 and rural mental health professional shortage areas, as 60 11 defined in section 135.80. 60 12 c. Of the funds appropriated in this subsection, the 60 13 following amounts shall be allocated to the Iowa collaborative 60 14 safety net provider network established in accordance with 60 15 section 135.153 to be used for the purposes designated: 60 16 (1) For distribution to the Iowa=Nebraska primary care 60 17 association for statewide coordination of the Iowa 60 18 collaborative safety net provider network: 60 19 .................................................. $ 100,000 60 20 (2) For distribution to free clinics for necessary 60 21 infrastructure, statewide coordination, provider recruitment, 60 22 service delivery, and provision of assistance to patients in 60 23 determining an appropriate medical home: 60 24 .................................................. $ 250,000 60 25 (3) For distribution to rural health clinics for necessary 60 26 infrastructure, statewide coordination, provider recruitment, 60 27 service delivery, and provision of assistance to patients in 60 28 determining an appropriate medical home: 60 29 .................................................. $ 150,000 60 30 (4) For continuation of the safety net provider patient 60 31 access to specialty health care initiative as described in 60 32 2007 Iowa Acts, ch. 218, section 109: 60 33 .................................................. $ 400,000 60 34 (5) For continuation of the pharmaceutical infrastructure 60 35 for safety net providers as described in 2007 Iowa Acts, ch. 61 1 218, section 108: 61 2 .................................................. $ 400,000 61 3 d. Of the funds appropriated in this subsection, $650,000 61 4 shall be used to continue the incubation grant program to 61 5 community health centers that receive a total score of 85 61 6 based on the evaluation criteria of the health resources and 61 7 services administration of the United States department of 61 8 health and human services. 61 9 e. Of the funds appropriated in this subsection, $140,000 61 10 shall be used for allocation to an independent statewide 61 11 direct care worker association for education, outreach, 61 12 leadership development, mentoring, and other initiatives 61 13 intended to enhance the recruitment and retention of direct 61 14 care workers in health and long=term care. 61 15 f. The department shall utilize one of the full=time 61 16 equivalent positions authorized for the department for 61 17 administration of the activities related to the Iowa 61 18 collaborative safety net provider network. 61 19 g. The department shall utilize one of the full=time 61 20 equivalent positions authorized for the department for 61 21 administration of the voluntary health care provider program 61 22 pursuant to section 135.24. 61 23 Sec. 46. DEPARTMENT OF HUMAN SERVICES. In addition to any 61 24 other appropriation made in this Act for the purposes 61 25 designated, there is appropriated from the health care trust 61 26 fund created in section 453A.35A to the department of human 61 27 services for the fiscal year beginning July 1, 2008, and 61 28 ending June 30, 2009, the following amounts, or so much 61 29 thereof as is necessary, for the purposes designated: 61 30 1. MEDICAL ASSISTANCE 61 31 .................................................. $100,018,096 61 32 2. STATE CHILDREN'S HEALTH INSURANCE PROGRAM 61 33 .................................................. $ 8,329,570 61 34 The funds appropriated in this subsection shall be used to 61 35 support current enrollment and natural growth in the program 62 1 and necessary outreach. 62 2 3. MH/MR/DD ALLOWED GROWTH FACTOR 62 3 .................................................. $ 7,592,099 62 4 The funds appropriated in this subsection shall be credited 62 5 to the property tax relief fund created in section 426B.1. 62 6 Sec. 47. BEHAVIORAL HEALTH == DEVELOPING WORKFORCE 62 7 COMPETENCIES. 62 8 1. The department of public health shall continue during 62 9 the fiscal year beginning July 1, 2008, the collaborative work 62 10 with the departments of corrections, education, elder affairs, 62 11 and human services, and other state agencies, commenced 62 12 pursuant to 2007 Iowa Acts, ch. 218, section 111, to enhance 62 13 the workforce competencies of professional and direct care 62 14 staff who provide behavioral health services, including but 62 15 not limited to all of the following: 62 16 a. Treatment of persons with co=occurring mental health 62 17 and substance use disorders. 62 18 b. Treatment of children with mental health or substance 62 19 use disorders. 62 20 c. Treatment of persons with serious mental illness. 62 21 d. Treatment of veterans of United States or Iowa military 62 22 service with mental health or substance use disorders. 62 23 e. Treatment of older adults with mental health or 62 24 substance use disorders. 62 25 2. The department's collaborative effort shall utilize the 62 26 findings of the substance abuse and mental health services 62 27 administration of the United States department of health and 62 28 human services and materials developed by the Annapolis 62 29 coalition on the behavioral health workforce in planning and 62 30 implementing efforts to enhance the competency=based training 62 31 of the state's behavioral health workforce. 62 32 DIVISION V 62 33 PRIOR YEAR APPROPRIATION CHANGES 62 34 Sec. 48. 2006 Iowa Acts, chapter 1184, section 17, 62 35 subsection 4, is amended by adding the following new 63 1 unnumbered paragraph: 63 2 NEW UNNUMBERED PARAGRAPH. Notwithstanding section 232.188, 63 3 subsection 5, up to $3,605,000 of the moneys in the 63 4 allocations made in this subsection or made from any other 63 5 source for the decategorization of child welfare and juvenile 63 6 justice funding initiative under section 232.188, that are 63 7 designated as carryover funding and that remain unencumbered 63 8 or unobligated at the close of the fiscal year beginning July 63 9 1, 2007, shall not revert but shall remain available for 63 10 expenditure until the close of the succeeding fiscal year to 63 11 be used for the purposes of continuing the initiative in the 63 12 succeeding fiscal year. 63 13 Sec. 49. 2007 Iowa Acts, chapter 176, section 3, is 63 14 amended to read as follows: 63 15 SEC. 3. VIETNAM CONFLICT VETERANS BONUS FUND 63 16 APPROPRIATION. Notwithstanding any provision of section 63 17 35A.13 to the contrary, there is appropriated from the 63 18 veterans trust fund created in section 35A.13 to the 63 19 department of veterans affairs for the fiscal year beginning 63 20 July 1, 2007, and ending June 30, 2008, the following amount, 63 21 or so much thereof as is necessary, to be used for the purpose 63 22 designated: 63 23 For deposit in the Vietnam Conflict veterans bonus fund: 63 24 .................................................. $ 500,000 63 25 Notwithstanding section 8.33, moneys appropriated in this 63 26 section that remain unencumbered or unobligated at the close 63 27 of the fiscal year shall not revert but shall remain available 63 28 for expenditure for the purposes designated until the close of 63 29 the succeeding fiscal year. 63 30 Sec. 50. 2006 Iowa Acts, chapter 1184, section 5, as 63 31 amended by 2007 Iowa Acts, chapter 203, section 1, subsection 63 32 4, is amended to read as follows: 63 33 NEW SUBSECTION. 4. INJURED VETERANS GRANT PROGRAM 63 34 For continuation of the injured veterans grant program in 63 35 accordance with section 35A.14, for providing hardship grants 64 1 to military veterans seriously injured in a combat zone since 64 2 September 11, 2001: 64 3 .................................................. $ 2,000,000 64 4 Notwithstanding section 8.33, moneys appropriated in this 64 5 subsection that remain unencumbered or unobligated at the 64 6 close of the fiscal year shall not revert but shall remain 64 7 available for expenditure for the purposes designated until 64 8 the close of the succeeding fiscal year beginning July 1, 64 9 2008. 64 10 Sec. 51. 2007 Iowa Acts, chapter 218, section 7, 64 11 subsections 1 and 7, are amended to read as follows: 64 12 1. To be credited to the family investment program account 64 13 and used for assistance under the family investment program 64 14 under chapter 239B: 64 15 .................................................. $ 36,890,944 64 16 30,390,944 64 17 7. For state child care assistance: 64 18 .................................................. $ 18,986,177 64 19 25,486,177 64 20 a. Of the funds appropriated in this subsection, 64 21 $18,986,177 shall be transferred to the child care and 64 22 development block grant appropriation made for the federal 64 23 fiscal year beginning October 1, 2007, and ending September 64 24 30, 2008, in 2007 Iowa Acts, ch. 204, section 13. Of this 64 25 amount, $200,000 shall be used for provision of educational 64 26 opportunities to registered child care home providers in order 64 27 to improve services and programs offered by this category of 64 28 providers and to increase the number of providers. The 64 29 department may contract with institutions of higher education 64 30 or child care resource and referral centers to provide the 64 31 educational opportunities. Allowable administrative costs 64 32 under the contracts shall not exceed 5 percent. The 64 33 application for a grant shall not exceed two pages in length. 64 34 b. The Any funds appropriated in this subsection shall be 64 35 transferred to the child care and development block grant 65 1 appropriation that remain unallocated shall be used for state 65 2 child care assistance payments for individuals enrolled in the 65 3 family investment program who are employed. 65 4 Sec. 52. EFFECTIVE DATE. This division of this Act, being 65 5 deemed of immediate importance, takes effect upon enactment. 65 6 DIVISION VI 65 7 PRIOR YEAR APPROPRIATION CHANGES WITH 65 8 CONTINGENT APPLICABILITY DATE 65 9 Sec. 53. 2007 Iowa Acts, chapter 214, section 9, 65 10 subsection 2, paragraph b, is amended to read as follows: 65 11 b. Psychiatric hospital 65 12 For salaries, support, maintenance, equipment, 65 13 miscellaneous purposes, for the care, treatment, and 65 14 maintenance of committed and voluntary public patients, and 65 15 for not more than the following full=time equivalent 65 16 positions: 65 17 .................................................. $ 7,043,056 65 18 0 65 19 ............................................... FTEs 269.65 65 20 Sec. 54. 2007 Iowa Acts, chapter 215, section 15, 65 21 unnumbered paragraph 1, is amended to read as follows: 65 22 There is appropriated from the general fund of the state to 65 23 the salary adjustment fund for distribution by the department 65 24 of management to the various state departments, boards, 65 25 commissions, councils, and agencies, including the state board 65 26 of regents except as otherwise provided, and the judicial 65 27 branch, for the fiscal year beginning July 1, 2007, and ending 65 28 June 30, 2008, the amount of $106,848,094 $106,569,196, or so 65 29 much thereof as may be necessary, to fully fund annual pay 65 30 adjustments, expense reimbursements, and related benefits 65 31 implemented pursuant to the following: 65 32 Sec. 55. 2007 Iowa Acts, chapter 215, section 15, is 65 33 amended by adding the following new subsection: 65 34 NEW SUBSECTION. 16. The amount distributed to the state 65 35 psychiatric hospital administered by the state board of 66 1 regents from the appropriation in this section shall be 66 2 reduced to zero. 66 3 Sec. 56. 2007 Iowa Acts, chapter 218, section 11, 66 4 unnumbered paragraph 2, is amended to read as follows: 66 5 For medical assistance reimbursement and associated costs 66 6 as specifically provided in the reimbursement methodologies in 66 7 effect on June 30, 2007, except as otherwise expressly 66 8 authorized by law, including reimbursement for abortion 66 9 services, which shall be available under the medical 66 10 assistance program only for those abortions which are 66 11 medically necessary: 66 12 .................................................. $616,771,820 66 13 624,093,774 66 14 Sec. 57. 2007 Iowa Acts, chapter 218, section 11, is 66 15 amended by adding the following new subsections: 66 16 NEW SUBSECTION. 17. a. Of the funds appropriated in this 66 17 section, $2,797,719 is allocated for state match for 66 18 disproportionate share hospital payment of $7,321,954 to 66 19 hospitals that meet both of the following conditions: 66 20 (1) The hospital qualifies for disproportionate share and 66 21 graduate medical education payments. 66 22 (2) The hospital is an Iowa state=owned hospital with more 66 23 than 500 beds and eight or more distinct residency specialty 66 24 or subspecialty programs recognized by the American college of 66 25 graduate medical education. 66 26 b. Distribution of the disproportionate share payment 66 27 shall be made on a monthly basis. The total amount of 66 28 disproportionate share payments including graduate medical 66 29 education, enhanced disproportionate share, and Iowa 66 30 state=owned teaching hospital payments shall not exceed the 66 31 amount of the state's allotment under Pub. L. No. 102=234. In 66 32 addition, the total amount of all disproportionate share 66 33 payments shall not exceed the hospital=specific 66 34 disproportionate share limits under Pub. L. No. 103=66. 66 35 NEW SUBSECTION. 18. Of the funds appropriated in this 67 1 section, $4,524,235 is transferred to the IowaCare account 67 2 created in section 249J.24 for the fiscal year beginning July 67 3 1, 2007, and ending June 30, 2008. 67 4 NEW SUBSECTION. 19. The department shall immediately 67 5 notify the governor and the general assembly of any changes in 67 6 federal policies or application of policies that impact the 67 7 distribution of hospital disproportionate share payments. 67 8 Sec. 58. 2007 Iowa Acts, chapter 218, section 73, 67 9 subsection 2, is amended to read as follows: 67 10 2. There is appropriated from the IowaCare account created 67 11 in section 249J.24 to the state board of regents for 67 12 distribution to the university of Iowa hospitals and clinics 67 13 for the fiscal year beginning July 1, 2007, and ending June 67 14 30, 2008, the following amount, or so much thereof as is 67 15 necessary, to be used for the purposes designated: 67 16 For salaries, support, maintenance, equipment, and 67 17 miscellaneous purposes, for the provision of medical and 67 18 surgical treatment of indigent patients, for provision of 67 19 services to members of the expansion population pursuant to 67 20 chapter 249J, and for medical education: 67 21 .................................................. $ 10,000,000 67 22 25,684,211 67 23 The amount appropriated in this subsection shall be 67 24 distributed only if expansion population claims adjudicated 67 25 and paid by the Iowa Medicaid enterprise exceed the 67 26 appropriation to the state board of regents for distribution 67 27 to the university of Iowa hospitals and clinics provided in 67 28 subsection 1. The amount appropriated in this subsection 67 29 shall be distributed monthly for expansion population claims 67 30 adjudicated and approved for payment by the Iowa Medicaid 67 31 enterprise using medical assistance program reimbursement 67 32 rates. 67 33 Notwithstanding section 8.33, moneys appropriated in this 67 34 subsection that remain unencumbered or unobligated at the 67 35 close of the fiscal year shall not revert but shall remain 68 1 available for expenditure for the purposes designated until 68 2 the close of the succeeding fiscal year. 68 3 Sec. 59. 2007 Iowa Acts, chapter 218, section 98, 68 4 subsection 2, is amended by adding the following new 68 5 paragraph: 68 6 NEW PARAGRAPH. d. Notwithstanding section 8.33, moneys 68 7 appropriated in this subsection that are allocated for 68 8 outreach and remain unencumbered or unobligated at the close 68 9 of the fiscal year, shall not revert but shall remain 68 10 available for expenditure for the purposes designated until 68 11 the close of the succeeding fiscal year. 68 12 Sec. 60. EFFECTIVE DATE == CONTINGENT EFFECTIVE DATE == 68 13 RETROACTIVE APPLICABILITY. This division of this Act, being 68 14 deemed of immediate importance, takes effect upon enactment 68 15 and is retroactively applicable to December 21, 2007. 68 16 However, the division is applicable only if the department of 68 17 human services receives approval of a medical assistance state 68 18 plan amendment from the centers for Medicare and Medicaid 68 19 services of the United States department of health and human 68 20 services to utilize the disproportionate share hospital 68 21 payments as specified in this division. The department shall 68 22 notify the governor, the persons designated by this Act to 68 23 receive reports, and the Code editor concerning the center's 68 24 approval or denial of the state plan amendment. 68 25 DIVISION VII 68 26 MH/MR/DD/BI SERVICES ALLOWED 68 27 GROWTH FUNDING == FY 2009=2010 68 28 Sec. 61. COUNTY MENTAL HEALTH, MENTAL RETARDATION, 68 29 DEVELOPMENTAL DISABILITIES, AND BRAIN INJURY ALLOWED GROWTH 68 30 APPROPRIATION AND ALLOCATIONS == FISCAL YEAR 2008=2009. 68 31 1. There is appropriated from the general fund of the 68 32 state to the department of human services for the fiscal year 68 33 beginning July 1, 2009, and ending June 30, 2010, the 68 34 following amount, or so much thereof as is necessary, to be 68 35 used for the purpose designated: 69 1 For distribution to counties of the county mental health, 69 2 mental retardation, and developmental disabilities allowed 69 3 growth factor adjustment for fiscal year 2009=2010, and for 69 4 the brain injury services program in the department of public 69 5 health: 69 6 .................................................. $ 73,114,612 69 7 2. The amount appropriated in this Act to the mental 69 8 health property tax relief fund created in chapter 426B for 69 9 the county allowed growth shall be allocated as follows: 69 10 a. For distribution to counties of the county mental 69 11 health, mental retardation, and developmental disabilities 69 12 allowed growth factor adjustment, as provided in this section 69 13 in lieu of the provisions of section 331.438, subsection 2, 69 14 and section 331.439, subsection 3, and chapter 426B: 69 15 .................................................. $ 69,688,019 69 16 b. For transfer to the department of public health for the 69 17 brain injury services program in accordance with section 69 18 135.22B: 69 19 .................................................. $ 3,426,593 69 20 DIVISION VIII 69 21 CODE CHANGES 69 22 Sec. 62. Section 35D.18, subsection 5, Code 2007, is 69 23 amended to read as follows: 69 24 5. Notwithstanding section 8.33, up to five hundred 69 25 thousand dollars of any balance in the Iowa veterans home 69 26 revenue annual appropriation or revenues that remain remains 69 27 unencumbered or unobligated at the close of the fiscal year 69 28 shall not revert but shall remain available for expenditure 69 29 for specified purposes of the Iowa veterans home until the 69 30 close of the succeeding fiscal year. 69 31 Sec. 63. Section 234.12A, subsection 1, Code 2007, is 69 32 amended to read as follows: 69 33 1. The department of human services shall maintain an 69 34 electronic benefits transfer program utilizing electronic 69 35 funds transfer systems. The program shall at a minimum 70 1 provide for all of the following: 70 2 a. A that a retailer shall not be required to make cash 70 3 disbursements or to provide, purchase, or upgrade electronic 70 4 funds transfer system equipment as a condition of 70 5 participation in the program. 70 6 b. A retailer providing electronic funds transfer system 70 7 equipment for transactions pursuant to the program shall be 70 8 reimbursed seven cents for each approved transaction pursuant 70 9 to the program utilizing the retailer's equipment. 70 10 c. A retailer that provides electronic funds transfer 70 11 system equipment for transactions pursuant to the program and 70 12 who makes cash disbursements pursuant to the program utilizing 70 13 the retailer's equipment shall be paid a fee of seven cents by 70 14 the department for each cash disbursement transaction by the 70 15 retailer. 70 16 Sec. 64. Sections 237A.28 and 422.100, Code 2007, are 70 17 repealed. 70 18 EXPLANATION 70 19 This bill relates to and makes appropriations for health 70 20 and human services for FY 2008=2009 to the department of 70 21 veterans affairs, the Iowa veterans home, the department of 70 22 elder affairs, the department of public health, Iowa finance 70 23 authority, department of human rights, state board of regents, 70 24 department of inspections and appeals, and the department of 70 25 human services. 70 26 GENERAL FUND, VETERANS TRUST FUND, AND BLOCK GRANT 70 27 APPROPRIATIONS. This division appropriates funding from the 70 28 general fund of the state for the department of elder affairs, 70 29 the department of public health, and the department of 70 30 veterans affairs. 70 31 The division appropriates funds from the gambling treatment 70 32 fund in lieu of the standing appropriation in Code section 70 33 135.150 for addictive disorders and provides for use of the 70 34 funds remaining in the fund. 70 35 The division appropriates funding from the general fund of 71 1 the state and the federal temporary assistance for needy 71 2 families block grant to the department of human services. The 71 3 allocation for the family development and self=sufficiency 71 4 grant program is made directly to the department of human 71 5 rights. 71 6 The reimbursement section addresses reimbursement for 71 7 providers reimbursed by the department of human services. 71 8 The division eliminates the provision relating to providing 71 9 increased nursing facilty reimbursement based on 71 10 accountability measurements. 71 11 SENIOR LIVING TRUST FUND, PHARMACEUTICAL SETTLEMENT 71 12 ACCOUNT, IOWACARE ACCOUNT, AND HEALTH CARE TRANSFORMATION 71 13 ACCOUNT. This division makes appropriations for FY 2008=2009 71 14 from the senior living trust fund to the department of elder 71 15 affairs, the department of human services, the department of 71 16 inspections and appeals, and the Iowa finance authority. 71 17 The division makes an appropriation from the pharmaceutical 71 18 settlement account to the department of human services to 71 19 supplement the medical contracts appropriation. 71 20 The division makes appropriations from the IowaCare account 71 21 to the state board of regents for distribution to the 71 22 university of Iowa hospitals and clinics, and to the 71 23 department of human services for distribution to a publicly 71 24 owned acute care teaching hospital in a county with a 71 25 population over 350,000, and to the state mental health 71 26 institutes for purposes related to the IowaCare program and 71 27 indigent care. The division also makes an appropriation to 71 28 the department of human services from the health care 71 29 transformation account for various health care reform 71 30 initiatives. The division makes an additional appropriation 71 31 for distribution to the university of Iowa hospitals and 71 32 clinics based on claims adjudicated and paid. 71 33 MH/MR/DD/BI SERVICES ALLOWED GROWTH FUNDING == FY 71 34 2008=2009. This division revises and provides for 71 35 distribution of the services funding previously appropriated 72 1 for FY 2008=2009. 72 2 HEALTH CARE TRUST FUND. This division includes provisions 72 3 relating to health care and makes appropriations from the 72 4 health care trust fund. 72 5 PUBLIC HEALTH AND DEPARTMENT OF HUMAN SERVICES 72 6 APPROPRIATIONS. Appropriations are made from the health care 72 7 trust fund to the department of public health for addictive 72 8 disorders, healthy children and families, chronic conditions, 72 9 and community capacity. In addition, the department of public 72 10 health is required to continue working with other state 72 11 agencies to enhance workforce competency of professional and 72 12 direct care staff who provide behavioral health services. 72 13 Funds are appropriated from the health care trust fund to 72 14 the department of human services for medical assistance, the 72 15 state children's health insurance program, and mental health, 72 16 mental retardation, and developmental disability (MH/MR/DD) 72 17 services allowed growth. 72 18 PRIOR YEAR APPROPRIATION CHANGES. This division changes 72 19 prior year appropriations. 72 20 An allocation made in 2006 Iowa Acts, ch. 1184, for 72 21 purposes of the decategorization of child welfare and juvenile 72 22 justice funding initiative under Code section 232.188 is 72 23 amended to provide that up to $3,605,000 from the allocation 72 24 and any other funding designated as carryover funding under 72 25 the initiative that is unencumbered or unobligated at the 72 26 close of fiscal year 2007=2008 will not revert as provided in 72 27 Code section 232.188 but instead will remain to be used for 72 28 the initiative in FY 2008=2009. 72 29 The appropriation made in 2007 Iowa Acts, ch. 176, for the 72 30 Vietnam Conflict veterans bonus fund is amended to provide 72 31 that the appropriation does not revert at the close of FY 72 32 2007=2008 but remains available through the succeeding fiscal 72 33 year. 72 34 The appropriation made in 2007 Iowa Acts, ch. 203, for the 72 35 injured veterans grant program is amended to provide that the 73 1 appropriation does not revert at the close of FY 2007=2008 but 73 2 remains available through the succeeding fiscal year. 73 3 The division takes effect upon enactment. 73 4 PRIOR YEAR APPROPRIATION CHANGES WITH CONTINGENT 73 5 APPLICABILITY DATE. This division changes prior year 73 6 appropriations and is retroactively applicable to December 21, 73 7 2007, but is contingent upon federal approval of a Medicaid 73 8 state plan amendment. 73 9 Two appropriations made from the federal temporary 73 10 assistance for needy families block grant in 2007 Iowa Acts, 73 11 ch. 218, are amended to reduce the family investment program 73 12 appropriation by $6.5 million and increase the appropriation 73 13 for state child care assistance by a like amount. 73 14 The appropriation made from the general fund of the state 73 15 in 2007 Iowa Acts, ch. 214, for the state psychiatric hospital 73 16 is reduced to zero and is replaced by increasing the 73 17 appropriation made from the general fund of the state for the 73 18 medical assistance program in 2007 Iowa Acts, ch. 218, and 73 19 making an allocation for the psychiatric hospital. The 73 20 medical assistance appropriation is also amended to transfer 73 21 approximately $4.5 million to the IowaCare account. In 73 22 addition, the appropriation made in 2007 Iowa Acts, ch. 215, 73 23 for the salary adjustment fund is amended to reduce the 73 24 appropriation and to reflect that the distribution of salary 73 25 adjustment moneys for the state psychiatric hospital are 73 26 reduced to zero. 73 27 The bill also increases the amount appropriated to the 73 28 state board of regents for the IowaCare program for FY 73 29 2007=2008, and makes distribution of the amount contingent 73 30 upon claims adjudicated and approved for payment. 73 31 MH/MR/DD/BI SERVICES ALLOWED GROWTH FUNDING FOR FY 73 32 2009=2010. This division provides the FY 2008=2009 allowed 73 33 growth appropriation for distribution to counties and for the 73 34 brain injury services program in the department of public 73 35 health. 74 1 CODE CHANGES. This division provides miscellaneous Code 74 2 changes. 74 3 Code section 35D.18, requiring the Iowa veterans home to 74 4 operate with a net general fund appropriation, is amended to 74 5 remove a $500,000 restriction on the amount of excess funding 74 6 that may be carried forward at the close of a fiscal year. 74 7 Code section 234.12A, relating to the electronic benefits 74 8 transfer program operated by the department of human services 74 9 for food stamp benefits, is amended to repeal a requirement to 74 10 reimburse retailers for each transaction and cash 74 11 disbursement. 74 12 Code sections 237A.28 and 422.100, which respectively 74 13 establish the child care credit fund and require the treasurer 74 14 of state to credit $2.6 million annually into the fund from 74 15 individual income tax withholding receipts, are repealed. 74 16 LSB 5012XG 82 74 17 pf/jp/14.4
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