Bill Text: IA HF2698 | 2023-2024 | 90th General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations including but not limited to the personal needs allowance for certain persons under Medicaid and the state supplementary assistance programs, replacement generation tax revenues, the Medicaid fraud and health care trust funds, the retention of certain revenues by the mental health institutes, the retention of Medicaid eligibility by residents of mental health institutes, the scope of services of the state resource centers, the appropriation of moneys in the juvenile detention home fund, the family investment program account and diversion program, the child support collection services center refund account, the quality assurance assessment payment period, the centers of excellence grant program, an assisted living program revised payment model study, funding for county commissions of veteran affairs, foster care provisions including those relating to a relative or fictive kin, health care employment agencies and health care technology platforms, medical cannabidiol practitioner requirements, nursing facility oversight, and state-funded psychiatry residency and fellowship positions, providing penalties, and including effective date and retroactive applicability provisions. Effective date: 05/09/2024, 07/01/2024. Applicability date: 07/01/2022, 07/01/2023.
Spectrum: Committee Bill
Status: (Passed) 2024-05-10 - NOBA: Final [HF2698 Detail]
Download: Iowa-2023-HF2698-Introduced.html
Bill Title: A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations including but not limited to the personal needs allowance for certain persons under Medicaid and the state supplementary assistance programs, replacement generation tax revenues, the Medicaid fraud and health care trust funds, the retention of certain revenues by the mental health institutes, the retention of Medicaid eligibility by residents of mental health institutes, the scope of services of the state resource centers, the appropriation of moneys in the juvenile detention home fund, the family investment program account and diversion program, the child support collection services center refund account, the quality assurance assessment payment period, the centers of excellence grant program, an assisted living program revised payment model study, funding for county commissions of veteran affairs, foster care provisions including those relating to a relative or fictive kin, health care employment agencies and health care technology platforms, medical cannabidiol practitioner requirements, nursing facility oversight, and state-funded psychiatry residency and fellowship positions, providing penalties, and including effective date and retroactive applicability provisions. Effective date: 05/09/2024, 07/01/2024. Applicability date: 07/01/2022, 07/01/2023.
Spectrum: Committee Bill
Status: (Passed) 2024-05-10 - NOBA: Final [HF2698 Detail]
Download: Iowa-2023-HF2698-Introduced.html
House
File
2698
-
Introduced
HOUSE
FILE
2698
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
LSB
5004HB)
A
BILL
FOR
An
Act
relating
to
and
making
appropriations
for
veterans
1
and
health
and
human
services,
including
other
related
2
provisions
and
appropriations,
and
including
effective
date
3
and
retroactive
applicability
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
TLSB
5004HV
(3)
90
pf/ko
H.F.
2698
DIVISION
I
1
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2024-2025
2
Section
1.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
3
appropriated
from
the
general
fund
of
the
state
to
the
4
department
of
veterans
affairs
for
the
fiscal
year
beginning
5
July
1,
2024,
and
ending
June
30,
2025,
the
following
amounts,
6
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
7
designated:
8
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
9
For
salaries,
support,
maintenance,
and
miscellaneous
10
purposes,
and
for
not
more
than
the
following
full-time
11
equivalent
positions:
12
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$
1,369,205
13
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FTEs
15.00
14
2.
STATE
VETERANS
CEMETERY
15
For
cemetery
grounds
services
and
miscellaneous
purposes:
16
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.
$
292,000
17
3.
IOWA
VETERANS
HOME
18
For
salaries,
support,
maintenance,
and
miscellaneous
19
purposes:
20
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$
8,145,736
21
a.
The
Iowa
veterans
home
billings
involving
the
department
22
of
health
and
human
services
shall
be
submitted
to
the
23
department
on
at
least
a
monthly
basis.
24
b.
The
Iowa
veterans
home
expenditure
report
shall
be
25
submitted
monthly
to
the
general
assembly.
26
4.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
27
For
transfer
to
the
Iowa
finance
authority
for
the
28
continuation
of
the
home
ownership
assistance
program
for
29
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
30
the
United
States,
pursuant
to
section
16.54:
31
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.
$
2,200,000
32
DIVISION
II
33
AGING
AND
DISABILITY
SERVICES
——
FY
2024-2025
34
Sec.
2.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
AGING
35
-1-
LSB
5004HV
(3)
90
pf/ko
1/
63
H.F.
2698
AND
DISABILITY
SERVICES.
There
is
appropriated
from
the
1
general
fund
of
the
state
to
the
department
of
health
and
human
2
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
3
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
4
necessary,
to
be
used
for
the
purposes
designated:
5
For
aging
programs
for
the
department
of
health
and
human
6
services
and
area
agencies
on
aging
to
provide
citizens
of
7
Iowa
who
are
60
years
of
age
and
older
with
case
management;
8
Iowa’s
aging
and
disabilities
resource
centers;
for
the
9
return
to
community
program;
for
the
purposes
of
chapter
231E,
10
to
administer
the
prevention
of
elder
abuse,
neglect,
and
11
exploitation
program
pursuant
to
section
231.56A,
in
accordance
12
with
the
requirements
of
the
federal
Older
Americans
Act
of
13
1965,
42
U.S.C.
§3001
et
seq.,
as
amended;
for
the
reporting
14
and
evaluation
of
cases
of
dependant
adult
abuse
pursuant
to
15
chapter
235B;
and
for
other
services
which
may
include
but
are
16
not
limited
to
adult
day,
respite
care,
chore,
information
17
and
assistance,
and
material
aid,
for
information
and
options
18
counseling
for
persons
with
disabilities,
and
for
salaries,
19
support,
administration,
maintenance,
and
miscellaneous
20
purposes:
21
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.
$
19,088,714
22
1.
Funds
appropriated
in
this
section
may
be
used
to
23
supplement
federal
funds
under
federal
regulations.
To
24
receive
funds
appropriated
in
this
section,
a
local
area
25
agency
on
aging
shall
match
the
funds
with
moneys
from
other
26
sources
according
to
rules
adopted
by
the
department.
Funds
27
appropriated
in
this
section
may
be
used
for
services
not
28
specifically
enumerated
in
this
section
only
if
approved
by
the
29
department
as
part
of
an
area
agency
on
aging’s
area
plan.
30
2.
Of
the
funds
appropriated
in
this
section,
$949,282
31
shall
be
used
for
the
family
support
center
component
of
the
32
comprehensive
family
support
program
under
chapter
225C,
33
subchapter
V.
34
3.
Of
the
funds
appropriated
in
this
section,
$33,632
shall
35
-2-
LSB
5004HV
(3)
90
pf/ko
2/
63
H.F.
2698
be
used
to
build
community
capacity
through
the
coordination
1
and
provision
of
training
opportunities
in
accordance
with
the
2
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871
(S.D.
3
Iowa,
July
14,
1994).
4
DIVISION
III
5
BEHAVIORAL
HEALTH
——
FY
2024-2025
6
Sec.
3.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
7
BEHAVIORAL
HEALTH.
There
is
appropriated
from
the
general
fund
8
of
the
state
to
the
department
of
health
and
human
services
for
9
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
10
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
11
to
be
used
for
the
purposes
designated:
12
For
behavioral
health
prevention,
treatment,
and
recovery
13
efforts
to
reduce
the
prevalence
of
the
use
of,
provide
14
treatment
for,
and
support
recovery
from
tobacco
and
substance
15
use
and
misuse
pursuant
to
the
applicable
policy,
purpose,
16
and
intent
described
in
sections
125.1
and
142A.1,
alcohol,
17
problem
gambling,
and
other
addictive
behaviors.
Activities
18
shall
align
with
accepted
best
practice
guidance
standards
for
19
behavioral
health
including
those
published
by
the
centers
for
20
disease
control
and
prevention
and
the
substance
abuse
and
21
mental
health
services
administration
of
the
United
States
22
department
of
health
and
human
services
for
health
promotion;
23
universal,
selective,
and
indicated
prevention;
treatment;
and
24
recovery
services
and
supports;
and
shall
include
a
24-hour
25
helpline,
public
information
resources,
professional
training,
26
youth
prevention,
program
evaluation,
and
efforts
at
the
state
27
and
local
levels:
28
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.
$
24,400,114
29
Sec.
4.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
SPORTS
30
WAGERING
RECEIPTS
FUND.
There
is
appropriated
from
the
sports
31
wagering
receipts
fund
created
in
section
8.57,
subsection
6,
32
to
the
department
of
health
and
human
services
for
the
fiscal
33
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
34
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
35
-3-
LSB
5004HV
(3)
90
pf/ko
3/
63
H.F.
2698
used
for
behavioral
health
prevention,
treatment,
and
recovery
1
efforts
to
reduce
the
prevalence
of
the
use
of,
provide
2
treatment
for,
and
support
recovery
from
tobacco
and
substance
3
use
and
misuse
pursuant
to
the
applicable
policy,
purpose,
and
4
intent
described
in
sections
125.1
and
142A.1,
alcohol,
problem
5
gambling,
and
other
addictive
behaviors:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
$
1,750,000
7
Sec.
5.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
MENTAL
8
HEALTH
AND
DISABILITY
SERVICES
REGIONAL
SERVICE
FUND
——
9
REGION
INCENTIVE
FUND.
There
is
appropriated
from
the
region
10
incentive
fund
of
the
mental
health
and
disability
services
11
regional
service
fund
created
in
section
225C.7A,
to
the
12
department
of
health
and
human
services
for
the
fiscal
year
13
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
to
15
support
the
statewide
988
suicide
and
crisis
line,
and
to
16
support
the
transition
to
the
new
behavioral
health
system
17
pursuant
to
2024
Iowa
Acts,
House
File
2509,
or
successor
18
legislation,
if
enacted:
19
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.
.
$
3,000,000
20
DIVISION
IV
21
PUBLIC
HEALTH
——
FY
2024-2025
22
Sec.
6.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
PUBLIC
23
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
health
and
human
services
for
the
25
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
26
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
27
used
for
the
purposes
designated:
28
For
programs
that
support
health
promotion,
protect
the
29
health
and
safety
of
the
public,
conduct
disease
surveillance
30
and
investigation
to
reduce
the
incidence
of
morbidity
and
31
mortality,
serve
individuals
with
chronic
conditions,
and
32
strengthen
the
health
care
delivery
system
to
improve
health
33
outcomes
for
all
Iowans:
34
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.
$
22,916,821
35
-4-
LSB
5004HV
(3)
90
pf/ko
4/
63
H.F.
2698
1.
Of
the
funds
appropriated
in
this
section,
$2,100,000
1
shall
be
deposited
in
the
medical
residency
training
account
2
created
in
section
135.175,
subsection
5,
paragraph
“a”,
and
is
3
appropriated
from
the
account
to
the
department
to
be
used
for
4
the
purposes
of
the
medical
residency
training
state
matching
5
grants
program
as
specified
in
section
135.176.
6
2.
Of
the
funds
appropriated
in
this
section,
$800,000
7
shall
be
used
for
rural
psychiatric
residencies
to
annually
8
fund
eight
psychiatric
residents
who
will
provide
mental
health
9
services
in
underserved
areas
of
the
state.
10
3.
Of
the
funds
appropriated
in
this
section,
$425,000
11
shall
be
used
for
the
continuation
of
a
centers
of
excellence
12
program
for
the
awarding
of
two
grants
to
encourage
innovation
13
and
collaboration
among
regional
health
care
providers
in
a
14
rural
area
based
upon
the
results
of
a
regional
community
15
needs
assessment
to
transform
health
care
delivery
in
order
to
16
provide
quality,
sustainable
care
that
meets
the
needs
of
the
17
local
communities.
An
applicant
for
the
grant
shall
specify
18
how
the
grant
will
be
expended
to
accomplish
the
goals
of
the
19
program
and
shall
provide
a
detailed
five-year
sustainability
20
plan
prior
to
being
awarded
any
grant.
Following
receipt
21
of
the
grant,
a
recipient
shall
submit
periodic
reports
as
22
specified
by
the
department
to
the
governor
and
the
general
23
assembly
regarding
the
recipient’s
expenditure
of
the
grant
and
24
progress
in
accomplishing
the
program’s
goals.
25
4.
Of
the
funds
appropriated
in
this
section,
$560,000
shall
26
be
deposited
in
the
state-funded
family
medicine
obstetrics
27
fellowship
program
fund
to
be
used
for
the
state-funded
family
28
medicine
obstetrics
fellowship
program,
in
accordance
with
29
section
135.193.
30
5.
The
department
shall
work
with
the
board
established
31
in
chapter
135D
to
develop
plans
for
program
enhancements
32
in
the
Iowa
health
information
network
for
the
purpose
of
33
empowering
Iowa
patients
to
access
and
direct
their
health
34
information
utilizing
the
Iowa
health
information
network.
35
-5-
LSB
5004HV
(3)
90
pf/ko
5/
63
H.F.
2698
Program
enhancements
shall
protect
data
privacy,
facilitate
the
1
interchange
of
health
data
for
the
purpose
of
improving
public
2
health
outcomes,
and
increase
participation
by
health
care
3
providers.
4
6.
The
university
of
Iowa
hospitals
and
clinics
under
5
the
control
of
the
state
board
of
regents
shall
not
receive
6
indirect
costs
from
the
funds
appropriated
in
this
section.
7
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
8
department
shall
be
on
at
least
a
quarterly
basis.
9
DIVISION
V
10
COMMUNITY
ACCESS
AND
ELIGIBILITY
——
FY
2024-2025
11
Sec.
7.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
COMMUNITY
12
ACCESS
AND
ELIGIBILITY.
There
is
appropriated
from
the
13
general
fund
of
the
state
to
the
department
of
health
and
human
14
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
15
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purposes
designated:
17
To
be
used
for
salaries,
support,
maintenance,
and
18
miscellaneous
purposes
and
for
family
investment
program
(FIP)
19
assistance
in
accordance
with
chapter
239B,
and
for
other
costs
20
associated
with
providing
needs-based
benefits
or
assistance
21
including
but
not
limited
to
maternal
and
child
health,
oral
22
health,
obesity
prevention,
the
promoting
independence
and
23
self-sufficiency
through
employment,
job
opportunities
and
24
basic
skills
(PROMISE
JOBS)
program,
supplemental
nutrition
25
assistance
program
(SNAP)
employment
and
training,
the
FIP
26
diversion
program,
family
planning,
rent
reimbursement,
27
and
eligibility
determinations
for
medical
assistance,
food
28
assistance,
and
the
children’s
health
insurance
program:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
68,043,944
30
1.
Of
the
child
support
collections
assigned
under
FIP,
31
the
federal
share
of
support
collections
shall
be
credited
to
32
the
child
support
services
appropriation
made
in
this
division
33
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
34
collections
received
by
child
support
services,
a
portion
35
-6-
LSB
5004HV
(3)
90
pf/ko
6/
63
H.F.
2698
shall
be
credited
to
community
access
and
eligibility,
and
1
the
remaining
funds
may
be
used
to
increase
recoveries,
to
2
sustain
cash
flow
in
the
child
support
payments
account,
or
for
3
technology
needs.
If
child
support
collections
assigned
under
4
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
5
to
be
required
for
maintenance
of
effort,
the
state
share
of
6
either
amount
may
be
transferred
to
or
retained
in
the
child
7
support
payments
account.
8
2.
Of
the
funds
appropriated
in
this
section,
$3,075,000
9
shall
be
used
for
continuation
of
the
department’s
initiative
10
to
provide
for
adequate
developmental
surveillance
and
11
screening
during
a
child’s
first
five
years.
The
funds
shall
12
be
used
first
to
fully
fund
the
current
participating
counties
13
to
ensure
that
those
counties
are
fully
operational,
with
the
14
remaining
funds
to
be
used
for
expanding
participation
to
15
additional
counties.
The
full
implementation
and
expansion
16
shall
include
enhancing
the
scope
of
the
initiative
through
17
collaboration
with
the
child
health
specialty
clinics
to
18
promote
the
use
of
developmental
surveillance
and
screening
to
19
support
healthy
child
development
through
early
identification
20
and
response
to
both
biomedical
and
social
determinants
of
21
healthy
development
by
providing
practitioner
consultation
22
and
continuous
improvement
through
training
and
education,
23
particularly
for
children
with
behavioral
conditions
and
24
needs.
The
department
shall
also
collaborate
with
the
Medicaid
25
program
and
the
child
health
specialty
clinics
to
assist
in
26
coordinating
the
activities
of
the
first
five
initiative
into
27
the
establishment
of
patient-centered
medical
homes
developed
28
to
improve
health
quality
and
population
health
while
reducing
29
health
care
costs.
To
the
maximum
extent
possible,
funding
30
allocated
in
this
subsection
shall
be
utilized
as
matching
31
funds
for
Medicaid
program
reimbursement.
32
3.
Of
the
funds
appropriated
in
this
section,
$1,145,102
33
is
allocated
to
the
Iowa
commission
on
volunteer
service
for
34
programs
and
grants.
35
-7-
LSB
5004HV
(3)
90
pf/ko
7/
63
H.F.
2698
4.
The
university
of
Iowa
hospitals
and
clinics
under
1
the
control
of
the
state
board
of
regents
shall
not
receive
2
indirect
costs
from
the
funds
appropriated
in
this
section.
3
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
4
department
shall
be
on
at
least
a
quarterly
basis.
5
CHILD
SUPPORT
SERVICES
6
Sec.
8.
CHILD
SUPPORT
SERVICES.
There
is
appropriated
from
7
the
general
fund
of
the
state
to
the
department
of
health
and
8
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
9
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
10
as
is
necessary,
to
be
used
for
the
purposes
designated:
11
For
child
support
services,
including
salaries,
support,
12
maintenance,
and
miscellaneous
purposes:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,434,282
14
1.
Federal
access
and
visitation
grant
moneys
shall
be
used
15
for
services
designed
to
increase
compliance
with
the
child
16
access
provisions
of
court
orders,
including
but
not
limited
to
17
neutral
visitation
sites
and
mediation
services.
18
2.
The
appropriation
made
to
the
department
for
child
19
support
services
may
be
used
throughout
the
fiscal
year
in
the
20
manner
necessary
for
purposes
of
cash
flow
management,
and
for
21
cash
flow
management
purposes
the
department
may
temporarily
22
draw
more
than
the
amount
appropriated,
provided
the
amount
23
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
24
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT
25
Sec.
9.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
26
GRANT.
There
is
appropriated
from
the
special
fund
created
in
27
section
8.41
to
the
department
of
health
and
human
services
28
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
29
30,
2025,
from
moneys
received
under
the
federal
temporary
30
assistance
for
needy
families
(TANF)
block
grant
pursuant
31
to
the
federal
Personal
Responsibility
and
Work
Opportunity
32
Reconciliation
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
33
legislation,
the
following
amounts,
or
so
much
thereof
as
is
34
necessary,
to
be
used
for
the
purposes
designated:
35
-8-
LSB
5004HV
(3)
90
pf/ko
8/
63
H.F.
2698
1.
For
community
access
and
eligibility,
FIP,
the
PROMISE
1
JOBS
program,
implementing
family
investment
agreements
in
2
accordance
with
chapter
239B,
and
for
continuation
of
the
3
program
promoting
awareness
of
the
benefits
of
a
healthy
4
marriage:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,988,627
6
2.
For
community
access
and
eligibility
to
provide
7
pregnancy
prevention
grants
on
the
condition
that
family
8
planning
services
are
funded:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
10
Pregnancy
prevention
grants
shall
be
awarded
to
programs
11
in
existence
on
or
before
July
1,
2024,
if
the
programs
have
12
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
13
pregnancy
prevention
programs
which
are
developed
after
July
14
1,
2024,
if
the
programs
are
based
on
existing
models
that
15
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
16
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
17
section
14,
subsections
1
and
2,
including
the
requirement
that
18
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
19
the
awarding
of
grants
shall
be
given
to
programs
that
serve
20
areas
of
the
state
which
demonstrate
the
highest
percentage
of
21
unplanned
pregnancies
of
females
of
childbearing
age
within
the
22
geographic
area
to
be
served
by
the
grant.
23
3.
For
community
access
and
eligibility
to
meet
one
of
the
24
four
core
purposes
of
TANF
as
specified
in
45
C.F.R.
§260.20,
25
including
by
modernizing
the
program
to
promote
economic
26
mobility
and
self-sufficiency,
ensuring
that
families
are
able
27
to
overcome
benefit
cliffs,
encouraging
healthy
families,
and
28
streamlining
service
delivery
to
reduce
duplication:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,000,000
30
4.
For
technology
needs
related
to
child
support
31
modernization
of
the
Iowa
collections
and
reporting
(ICAR)
32
system
and
for
a
closed
loop
referral
system
for
the
thrive
33
Iowa
program:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,000,000
35
-9-
LSB
5004HV
(3)
90
pf/ko
9/
63
H.F.
2698
5.
For
early
intervention
and
supports
for
the
family
1
development
and
self-sufficiency
(FaDSS)
grant
program
in
2
accordance
with
section
216A.107:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,888,980
4
Of
the
funds
allocated
for
the
FaDSS
grant
program
in
this
5
subsection,
not
more
than
5
percent
of
the
funds
shall
be
used
6
for
administrative
purposes.
7
6.
For
early
intervention
and
supports
for
child
abuse
8
prevention
grants:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
10
7.
For
accountability,
compliance,
program
integrity,
11
technology
needs,
and
other
resources
necessary
to
meet
federal
12
and
state
reporting,
tracking,
and
case
management
requirements
13
and
other
departmental
needs:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,533,647
15
8.
For
state
child
care
assistance:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
17
9.
For
child
protective
services:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,364,100
19
10.
For
child
protective
services
for
the
kinship
stipend
20
program:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,000,000
22
DIVISION
VI
23
MEDICAL
ASSISTANCE
——
STATE
SUPPLEMENTARY
ASSISTANCE
——
HEALTHY
24
AND
WELL
KIDS
IN
IOWA
PROGRAM
AND
OTHER
HEALTH-RELATED
PROGRAMS
25
——
FY
2024-2025
26
Sec.
10.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
27
ASSISTANCE,
AND
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM.
There
28
is
appropriated
from
the
general
fund
of
the
state
to
the
29
department
of
health
and
human
services
for
the
fiscal
year
30
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
31
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purposes
designated:
33
For
medical
assistance
program
reimbursement
and
associated
34
costs
as
specifically
provided
in
the
reimbursement
35
-10-
LSB
5004HV
(3)
90
pf/ko
10/
63
H.F.
2698
methodologies
in
effect
on
June
30,
2024,
except
as
otherwise
1
expressly
authorized
by
law,
consistent
with
options
under
2
federal
law
and
regulations,
and
contingent
upon
receipt
of
3
approval
from
the
office
of
the
governor
of
reimbursement
4
for
each
abortion
performed
under
the
program;
for
the
state
5
supplementary
assistance
program;
for
the
health
insurance
6
premium
payment
program;
and
for
maintenance
of
the
healthy
and
7
well
kids
in
Iowa
(Hawki)
program
pursuant
to
chapter
514I,
8
including
supplemental
dental
services,
for
receipt
of
federal
9
financial
participation
under
Tit.
XXI
of
the
federal
Social
10
Security
Act,
which
creates
the
children’s
health
insurance
11
program;
and
for
other
specified
health-related
programs:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,651,307,614
13
1.
Of
the
funds
appropriated
in
this
section,
14
$1,605,504,882
is
allocated
for
medical
assistance
program
15
reimbursement
and
associated
costs.
16
a.
Of
the
funds
allocated
in
this
subsection,
$800,000
shall
17
be
used
for
the
renovation
and
construction
of
certain
nursing
18
facilities,
consistent
with
the
provisions
of
chapter
249K.
19
b.
Of
the
funds
allocated
in
this
subsection,
$3,383,880
20
shall
be
used
for
program
administration,
outreach,
and
21
enrollment
activities
of
the
state
family
planning
services
22
program
pursuant
to
section
217.41B,
and
of
this
amount,
the
23
department
may
use
$200,000
for
administrative
expenses.
24
c.
Of
the
funds
allocated
in
this
subsection,
$369,000
shall
25
be
used
to
provide
enhanced
reimbursement
for
a
psychiatric
26
medical
institution
for
children
that
meets
the
selection
27
criteria
and
for
the
purposes
specified
in
2024
Iowa
Acts,
28
House
File
2402,
or
successor
legislation,
if
enacted.
29
d.
Of
the
funds
allocated
in
this
subsection,
$86,000
shall
30
be
used
to
provide
biomarker
testing
under
the
Medicaid
program
31
as
specified
in
2024
Iowa
Acts,
House
File
2668,
or
successor
32
legislation,
if
enacted.
33
e.
Of
the
funds
allocated
in
this
subsection,
$2,000,000
34
shall
be
used
for
adjustment
of
the
Medicaid
pharmacy
35
-11-
LSB
5004HV
(3)
90
pf/ko
11/
63
H.F.
2698
dispensing
fee.
1
f.
Of
the
funds
allocated
in
this
subsection,
$1,779,122
2
shall
be
used
to
increase
income
eligibility
for
the
Medicaid
3
for
employed
people
with
disabilities
program
to
300
percent
of
4
the
most
recently
revised
official
poverty
guidelines
published
5
by
the
United
States
department
of
health
and
human
services.
6
g.
Of
the
funds
allocated
in
this
subsection,
$2,251,436
7
shall
be
used
to
increase
reimbursement
rates
under
the
8
Medicaid
program
for
mental
health
providers.
9
2.
Iowans
support
reducing
the
number
of
abortions
10
performed
in
our
state.
Funds
appropriated
under
this
section
11
shall
not
be
used
for
abortions,
unless
otherwise
authorized
12
under
this
section.
13
3.
The
provisions
of
this
section
relating
to
abortions
14
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
15
pursuant
to
chapter
249N.
16
4.
Of
the
funds
appropriated
in
this
section,
$4,479,762
is
17
allocated
for
the
state
supplementary
assistance
program.
18
5.
Of
the
funds
appropriated
in
this
section,
$41,322,970
19
is
allocated
for
maintenance
of
the
Hawki
program
pursuant
20
to
chapter
514I,
including
supplemental
dental
services,
for
21
receipt
of
federal
financial
participation
under
Tit.
XXI
of
22
the
federal
Social
Security
Act,
which
creates
the
children’s
23
health
insurance
program.
24
HEALTH
PROGRAM
OPERATIONS
25
Sec.
11.
HEALTH
PROGRAM
OPERATIONS.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
health
27
and
human
services
for
the
fiscal
year
beginning
July
1,
28
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
29
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
30
designated:
31
For
health
program
operations:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,597,231
33
1.
The
department
of
inspections,
appeals,
and
licensing
34
shall
provide
all
state
matching
funds
for
survey
and
35
-12-
LSB
5004HV
(3)
90
pf/ko
12/
63
H.F.
2698
certification
activities
performed
by
the
department
of
1
inspections,
appeals,
and
licensing.
The
department
of
health
2
and
human
services
is
solely
responsible
for
distributing
the
3
federal
matching
funds
for
such
activities.
4
2.
Of
the
funds
appropriated
in
this
section,
a
sufficient
5
amount
shall
be
used
for
the
administration
of
the
health
6
insurance
premium
payment
program,
including
salaries,
support,
7
maintenance,
and
miscellaneous
purposes.
8
3.
Of
the
funds
appropriated
in
this
section,
$750,000
shall
9
be
used
for
the
state
poison
control
center.
Pursuant
to
the
10
directive
under
2014
Iowa
Acts,
chapter
1140,
section
102,
the
11
federal
matching
funds
available
to
the
state
poison
control
12
center
from
the
department
under
the
federal
Children’s
Health
13
Insurance
Program
Reauthorization
Act
of
2009
allotment
shall
14
be
subject
to
the
federal
administrative
cap
rule
of
10
percent
15
applicable
to
funding
provided
under
Tit.
XXI
of
the
federal
16
Social
Security
Act
and
included
within
the
department’s
17
calculations
of
the
cap.
18
4.
Unless
otherwise
provided,
annual
increases
for
services
19
provided
through
contracts
funded
under
this
section
shall
20
not
exceed
the
amount
by
which
the
consumer
price
index
for
21
all
urban
consumers
increased
during
the
most
recently
ended
22
calendar
year.
23
HEALTH
CARE
ACCOUNTS
AND
FUNDS
24
Sec.
12.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
——
DEPARTMENT
25
OF
HEALTH
AND
HUMAN
SERVICES.
There
is
appropriated
from
the
26
pharmaceutical
settlement
account
created
in
section
249A.33
to
27
the
department
of
health
and
human
services
for
the
fiscal
year
28
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
29
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purposes
designated:
31
Notwithstanding
any
provision
of
law
to
the
contrary,
to
32
supplement
the
appropriation
made
in
this
Act
for
health
33
program
operations
under
the
medical
assistance
program
for
the
34
same
fiscal
year:
35
-13-
LSB
5004HV
(3)
90
pf/ko
13/
63
H.F.
2698
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
1
Sec.
13.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
2
HEALTH
AND
HUMAN
SERVICES.
Notwithstanding
any
provision
to
3
the
contrary
and
subject
to
the
availability
of
funds,
there
is
4
appropriated
from
the
quality
assurance
trust
fund
created
in
5
section
249L.4
to
the
department
of
health
and
human
services
6
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
7
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
for
the
purposes
designated:
9
To
supplement
the
appropriation
made
in
this
Act
from
the
10
general
fund
of
the
state
to
the
department
of
health
and
human
11
services
for
medical
assistance
for
the
same
fiscal
year:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$111,216,205
13
Sec.
14.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
14
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES.
Notwithstanding
any
15
provision
to
the
contrary
and
subject
to
the
availability
of
16
funds,
there
is
appropriated
from
the
hospital
health
care
17
access
trust
fund
created
in
section
249M.4
to
the
department
18
of
health
and
human
services
for
the
fiscal
year
beginning
July
19
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
20
much
thereof
as
is
necessary,
for
the
purposes
designated:
21
To
supplement
the
appropriation
made
in
this
Act
from
the
22
general
fund
of
the
state
to
the
department
of
health
and
human
23
services
for
medical
assistance
for
the
same
fiscal
year:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
25
REIMBURSEMENT
RATES
26
Sec.
15.
REIMBURSEMENT
RATES.
27
1.
Reimbursement
for
medical
assistance,
state
28
supplementary
assistance,
and
social
service
providers
and
29
services
reimbursed
under
the
purview
of
the
department
of
30
health
and
human
services
shall
remain
at
the
reimbursement
31
rate
or
shall
be
determined
pursuant
to
the
reimbursement
32
methodology
in
effect
on
June
30,
2024,
with
the
exception
of
33
the
following:
34
a.
If
reimbursement
is
otherwise
negotiated
by
contract
or
35
-14-
LSB
5004HV
(3)
90
pf/ko
14/
63
H.F.
2698
pursuant
to
an
updated
fee
schedule.
1
b.
As
otherwise
provided
in
this
section.
2
2.
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
3
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
4
30,
2025,
the
department
of
health
and
human
services
shall
5
reimburse
case-mix
nursing
facility
rates
at
the
amounts
in
6
effect
on
June
30,
2024.
7
b.
The
department
of
health
and
human
services
shall
8
calculate
each
nursing
facility’s
case-mix
index
for
the
period
9
beginning
July
1,
2023,
using
weighting
based
on
the
current
10
patient
driven
payment
model
(PDPM)
schedule.
Rosters
shall
be
11
made
to
show
a
separate
calculation
to
determine
the
average
12
case-mix
index
for
a
nursing-facility-wide
case
mix
index,
and
13
a
case-mix
index
for
the
residents
of
a
nursing
facility
who
14
are
Medicaid
recipients
using
all
minimum
data
set
reports
by
15
the
nursing
facility
for
the
previous
semi-annual
period
using
16
a
day
weighted
calculation.
17
3.
For
the
fiscal
year
beginning
July
1,
2024,
Medicaid
18
provider
rates
shall
be
adjusted
to
85
percent
of
the
benchmark
19
rates
based
on
the
department’s
2023
Medicaid
rate
review
for
20
all
of
the
following
Medicaid
providers:
21
a.
Home
health
agencies.
22
b.
Medical
supply
providers.
23
c.
Physician
assistants.
24
d.
Physical
therapists.
25
e.
Occupational
therapists.
26
f.
Certified
nurse
midwives.
27
4.
For
the
fiscal
year
beginning
July
1,
2024,
Medicaid
28
provider
rates
shall
be
adjusted
to
85
percent
of
the
benchmark
29
rates
based
on
the
department’s
2024
Medicaid
rate
review
for
30
all
of
the
following
Medicaid
providers:
31
a.
Psychologists.
32
b.
Nurse
practitioners.
33
5.
For
the
fiscal
year
beginning
July
1,
2024,
reimbursement
34
rates
for
home
and
community-based
services
providers
shall
be
35
-15-
LSB
5004HV
(3)
90
pf/ko
15/
63
H.F.
2698
increased
compared
to
the
rates
in
effect
on
June
30,
2024,
to
1
the
extent
possible
within
the
state
funding,
including
the
2
$14,600,000
provided
for
this
purpose.
3
6.
For
the
fiscal
year
beginning
July
1,
2024,
reimbursement
4
rates
for
community
mental
health
centers
shall
be
increased
5
compared
to
the
rates
in
effect
on
June
30,
2024,
to
the
extent
6
possible
within
the
state
funding,
including
the
$276,947
7
provided
for
this
purpose.
8
7.
For
the
fiscal
year
beginning
July
1,
2024,
enhanced
9
reimbursement
shall
be
provided
for
a
psychiatric
medical
10
institution
for
children
that
meets
the
selection
criteria
11
specified
in
2024
Iowa
Acts,
House
File
2402,
or
successor
12
legislation,
if
enacted.
13
8.
For
the
fiscal
year
beginning
July
1,
2024,
the
pharmacy
14
dispensing
fee
shall
be
adjusted
within
the
additional
15
$2,000,000
appropriated
for
this
purpose.
16
9.
For
the
fiscal
year
beginning
July
1,
2024,
the
17
reimbursement
rates
for
mental
health
providers
shall
be
18
increased
within
the
additional
$2,251,436
appropriated
for
19
this
purpose.
20
DIVISION
VII
21
FAMILY
WELL-BEING
AND
PROTECTION
——
FY
2024-2025
22
STATE
CHILD
CARE
ASSISTANCE
23
Sec.
16.
STATE
CHILD
CARE
ASSISTANCE.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
health
25
and
human
services
for
the
fiscal
year
beginning
July
1,
26
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
27
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
28
designated:
29
For
state
child
care
assistance
in
accordance
with
section
30
237A.13:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,966,931
32
A
portion
of
the
state
match
for
the
federal
child
care
and
33
development
block
grant
shall
be
provided
as
necessary
to
meet
34
federal
matching
funds
requirements
through
the
state
general
35
-16-
LSB
5004HV
(3)
90
pf/ko
16/
63
H.F.
2698
fund
appropriation
made
for
child
development
grants
and
other
1
programs
for
at-risk
children
in
section
279.51.
2
EARLY
INTERVENTION
AND
SUPPORTS
3
Sec.
17.
EARLY
INTERVENTION
AND
SUPPORTS.
There
is
4
appropriated
from
the
general
fund
of
the
state
to
the
5
department
of
health
and
human
services
for
the
fiscal
year
6
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
7
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purposes
designated:
9
For
promoting
the
optimum
health
status
for
children
10
and
adolescents
from
birth
through
21
years
of
age,
and
for
11
families:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,277,739
13
1.
Of
the
funds
appropriated
in
this
section,
not
more
14
than
$734,000
shall
be
used
for
the
healthy
opportunities
for
15
parents
to
experience
success
(HOPES)-healthy
families
Iowa
16
(HFI)
program
established
pursuant
to
section
135.106.
17
2.
Of
the
funds
appropriated
in
this
section,
$4,313,854
is
18
allocated
for
the
FaDSS
grant
program.
Of
the
funds
allocated
19
for
the
FaDSS
grant
program
in
this
subsection,
not
more
than
5
20
percent
of
the
funds
shall
be
used
for
administration
of
the
21
grant
program.
22
3.
Of
the
funds
appropriated
in
this
section,
$29,256,799
23
shall
be
used
for
the
purposes
of
the
early
childhood
Iowa
fund
24
created
in
section
256I.11.
25
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
26
shall
be
used
for
the
purposes
of
program
administration
and
27
provision
of
pregnancy
support
services
through
the
more
28
options
for
maternal
support
program
in
accordance
with
section
29
217.41C.
30
CHILD
PROTECTIVE
SERVICES
31
Sec.
18.
CHILD
PROTECTIVE
SERVICES.
There
is
appropriated
32
from
the
general
fund
of
the
state
to
the
department
of
health
33
and
human
services
for
the
fiscal
year
beginning
July
1,
34
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
35
-17-
LSB
5004HV
(3)
90
pf/ko
17/
63
H.F.
2698
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
1
designated:
2
For
child,
family,
and
adoption
services,
and
for
salaries,
3
support,
maintenance,
and
miscellaneous
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$170,374,778
5
1.
Of
the
funds
appropriated
in
this
section,
$1,717,000
6
is
allocated
specifically
for
expenditure
for
fiscal
year
7
2024-2025
through
the
decategorization
services
funding
pools
8
and
governance
boards
established
pursuant
to
section
232.188.
9
2.
Federal
funds
received
by
the
state
during
the
fiscal
10
year
beginning
July
1,
2024,
as
the
result
of
the
expenditure
11
of
state
funds
appropriated
during
a
previous
state
fiscal
12
year
for
a
service
or
activity
funded
under
this
section,
are
13
appropriated
to
the
department
to
be
used
as
additional
funding
14
for
services
and
purposes
provided
for
under
this
section.
15
Notwithstanding
section
8.33,
moneys
received
in
accordance
16
with
this
subsection
that
remain
unencumbered
or
unobligated
at
17
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
18
shall
remain
available
for
the
purposes
designated
until
the
19
close
of
the
succeeding
fiscal
year.
20
3.
a.
Of
the
funds
appropriated
in
this
section,
$748,000
21
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
22
services
provided
to
children
who
are
under
the
supervision
23
of
the
department,
which
expenses
are
a
charge
upon
the
state
24
pursuant
to
section
232.141,
subsection
4.
25
b.
Notwithstanding
chapter
232
or
any
other
provision
of
26
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
27
order
any
service
which
is
a
charge
upon
the
state
pursuant
28
to
section
232.141
if
the
court-ordered
services
distribution
29
amount
is
insufficient
to
pay
for
the
service.
30
4.
Of
the
funds
appropriated
in
this
section,
$1,658,000
31
shall
be
used
for
the
child
protection
center
grant
program
for
32
child
protection
centers
located
in
Iowa
in
accordance
with
33
section
135.118.
The
grant
amounts
under
the
program
shall
be
34
equalized
so
that
each
center
receives
a
uniform
base
amount
of
35
-18-
LSB
5004HV
(3)
90
pf/ko
18/
63
H.F.
2698
$245,000,
and
so
that
the
remaining
funds
are
awarded
through
1
a
funding
formula
based
upon
the
volume
of
children
served.
2
To
increase
access
to
child
protection
center
services
for
3
children
in
rural
areas,
the
funding
formula
for
the
awarding
4
of
the
remaining
funds
shall
provide
for
the
awarding
of
an
5
enhanced
amount
to
eligible
grantees
to
develop
and
maintain
6
satellite
centers
in
underserved
regions
of
the
state.
7
5.
Of
the
funds
appropriated
in
this
section,
$4,359,500
is
8
allocated
for
the
preparation
for
adult
living
program
pursuant
9
to
section
234.46.
10
6.
Of
the
funds
appropriated
in
this
section,
a
portion
may
11
be
used
for
family-centered
services
for
purposes
of
complying
12
with
the
federal
Family
First
Prevention
Services
Act
of
2018,
13
Pub.
L.
No.
115-123,
and
successor
legislation.
14
7.
a.
Of
the
funds
appropriated
in
this
section,
a
15
sufficient
amount
is
allocated
for
adoption
subsidy
payments
16
and
related
costs.
17
b.
Any
funds
allocated
in
this
subsection
remaining
after
18
the
allocation
under
paragraph
“a”
are
designated
and
allocated
19
as
state
savings
resulting
from
implementation
of
the
federal
20
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
21
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
22
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
and
shall
23
be
used
for
post-adoption
services
and
for
other
purposes
24
allowed
under
these
federal
laws,
Tit.
IV-B
or
Tit.
IV-E
of
the
25
federal
Social
Security
Act.
26
c.
Of
the
funds
appropriated
in
this
section,
$296,463
27
shall
be
used
to
increase
the
adoption
subsidy
paid
to
a
person
28
pursuant
to
section
600.17
who
adopts
a
child
after
July
1,
29
2024,
by
ten
percent
over
the
rates
in
effect
on
June
30,
2024.
30
8.
Of
the
funds
appropriated
in
this
section,
$193,000
shall
31
be
used
to
expand
the
availability
of
supervised
apartment
32
living
arrangements.
33
9.
Of
the
funds
appropriated
in
this
section,
$617,530
shall
34
be
used
to
increase
the
foster
care
reimbursement
rates
paid
35
-19-
LSB
5004HV
(3)
90
pf/ko
19/
63
H.F.
2698
pursuant
to
section
234.38,
by
ten
percent
over
the
rates
in
1
effect
on
June
30,
2024.
2
10.
Of
the
funds
appropriated
in
this
section,
$2,000,000
3
shall
be
used
to
pay
the
cost
of
the
preplacement
investigation
4
and
the
postplacement
investigations
related
to
adoptions,
as
5
specified
pursuant
to
section
600.8,
as
amended
in
this
Act.
6
11.
Of
the
funds
appropriated
in
this
section,
$2,623,748
7
shall
be
used
to
lower
the
required
ratio
of
supervisors
to
8
social
workers
from
one
supervisor
for
every
six
and
one-half
9
social
workers
to
one
supervisor
for
every
five
social
workers.
10
12.
If
a
separate
funding
source
is
identified
that
reduces
11
the
need
for
state
funds
within
an
allocation
under
this
12
section,
the
allocated
state
funds
may
be
redistributed
to
13
other
allocations
under
this
section
for
the
same
fiscal
year.
14
DIVISION
VIII
15
STATE
SPECIALTY
CARE
——
FY
2024-2025
16
Sec.
19.
STATE
SPECIALTY
CARE.
There
is
appropriated
from
17
the
general
fund
of
the
state
to
the
department
of
health
and
18
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
19
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
20
as
is
necessary,
to
be
used
for
the
purposes
designated:
21
For
salaries,
support,
maintenance,
and
miscellaneous
22
purposes
at
institutions
under
the
jurisdiction
of
the
23
department
of
health
and
human
services:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$100,006,128
25
1.
The
department
shall
utilize
the
funds
appropriated
in
26
this
section
as
necessary
to
maximize
bed
capacity
and
to
most
27
effectively
meet
the
needs
of
the
individuals
served.
28
2.
Of
the
amount
appropriated
in
this
section,
the
following
29
amounts
are
allocated
to
each
institution
as
follows:
30
a.
For
the
state
mental
health
institute
at
Cherokee:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,439,086
32
b.
For
the
state
mental
health
institute
at
Independence:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,916,279
34
c.
For
the
civil
commitment
unit
for
sexual
offenders
at
35
-20-
LSB
5004HV
(3)
90
pf/ko
20/
63
H.F.
2698
Cherokee:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,755,397
2
d.
For
the
state
resource
center
at
Woodward:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,018,717
4
e.
For
the
state
resource
center
at
Glenwood:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,255,132
6
f.
For
the
state
training
school
at
Eldora:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,621,517
8
DIVISION
IX
9
ADMINISTRATION
AND
COMPLIANCE
——
FY
2024-2025
10
Sec.
20.
ACCOUNTABILITY,
COMPLIANCE,
AND
PROGRAM
11
INTEGRITY.
There
is
appropriated
from
the
general
fund
of
the
12
state
to
the
department
of
health
and
human
services
for
the
13
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
14
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
15
used
for
the
purposes
designated:
16
For
accountability,
compliance,
and
program
integrity,
17
including
salaries,
support,
maintenance,
and
miscellaneous
18
purposes:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,194,894
20
1.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
21
be
transferred
to
and
deposited
in
the
Iowa
ABLE
savings
plan
22
trust
administrative
fund
created
in
section
12I.4,
to
be
used
23
for
implementation
and
administration
activities
of
the
Iowa
24
ABLE
savings
plan
trust.
25
2.
Of
the
funds
appropriated
in
this
section,
$2,602,312
26
shall
be
used
for
foster
care
review
and
the
court
appointed
27
special
advocate
program,
including
for
salaries,
support,
28
maintenance,
and
miscellaneous
purposes.
29
3.
Of
the
funds
appropriated
in
this
section,
$1,148,959
30
shall
be
used
for
the
office
of
long-term
care
ombudsman
31
for
salaries,
support,
administration,
maintenance,
and
32
miscellaneous
purposes.
33
4.
For
the
fiscal
year
beginning
July
1,
2024,
and
ending
34
June
30,
2025,
the
department
of
health
and
human
services
35
-21-
LSB
5004HV
(3)
90
pf/ko
21/
63
H.F.
2698
may
utilize
the
funds
appropriated
from
the
general
fund
of
1
the
state
to
the
department
under
this
Act
for
up
to
4,156.00
2
full-time
equivalent
positions.
The
department
shall
report
to
3
the
general
assembly
by
December
15,
2024,
the
distribution
of
4
the
approved
number
of
full-time
equivalent
positions
across
5
the
organizational
divisions
of
the
department.
6
DIVISION
X
7
ANNUAL
DEPARTMENTAL
BUDGET
REPORT
8
Sec.
21.
ANNUAL
BUDGET
REPORT.
The
department
of
health
and
9
human
services
shall
include
in
the
annual
budget
submitted
to
10
the
council
on
health
and
human
services
pursuant
to
section
11
217.3
a
detailed
description
of
the
programs
and
expenditures
12
by
budget
unit
reflective
of
the
redesigned
organizational
13
divisions
of
the
department.
14
DIVISION
XI
15
MEDICAL
ASSISTANCE
HOME
AND
COMMUNITY-BASED
SERVICES
WAIVER
16
FOR
INDIVIDUALS
WITH
AN
INTELLECTUAL
DISABILITY
——
ADDITIONAL
17
WAIVER
SLOTS
——
FY
2025-2026
18
Sec.
22.
MEDICAL
ASSISTANCE
——
HOME
AND
COMMUNITY-BASED
19
SERVICES
WAIVER
FOR
INDIVIDUALS
WITH
AN
INTELLECTUAL
20
DISABILITY
——
ADDITIONAL
WAIVER
SLOTS
——
APPROPRIATION
——
FY
21
2025-2026.
There
is
appropriated
from
the
general
fund
of
22
the
state
to
the
department
of
health
and
human
services
for
23
the
fiscal
year
beginning
July
1,
2025,
and
ending
June
30,
24
2026,
the
following
amount,
or
so
much
thereof
as
is
necessary,
25
to
be
used
for
the
medical
assistance
program
to
provide
for
26
additional
home
and
community-based
services
waiver
slots
for
27
individuals
with
an
intellectual
disability:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,950,000
29
DIVISION
XII
30
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
TRANSFERS,
CASHFLOW,
31
AND
NONREVERSIONS
32
Sec.
23.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
TRANSFERS
33
AND
CASHFLOW.
34
1.
The
department
of
health
and
human
services
may
transfer
35
-22-
LSB
5004HV
(3)
90
pf/ko
22/
63
H.F.
2698
funds
appropriated
in
this
Act
to
support
continuing
alignment
1
efforts,
to
maximize
federal
support
in
accordance
with
the
2
department’s
federal
costs
allocation
plan,
and
for
resources
3
necessary
to
implement
and
administer
the
services
for
which
4
funds
are
provided.
The
department
shall
report
any
transfers
5
made
pursuant
to
this
subsection
to
the
general
assembly.
6
2.
If
the
savings
to
the
appropriations
made
for
the
7
Medicaid
program
from
ongoing
cost
management
efforts
exceed
8
the
associated
costs
for
the
fiscal
year,
the
department
may
9
transfer
any
savings
generated
for
the
fiscal
year
due
to
cost
10
management
efforts
to
the
appropriations
made
in
this
Act
for
11
health
program
operations
or
for
accountability,
compliance,
12
and
program
integrity
to
defray
the
costs
associated
with
13
implementation
of
the
cost
management
efforts.
14
3.
The
department
may
transfer
funds
appropriated
for
15
child
protective
services
to
pay
the
nonfederal
share
costs
of
16
services
reimbursed
under
the
medical
assistance
program,
state
17
child
care
assistance
program,
or
the
family
investment
program
18
which
are
provided
to
children
who
would
otherwise
receive
19
services
paid
under
the
appropriation
for
child
protective
20
services.
21
4.
The
department
may
transfer
funds
from
the
temporary
22
assistance
for
needy
families
block
grant
to
the
federal
social
23
services
block
grant
appropriation,
and
to
the
child
care
and
24
development
block
grant
appropriation,
in
accordance
with
25
federal
law.
26
Sec.
24.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
27
NONREVERSIONS.
28
1.
Notwithstanding
section
8.33,
moneys
appropriated
from
29
the
general
fund
of
the
state
and
the
temporary
assistance
for
30
needy
families
block
grant
to
the
department
of
health
and
31
human
services
for
the
fiscal
year
beginning
July
1,
2024,
32
and
ending
June
30,
2025,
for
the
purposes
of
the
FaDSS
grant
33
program
that
remain
unencumbered
or
unobligated
at
the
close
of
34
the
fiscal
year
shall
not
revert,
but
shall
remain
available
35
-23-
LSB
5004HV
(3)
90
pf/ko
23/
63
H.F.
2698
for
expenditure
for
the
purposes
designated
until
the
close
of
1
the
succeeding
fiscal
year.
2
2.
Notwithstanding
section
8.33,
of
the
moneys
appropriated
3
from
the
general
fund
of
the
state,
the
quality
assurance
trust
4
fund,
and
the
hospital
health
care
access
trust
fund
to
the
5
department
of
health
and
human
services
for
the
fiscal
year
6
beginning
July
1,
2024,
and
ending
June
30,
2025,
for
the
7
purposes
of
the
medical
assistance
program,
the
amount
that
is
8
in
excess
of
actual
expenditures
for
the
medical
assistance
9
program
that
remains
unencumbered
or
unobligated
at
the
close
10
of
the
fiscal
year
shall
not
revert,
but
shall
remain
available
11
for
expenditure
for
the
medical
assistance
program
until
the
12
close
of
the
succeeding
fiscal
year.
13
3.
Notwithstanding
section
8.33,
and
notwithstanding
the
14
nonreversion
amount
limitation
specified
in
section
222.92,
15
moneys
appropriated
from
the
general
fund
of
the
state
to
the
16
department
of
health
and
human
services
for
the
fiscal
year
17
beginning
July
1,
2024,
and
ending
June
30,
2025,
for
the
18
purposes
of
state
specialty
care
that
remain
unencumbered
or
19
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert,
20
but
shall
remain
available
for
expenditure
for
the
purposes
21
designated
for
subsequent
fiscal
years.
22
4.
Notwithstanding
section
8.33,
moneys
appropriated
from
23
the
general
fund
of
the
state
to
the
department
of
health
and
24
human
services
for
the
fiscal
year
beginning
July
1,
2024,
25
and
ending
June
30,
2025,
for
the
commission
on
volunteer
26
service
for
purposes
of
the
Iowa
state
commission
grant
program
27
that
remain
unencumbered
or
unobligated
at
the
close
of
the
28
fiscal
year
shall
not
revert,
but
shall
remain
available
for
29
expenditure
for
the
purposes
designated
for
subsequent
fiscal
30
years.
31
5.
Notwithstanding
section
8.33,
moneys
appropriated
from
32
the
general
fund
of
the
state
to
the
department
of
health
and
33
human
services
for
the
fiscal
year
beginning
July
1,
2024,
34
and
ending
June
30,
2025,
and
allocated
for
rural
psychiatric
35
-24-
LSB
5004HV
(3)
90
pf/ko
24/
63
H.F.
2698
residencies
to
annually
fund
eight
psychiatric
residents
who
1
will
provide
mental
health
services
to
underserved
areas
of
the
2
state
that
remain
unencumbered
or
unobligated
at
the
close
of
3
the
fiscal
year
shall
not
revert,
but
shall
remain
available
4
for
expenditure
for
the
purposes
designated
until
the
close
of
5
the
succeeding
fiscal
year.
6
6.
Notwithstanding
section
8.33,
moneys
appropriated
from
7
the
general
fund
of
the
state
to
the
department
of
health
and
8
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
9
ending
June
30,
2025,
and
allocated
to
provide
audiological
10
services
and
hearing
aids
for
children
that
remain
unencumbered
11
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
12
revert,
but
shall
remain
available
for
expenditure
for
the
13
purposes
designated
until
the
close
of
the
succeeding
fiscal
14
year.
15
7.
Notwithstanding
section
8.33,
moneys
appropriated
from
16
the
general
fund
of
the
state
to
the
department
of
health
and
17
human
services
for
the
fiscal
year
beginning
July
1,
2024,
18
and
ending
June
30,
2025,
and
allocated
for
adoption
subsidy
19
payments
and
related
costs
or
for
post-adoption
services
20
and
related
allowable
purposes
that
remain
unencumbered
or
21
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert,
22
but
shall
remain
available
for
expenditure
for
the
purposes
23
designated
until
the
close
of
the
succeeding
fiscal
year.
24
8.
Notwithstanding
section
8.33,
moneys
appropriated
from
25
the
general
fund
of
the
state
to
the
department
of
health
and
26
human
services
for
the
fiscal
year
beginning
July
1,
2024,
27
and
ending
June
30,
2025,
and
allocated
to
lower
the
required
28
ratio
of
supervisors
to
social
workers
as
specified
in
this
29
Act,
that
remain
unencumbered
or
unobligated
at
the
close
of
30
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
31
expenditure
for
the
purpose
designated
until
the
close
of
the
32
succeeding
fiscal
year.
33
9.
Notwithstanding
section
8.33,
moneys
appropriated
from
34
the
general
fund
of
the
state
to
the
department
of
health
and
35
-25-
LSB
5004HV
(3)
90
pf/ko
25/
63
H.F.
2698
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
1
ending
June
30,
2025,
and
allocated
to
increase
the
foster
2
care
reimbursement
rates
paid
pursuant
to
section
234.38
as
3
specified
in
this
Act,
that
remain
unencumbered
or
unobligated
4
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
5
remain
available
for
expenditure
for
the
purpose
designated
6
until
the
close
of
the
succeeding
fiscal
year.
7
DIVISION
XIII
8
HEALTH
AND
HUMAN
SERVICES
——
PRIOR
APPROPRIATIONS
AND
OTHER
9
PROVISIONS
——
FY
2022-2023
10
RURAL
PSYCHIATRIC
RESIDENCIES
11
Sec.
25.
2022
Iowa
Acts,
chapter
1131,
section
3,
subsection
12
4,
paragraph
j,
is
amended
to
read
as
follows:
13
j.
Of
the
funds
appropriated
in
this
subsection,
$800,000
14
shall
be
used
for
rural
psychiatric
residencies
to
support
the
15
annual
creation
and
training
of
six
eight
psychiatric
residents
16
who
will
provide
mental
health
services
in
underserved
areas
of
17
the
state.
Notwithstanding
section
8.33
,
moneys
that
remain
18
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
19
shall
not
revert
but
shall
remain
available
for
expenditure
for
20
the
purposes
designated
for
subsequent
fiscal
years.
21
FAMILY
INVESTMENT
PROGRAM
22
Sec.
26.
2022
Iowa
Acts,
chapter
1131,
section
9,
subsection
23
7,
as
enacted
by
2023
Iowa
Acts,
chapter
112,
section
41,
is
24
amended
to
read
as
follows:
25
7.
Notwithstanding
section
8.33
,
moneys
appropriated
in
26
this
section
that
remain
unencumbered
or
unobligated
at
the
27
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
28
available
for
the
purposes
designated
,
or
may
be
transferred
to
29
other
appropriations
in
this
division
of
this
Act
or
used
as
30
necessary
to
enhance
agency
accountability,
program
integrity,
31
compliance,
and
efficiency,
until
the
close
of
the
succeeding
32
fiscal
year.
33
Sec.
27.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
34
deemed
of
immediate
importance,
takes
effect
upon
enactment.
35
-26-
LSB
5004HV
(3)
90
pf/ko
26/
63
H.F.
2698
Sec.
28.
RETROACTIVE
APPLICABILITY.
This
division
of
this
1
Act
applies
retroactively
to
July
1,
2022.
2
DIVISION
XIV
3
HEALTH
AND
HUMAN
SERVICES
——
PRIOR
APPROPRIATIONS
AND
OTHER
4
PROVISIONS
——
FY
2023-2024
5
OFFICE
OF
PUBLIC
GUARDIAN
6
Sec.
29.
2023
Iowa
Acts,
chapter
112,
section
3,
is
amended
7
by
adding
the
following
new
subsection:
8
NEW
SUBSECTION
.
7.
Notwithstanding
section
8.33,
9
moneys
appropriated
in
this
section
for
the
state
office
of
10
public
guardian
established
under
chapter
231E
that
remain
11
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
12
shall
not
revert
but
shall
remain
available
for
the
purposes
13
designated
until
the
close
of
the
succeeding
fiscal
year.
14
AUDIOLOGICAL
SERVICES
15
Sec.
30.
2023
Iowa
Acts,
chapter
112,
section
5,
subsection
16
2,
paragraph
e,
is
amended
to
read
as
follows:
17
e.
Of
the
funds
appropriated
in
this
subsection,
$156,000
18
shall
be
used
to
provide
audiological
services
and
hearing
aids
19
for
children.
Notwithstanding
section
8.33,
moneys
allocated
20
in
this
paragraph
that
remain
unencumbered
or
unobligated
at
21
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
22
available
for
the
purposes
designated
until
the
close
of
the
23
succeeding
fiscal
year.
24
RURAL
PSYCHIATRIC
RESIDENCIES
25
Sec.
31.
2023
Iowa
Acts,
chapter
112,
section
5,
subsection
26
4,
paragraph
j,
is
amended
to
read
as
follows:
27
j.
Of
the
funds
appropriated
in
this
subsection,
$800,000
28
shall
be
used
for
rural
psychiatric
residencies
to
annually
29
fund
six
eight
psychiatric
residents
who
will
provide
30
mental
health
services
in
underserved
areas
of
the
state.
31
Notwithstanding
section
8.33
,
moneys
that
remain
unencumbered
32
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
33
but
shall
remain
available
for
expenditure
for
the
purposes
34
designated
for
subsequent
fiscal
years.
35
-27-
LSB
5004HV
(3)
90
pf/ko
27/
63
H.F.
2698
FAMILY
INVESTMENT
PROGRAM
1
Sec.
32.
2023
Iowa
Acts,
chapter
112,
section
9,
is
amended
2
by
adding
the
following
new
subsection:
3
NEW
SUBSECTION
.
7.
Notwithstanding
section
8.33,
moneys
4
appropriated
in
this
section
that
remain
unencumbered
or
5
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
6
but
shall
remain
available
for
the
purposes
designated,
or
may
7
be
transferred
to
other
appropriations
in
this
division
of
this
8
Act
or
used
as
necessary
to
enhance
agency
accountability,
9
program
integrity,
compliance,
and
efficiency,
until
the
close
10
of
the
succeeding
fiscal
year.
11
CHILD
CARE
ASSISTANCE
12
Sec.
33.
2023
Iowa
Acts,
chapter
112,
section
17,
subsection
13
8,
is
amended
to
read
as
follows:
14
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
15
purposes
of
the
programs
developed
by
early
childhood
Iowa
16
areas,
advanced
for
purposes
of
wraparound
child
care,
or
17
received
from
the
federal
appropriations
made
for
the
purposes
18
of
appropriated
in
this
section
that
remain
unencumbered
or
19
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
20
to
any
fund
but
shall
remain
available
for
expenditure
for
the
21
purposes
designated
until
the
close
of
the
succeeding
fiscal
22
year.
23
CHILD
AND
FAMILY
SERVICES
24
Sec.
34.
2023
Iowa
Acts,
chapter
112,
section
19,
is
amended
25
by
adding
the
following
new
subsection:
26
NEW
SUBSECTION
.
23.
Notwithstanding
section
8.33,
moneys
27
appropriated
in
this
section
that
remain
unencumbered
or
28
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
29
but
shall
remain
available
for
the
purposes
designated
until
30
the
close
of
the
succeeding
fiscal
year.
31
FIELD
OPERATIONS
32
Sec.
35.
2023
Iowa
Acts,
chapter
112,
section
26,
is
amended
33
by
adding
the
following
new
subsection:
34
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
35
-28-
LSB
5004HV
(3)
90
pf/ko
28/
63
H.F.
2698
appropriated
in
this
section
that
remain
unencumbered
or
1
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
2
but
shall
remain
available
for
the
purposes
designated
until
3
the
close
of
the
succeeding
fiscal
year.
4
GENERAL
ADMINISTRATION
——
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
5
PROGRAM
6
Sec.
36.
2023
Iowa
Acts,
chapter
112,
section
27,
subsection
7
8,
is
amended
to
read
as
follows:
8
8.
Of
the
funds
appropriated
under
this
section,
$1,000,000
9
shall
be
used
for
the
purposes
of
program
administration
and
10
provision
of
pregnancy
support
services
through
the
more
11
options
for
maternal
support
program
in
accordance
with
section
12
217.41C
.
Notwithstanding
section
8.33,
moneys
allocated
in
13
this
subsection
that
remain
unencumbered
or
unobligated
at
the
14
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
15
available
for
the
purposes
designated
until
the
close
of
the
16
succeeding
fiscal
year.
17
LOW-INCOME
HOME
ENERGY
ASSISTANCE
PROGRAM
ADMINISTRATIVE
18
ALLOCATION
——
FEDERAL
BLOCK
GRANT
19
Sec.
37.
2023
Iowa
Acts,
chapter
161,
section
10,
subsection
20
3,
is
amended
to
read
as
follows:
21
3.
After
subtracting
the
allocation
in
subsection
2,
up
to
22
10
no
less
than
8.4
percent
of
the
remaining
moneys
for
each
23
federal
fiscal
year
are
allocated
for
administrative
expenses
24
of
low-income
home
energy
assistance
program
contractors
and
25
up
to
1.6
percent
of
the
remaining
moneys
for
each
fiscal
year
26
are
allocated
for
the
administrative
expenses
of
the
department
27
of
health
and
human
services
under
the
low-income
home
energy
28
assistance
program
of
which
$377,000
is
allocated
each
federal
29
fiscal
year
for
administrative
expenses
of
the
department
of
30
health
and
human
services
.
The
costs
of
auditing
the
use
and
31
administration
of
the
portion
of
the
appropriation
in
this
32
section
that
is
retained
by
the
state
shall
be
paid
from
the
33
amount
allocated
in
this
subsection
each
federal
fiscal
year
to
34
the
department
of
health
and
human
services.
The
auditor
of
35
-29-
LSB
5004HV
(3)
90
pf/ko
29/
63
H.F.
2698
state
shall
bill
the
department
of
health
and
human
services
1
for
the
audit
costs.
2
Sec.
38.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
3
deemed
of
immediate
importance,
takes
effect
upon
enactment.
4
Sec.
39.
RETROACTIVE
APPLICABILITY.
This
division
of
this
5
Act
applies
retroactively
to
July
1,
2023.
6
DIVISION
XV
7
REPORT
ON
NONREVERSION
OF
FUNDS
8
Sec.
40.
REPORT
ON
NONREVERSION
OF
FUNDS.
The
department
9
of
health
and
human
services
shall
report
the
expenditure
of
10
any
moneys
for
which
nonreversion
authorization
was
provided
11
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
12
2024,
to
the
general
assembly
on
a
quarterly
basis
beginning
13
October
1,
2024.
14
DIVISION
XVI
15
EMERGENCY
RULES
AND
REPORTS
16
Sec.
41.
EMERGENCY
RULES.
17
1.
If
necessary
to
comply
with
federal
requirements
18
including
time
frames,
or
if
specifically
authorized
by
a
19
provision
of
this
Act,
the
department
of
health
and
human
20
services
or
the
mental
health
and
disability
services
21
commission
shall
adopt
administrative
rules
under
section
22
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
23
“b”,
to
implement
the
applicable
provisions
of
this
Act.
The
24
rules
shall
be
effective
immediately
upon
filing
unless
a
25
later
date
is
specified
in
the
rules.
Any
rules
adopted
in
26
accordance
with
this
section
shall
also
be
published
as
a
27
notice
of
intended
action
as
provided
in
section
17A.4.
28
2.
If
during
a
fiscal
year,
the
department
of
health
and
29
human
services
is
adopting
rules
in
accordance
with
this
30
section
or
as
otherwise
directed
or
authorized
by
state
31
law,
and
the
rules
will
result
in
an
expenditure
increase
32
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
33
expenditure
was
not
addressed
in
the
budget
process
for
the
34
fiscal
year,
the
department
shall
notify
the
general
assembly
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and
the
department
of
management
concerning
the
rules
and
the
1
expenditure
increase.
The
notification
shall
be
provided
at
2
least
thirty
calendar
days
prior
to
the
date
notice
of
the
3
rules
is
submitted
to
the
administrative
rules
coordinator
and
4
the
administrative
code
editor.
5
Sec.
42.
REPORTS.
Unless
otherwise
provided,
any
reports
or
6
other
information
required
to
be
compiled
and
submitted
under
7
this
Act
during
the
fiscal
year
beginning
July
1,
2024,
shall
8
be
submitted
on
or
before
the
date
specified
for
submission
of
9
the
reports
or
information.
10
DIVISION
XVII
11
CODIFIED
PROVISIONS
12
SUBSTANCE
USE
DISORDER
——
BEER
AND
LIQUOR
CONTROL
FUND
13
Sec.
43.
Section
123.17,
subsection
5,
Code
2024,
is
amended
14
to
read
as
follows:
15
5.
After
any
transfer
provided
for
in
subsection
3
is
16
made,
the
department
shall
transfer
into
a
special
revenue
17
account
in
the
general
fund
of
the
state,
a
sum
of
money
at
18
least
equal
to
seven
percent
of
the
gross
amount
of
sales
made
19
by
the
department
from
the
beer
and
liquor
control
fund
on
a
20
monthly
basis
but
not
less
than
nine
million
dollars
annually.
21
Of
the
amounts
transferred,
two
million
dollars
,
plus
an
22
additional
amount
determined
by
the
general
assembly,
shall
be
23
appropriated
to
the
department
of
health
and
human
services
for
24
use
by
the
staff
who
administer
the
comprehensive
substance
use
25
disorder
program
under
chapter
125
for
substance
use
disorder
26
treatment
and
prevention
programs.
Any
amounts
received
in
27
excess
of
the
amounts
appropriated
to
the
department
of
health
28
and
human
services
for
use
by
the
staff
who
administer
the
29
comprehensive
substance
use
disorder
program
under
chapter
125
30
shall
be
considered
part
of
the
general
fund
balance.
31
TOBACCO
USE
PREVENTION
AND
CONTROL
32
Sec.
44.
Section
142A.5,
Code
2024,
is
amended
by
adding
the
33
following
new
subsection:
34
NEW
SUBSECTION
.
9.
Collaborate
with
the
department
of
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revenue
for
enforcement
of
tobacco
laws,
regulations,
and
1
ordinances
and
to
engage
in
tobacco
control
activities
approved
2
by
the
departments.
3
AREA
AGENCIES
ON
AGING
4
Sec.
45.
NEW
SECTION
.
231.35
Procedures
related
to
5
expenditure
of
state
and
federal
funds.
6
1.
The
department
shall
establish
and
enforce
procedures
7
relating
to
expenditure
of
state
and
federal
funds
by
area
8
agencies
on
aging
that
require
compliance
with
both
state
and
9
federal
laws,
rules,
and
regulations,
including
but
not
limited
10
to
all
of
the
following:
11
a.
Requiring
that
expenditures
are
incurred
only
for
goods
12
or
services
received
or
performed
prior
to
the
end
of
the
13
fiscal
period
designated
for
use
of
the
funds.
14
b.
Prohibiting
prepayment
for
goods
or
services
not
received
15
or
performed
prior
to
the
end
of
the
fiscal
period
designated
16
for
use
of
the
funds.
17
c.
Prohibiting
prepayment
for
goods
or
services
not
defined
18
specifically
by
good
or
service,
time
period,
or
recipient.
19
d.
Prohibiting
the
establishment
of
accounts
from
which
20
future
goods
or
services
which
are
not
defined
specifically
by
21
good
or
service,
time
period,
or
recipient,
may
be
purchased.
22
2.
The
procedures
shall
provide
that
if
any
funds
are
23
expended
in
a
manner
that
is
not
in
compliance
with
the
24
procedures
and
applicable
federal
and
state
laws,
rules,
and
25
regulations,
and
are
subsequently
subject
to
repayment,
the
26
area
agency
on
aging
expending
such
funds
in
contravention
of
27
such
procedures,
laws,
rules
and
regulations,
not
the
state,
28
shall
be
liable
for
such
repayment.
29
PERSONAL
NEEDS
ALLOWANCE
FOR
FACILITIES
UNDER
MEDICAID
30
Sec.
46.
Section
249A.30A,
Code
2024,
is
amended
to
read
as
31
follows:
32
249A.30A
Medical
assistance
——
personal
needs
allowance.
33
1.
The
personal
needs
allowance
under
the
medical
34
assistance
program,
which
may
be
retained
by
a
person
who
is
a
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resident
of
a
nursing
facility,
an
intermediate
care
facility
1
for
persons
with
an
intellectual
disability,
or
an
intermediate
2
care
facility
for
persons
with
mental
illness,
as
defined
in
3
section
135C.1
,
or
a
person
who
is
a
resident
of
a
psychiatric
4
medical
institution
for
children
as
defined
in
section
135H.1
,
5
shall
be
fifty
dollars
per
month.
6
2.
A
resident
who
has
income
of
less
than
fifty
dollars
7
per
month
shall
receive
a
supplement
from
the
state
in
the
8
amount
necessary
to
receive
a
personal
needs
allowance
of
fifty
9
dollars
per
month
,
if
funding
is
specifically
appropriated
for
10
this
purpose
.
The
general
assembly
shall
annually
appropriate
11
a
sufficient
amount
from
the
general
fund
of
the
state
to
the
12
department
of
health
and
human
services
for
this
purpose.
13
REPLACEMENT
GENERATION
TAX
REVENUES
14
Sec.
47.
Section
437A.8,
subsection
4,
paragraph
d,
Code
15
2024,
is
amended
to
read
as
follows:
16
d.
Notwithstanding
paragraph
“a”
,
a
taxpayer
who
owns
17
or
leases
a
new
electric
power
generating
plant
and
who
has
18
no
other
operating
property
in
the
state
of
Iowa
except
for
19
operating
property
directly
serving
the
new
electric
power
20
generating
plant
as
described
in
section
437A.16
shall
pay
21
the
replacement
generation
tax
associated
with
the
allocation
22
of
the
local
amount
to
the
county
treasurer
of
the
county
in
23
which
the
local
amount
is
located
and
shall
remit
the
remaining
24
replacement
generation
tax,
if
any,
to
the
director
according
25
to
paragraph
“a”
for
remittance
of
the
tax
to
county
treasurers.
26
The
director
shall
notify
each
taxpayer
on
or
before
August
31
27
following
a
tax
year
of
its
remaining
replacement
generation
28
tax
to
be
remitted
to
the
director.
All
remaining
replacement
29
generation
tax
revenues
received
by
the
director
shall
be
30
deposited
in
the
property
tax
relief
fund
created
in
section
31
426B.1
,
and
shall
be
distributed
as
provided
in
section
426B.2
32
appropriated
annually
to
the
department
of
health
and
human
33
services
to
supplement
any
appropriation
made
for
medical
34
assistance
.
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If
a
taxpayer
has
paid
an
amount
of
replacement
tax,
1
penalty,
or
interest
which
was
deposited
into
the
property
2
tax
relief
fund
appropriated
to
the
department
of
health
and
3
human
services
under
this
paragraph
and
which
was
not
due,
all
4
of
the
provisions
of
section
437A.14,
subsection
1
,
paragraph
5
“b”
,
shall
apply
with
regard
to
any
claim
for
refund
or
credit
6
filed
by
the
taxpayer.
The
director
shall
have
sole
discretion
7
as
to
whether
the
erroneous
payment
will
be
refunded
to
the
8
taxpayer
or
credited
against
any
replacement
tax
due,
or
to
9
become
due,
from
the
taxpayer
that
would
be
subject
to
deposit
10
in
the
property
tax
relief
fund
appropriated
to
the
department
11
of
health
and
human
services
under
this
paragraph
.
12
Sec.
48.
Section
437A.15,
subsection
3,
paragraph
f,
Code
13
2024,
is
amended
to
read
as
follows:
14
f.
Notwithstanding
the
provisions
of
this
section
,
if
15
a
taxpayer
is
a
municipal
utility
or
a
municipal
owner
of
16
an
electric
power
facility
financed
under
the
provisions
17
of
chapter
28F
or
476A
,
the
assessed
value,
other
than
the
18
local
amount,
of
a
new
electric
power
generating
plant
shall
19
be
allocated
to
each
taxing
district
in
which
the
municipal
20
utility
or
municipal
owner
is
serving
customers
and
has
21
electric
meters
in
operation
in
the
ratio
that
the
number
of
22
operating
electric
meters
of
the
municipal
utility
or
municipal
23
owner
located
in
the
taxing
district
bears
to
the
total
number
24
of
operating
electric
meters
of
the
municipal
utility
or
25
municipal
owner
in
the
state
as
of
January
1
of
the
tax
year.
26
If
the
municipal
utility
or
municipal
owner
of
an
electric
27
power
facility
financed
under
the
provisions
of
chapter
28F
28
or
476A
has
a
new
electric
power
generating
plant
but
the
29
municipal
utility
or
municipal
owner
has
no
operating
electric
30
meters
in
this
state,
the
municipal
utility
or
municipal
owner
31
shall
pay
the
replacement
generation
tax
associated
with
the
32
new
electric
power
generating
plant
allocation
of
the
local
33
amount
to
the
county
treasurer
of
the
county
in
which
the
local
34
amount
is
located
and
shall
remit
the
remaining
replacement
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generation
tax,
if
any,
to
the
director
at
the
times
contained
1
in
section
437A.8,
subsection
4
,
for
remittance
of
the
tax
to
2
the
county
treasurers.
All
remaining
replacement
generation
3
tax
revenues
received
by
the
director
shall
be
deposited
in
4
the
property
tax
relief
fund
created
in
section
426B.1
,
and
5
shall
be
distributed
as
provided
in
section
426B.2
appropriated
6
annually
to
the
department
of
health
and
human
services
to
7
supplement
any
appropriation
made
for
medical
assistance
.
8
PERSONAL
NEEDS
ALLOWANCE
FOR
STATE
SUPPLEMENTARY
ASSISTANCE
9
Sec.
49.
NEW
SECTION
.
249.9A
Personal
needs
allowance.
10
1.
The
department
shall
increase
the
personal
needs
11
allowance
for
residents
of
residential
care
facilities
by
the
12
same
percentage
and
at
the
same
time
as
federal
supplemental
13
security
income
and
federal
social
security
benefits
are
14
increased
due
to
a
recognized
increase
in
the
cost
of
living.
15
2.
If
during
a
fiscal
year,
the
department
projects
that
16
state
supplementary
assistance
expenditures
for
a
calendar
year
17
will
not
meet
the
federal
pass-through
requirement
specified
18
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
19
as
codified
in
42
U.S.C.
§1382g,
the
department
may
take
20
actions
including
but
not
limited
to
increasing
the
personal
21
needs
allowance
for
residential
care
facility
residents
22
and
making
programmatic
adjustments
or
upward
adjustments
23
of
the
residential
care
facility
or
in-home
health-related
24
care
reimbursement
rates
to
ensure
compliance
with
federal
25
requirements.
In
addition,
the
department
may
make
other
26
programmatic
and
rate
adjustments
necessary
to
remain
within
27
the
funds
appropriated
for
a
fiscal
year
while
ensuring
28
compliance
with
federal
requirements.
29
3.
The
department
may
adopt
emergency
rules
under
section
30
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
31
“b”
,
to
implement
the
provisions
of
this
section
and
the
rules
32
shall
be
effective
immediately
upon
filing
unless
a
later
date
33
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
34
with
this
section
shall
also
be
published
as
a
notice
of
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intended
action
as
provided
in
section
17A.4.
1
MEDICAID
FRAUD
FUND
AND
HEALTH
CARE
TRUST
FUND
2
Sec.
50.
Section
249A.50,
subsection
3,
Code
2024,
is
3
amended
to
read
as
follows:
4
3.
a.
A
Medicaid
fraud
fund
is
created
in
the
state
5
treasury
under
the
authority
of
the
department
of
inspections,
6
appeals,
and
licensing.
Moneys
from
penalties,
investigative
7
costs
recouped
by
the
Medicaid
fraud
control
unit,
and
other
8
amounts
received
as
a
result
of
prosecutions
involving
9
the
department
of
inspections,
appeals,
and
licensing
10
investigations
and
audits
to
ensure
compliance
with
the
medical
11
assistance
program
that
are
not
credited
to
the
program
shall
12
be
credited
to
the
fund.
13
b.
Notwithstanding
section
8.33
,
moneys
credited
to
the
14
fund
from
any
other
account
or
fund
shall
not
revert
to
the
15
other
account
or
fund.
Moneys
in
the
fund
shall
only
be
used
as
16
provided
in
appropriations
from
the
fund
and
shall
be
used
in
17
accordance
with
applicable
laws,
regulations,
and
the
policies
18
of
the
office
of
inspector
general
of
the
United
States
19
department
of
health
and
human
services.
20
c.
Any
funds
remaining
in
the
Medicaid
fraud
fund
at
the
21
close
of
a
fiscal
year
are
appropriated
to
the
department
of
22
health
and
human
services
to
supplement
any
medical
assistance
23
program
appropriation
for
the
same
fiscal
year
to
be
used
24
for
medical
assistance
reimbursement
and
associated
costs,
25
including
program
administration
and
costs
associated
with
26
program
implementation.
27
c.
d.
For
the
purposes
of
this
subsection
,
“investigative
28
costs”
means
the
reasonable
value
of
a
Medicaid
fraud
control
29
unit
investigator’s,
auditor’s
or
employee’s
time,
any
moneys
30
expended
by
the
Medicaid
fraud
control
unit,
and
the
reasonable
31
fair
market
value
of
resources
used
or
expended
by
the
Medicaid
32
fraud
control
unit
in
a
case
resulting
in
a
criminal
conviction
33
of
a
provider
under
this
chapter
or
chapter
714
or
715A
.
34
Sec.
51.
Section
453A.35A,
Code
2024,
is
amended
to
read
as
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follows:
1
453A.35A
Health
care
trust
fund
——
appropriation
to
Medicaid
2
program
.
3
1.
A
health
care
trust
fund
is
created
in
the
office
of
4
the
treasurer
of
state.
The
fund
consists
of
the
revenues
5
generated
from
the
tax
on
cigarettes
pursuant
to
section
6
453A.6,
subsection
1
,
and
from
the
tax
on
tobacco
products
7
as
specified
in
section
453A.43,
subsections
1,
2,
3,
and
4
,
8
that
are
credited
to
the
health
care
trust
fund,
annually,
9
pursuant
to
section
453A.35
.
Moneys
in
the
fund
shall
be
10
separate
from
the
general
fund
of
the
state
and
shall
not
be
11
considered
part
of
the
general
fund
of
the
state.
However,
the
12
fund
shall
be
considered
a
special
account
for
the
purposes
13
of
section
8.53
relating
to
generally
accepted
accounting
14
principles.
Moneys
in
the
fund
shall
be
used
only
as
specified
15
in
this
section
and
shall
be
appropriated
only
for
the
uses
16
specified.
Moneys
in
the
fund
are
not
subject
to
section
8.33
17
and
shall
not
be
transferred,
used,
obligated,
appropriated,
18
or
otherwise
encumbered,
except
as
provided
in
this
section
.
19
Notwithstanding
section
12C.7,
subsection
2
,
interest
or
20
earnings
on
moneys
deposited
in
the
fund
shall
be
credited
to
21
the
fund.
22
2.
Moneys
in
the
fund
shall
be
used
only
for
purposes
23
related
to
health
care,
substance
use
disorder
treatment
and
24
prevention,
and
tobacco
use
prevention,
cessation,
and
control.
25
3.
Any
funds
remaining
in
the
health
care
trust
fund
at
the
26
close
of
a
fiscal
year
are
appropriated
to
the
department
of
27
health
and
human
services
to
supplement
any
medical
assistance
28
program
appropriation
for
the
same
fiscal
year
to
be
used
29
for
medical
assistance
reimbursement
and
associated
costs,
30
including
program
administration
and
costs
associated
with
31
program
implementation.
32
MENTAL
HEALTH
INSTITUTES
——
RETAINING
OF
REVENUE
33
Sec.
52.
NEW
SECTION
.
218.97
Retaining
of
revenue
by
mental
34
health
institutes.
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Notwithstanding
sections
218.78
and
249A.11,
any
revenue
1
received
from
the
state
mental
health
institute
at
Cherokee
or
2
the
state
mental
health
institute
at
Independence
pursuant
to
3
42
C.F.R.
§438.6(e)
may
be
retained
and
expended
by
the
mental
4
health
institute.
5
RESIDENTS
OF
MENTAL
HEALTH
INSTITUTES
——
RETAINING
MEDICAID
6
ELIGIBILITY
7
Sec.
53.
NEW
SECTION
.
249A.38A
Residents
of
mental
health
8
institutes
——
retaining
of
Medicaid
eligibility.
9
Notwithstanding
any
provision
of
law
to
the
contrary,
10
a
Medicaid
recipient
residing
at
the
state
mental
health
11
institute
at
Cherokee
or
the
state
mental
health
institute
12
at
Independence
shall
retain
Medicaid
eligibility
during
the
13
period
of
the
Medicaid
recipient’s
stay
for
which
federal
14
financial
participation
is
available.
15
STATE
RESOURCE
CENTERS
——
SCOPE
OF
SERVICES
16
Sec.
54.
NEW
SECTION
.
218.97A
State
resource
centers
——
17
scope
of
services
approach
——
time-limited
assessment
and
respite
18
services.
19
1.
The
department
may
continue
to
bill
for
state
resource
20
center
services
utilizing
a
scope
of
services
approach
used
for
21
private
providers
of
intermediate
care
facilities
for
persons
22
with
an
intellectual
disability
services,
in
a
manner
which
23
does
not
shift
costs
between
the
medical
assistance
program,
24
mental
health
and
disability
services
regions,
or
other
sources
25
of
funding
for
the
state
resource
centers.
26
2.
The
state
resource
centers
may
expand
the
time-limited
27
assessment
and
respite
services
during
a
fiscal
year.
28
JUVENILE
DETENTION
HOME
FUND
——
APPROPRIATION
29
Sec.
55.
Section
232.142,
Code
2024,
is
amended
to
read
as
30
follows:
31
232.142
Maintenance
and
cost
of
juvenile
homes
——
fund
——
32
appropriation
of
moneys
in
fund
.
33
1.
County
boards
of
supervisors
which
singly
or
in
34
conjunction
with
one
or
more
other
counties
provide
and
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maintain
juvenile
detention
and
juvenile
shelter
care
homes
are
1
subject
to
this
section
.
2
2.
For
the
purpose
of
providing
and
maintaining
a
county
3
or
multicounty
home,
the
board
of
supervisors
of
any
county
4
may
issue
general
county
purpose
bonds
in
accordance
with
5
sections
331.441
through
331.449
.
Expenses
for
providing
and
6
maintaining
a
multicounty
home
shall
be
paid
by
the
counties
7
participating
in
a
manner
to
be
determined
by
the
boards
of
8
supervisors.
9
3.
A
county
or
multicounty
juvenile
detention
home
approved
10
pursuant
to
this
section
shall
receive
financial
aid
from
the
11
state
in
a
manner
approved
by
the
director.
Aid
paid
by
the
12
state
shall
be
at
least
ten
percent
and
not
more
than
fifty
13
percent
of
the
total
cost
of
the
establishment,
improvements,
14
operation,
and
maintenance
of
the
home.
15
4.
The
director
shall
adopt
minimal
rules
and
standards
for
16
the
establishment,
maintenance,
and
operation
of
such
homes
as
17
shall
be
necessary
to
effect
the
purposes
of
this
chapter
.
The
18
rules
shall
apply
the
requirements
of
section
237.8
,
concerning
19
employment
and
evaluation
of
persons
with
direct
responsibility
20
for
a
child
or
with
access
to
a
child
when
the
child
is
21
alone
and
persons
residing
in
a
child
foster
care
facility,
22
to
persons
employed
by,
residing
in,
or
volunteering
for
a
23
home
approved
under
this
section
.
The
director
shall,
upon
24
request,
give
guidance
and
consultation
in
the
establishment
25
and
administration
of
the
homes
and
programs
for
the
homes.
26
5.
The
director
shall
approve
annually
all
such
homes
27
established
and
maintained
under
the
provisions
of
this
28
chapter
.
A
home
shall
not
be
approved
unless
it
complies
with
29
minimal
rules
and
standards
adopted
by
the
director
and
has
30
been
inspected
by
the
department
of
inspections,
appeals,
and
31
licensing.
The
statewide
number
of
beds
in
the
homes
approved
32
by
the
director
shall
not
exceed
two
hundred
seventy-two
beds
33
beginning
July
1,
2017.
34
6.
a.
A
juvenile
detention
home
fund
is
created
in
the
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state
treasury
under
the
authority
of
the
department.
The
1
fund
shall
consist
of
moneys
deposited
in
the
fund
pursuant
to
2
section
602.8108
.
The
moneys
in
the
fund
shall
be
used
for
3
the
costs
of
the
establishment,
improvement,
operation,
and
4
maintenance
of
county
or
multicounty
juvenile
detention
homes
5
in
accordance
with
annual
appropriations
made
by
the
general
6
assembly
from
the
fund
for
these
purposes
this
subsection
.
7
b.
(1)
Moneys
deposited
in
the
juvenile
detention
home
8
fund
during
a
fiscal
year
are
appropriated
to
the
department
9
for
the
same
fiscal
year
for
distribution
of
an
amount
equal
to
10
a
percentage
of
the
costs
of
the
establishment,
improvement,
11
operation,
and
maintenance
of
county
or
multicounty
juvenile
12
detention
homes
in
the
prior
fiscal
year.
Such
percentage
13
shall
be
determined
by
the
department
based
on
the
amount
14
available
for
distribution
from
the
fund.
15
(2)
Moneys
appropriated
for
distribution
in
accordance
with
16
this
subsection
shall
be
allocated
among
eligible
detention
17
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
18
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
19
prior
fiscal
year.
20
FAMILY
INVESTMENT
PROGRAM
ACCOUNT
ELIMINATION
21
Sec.
56.
Section
239B.11,
Code
2024,
is
amended
to
read
as
22
follows:
23
239B.11
Family
investment
program
account
——
diversion
24
program
subaccount
——
diversion
program.
25
1.
An
account
is
established
in
the
state
treasury
to
26
be
known
as
the
family
investment
program
account
under
27
control
of
the
department
to
which
shall
be
credited
all
funds
28
appropriated
by
the
state
for
the
payment
of
assistance
and
29
JOBS
program
expenditures.
All
other
moneys
received
at
any
30
time
for
these
purposes,
including
child
support
revenues,
31
shall
be
deposited
into
the
account
as
provided
by
law.
All
32
assistance
and
JOBS
program
expenditures
under
this
chapter
33
shall
be
paid
from
the
account.
34
2.
a.
A
diversion
program
subaccount
is
created
within
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2698
the
family
investment
program
account.
The
subaccount
may
be
1
used
to
provide
incentives
to
divert
a
family’s
participation
2
in
the
family
investment
program
if
the
family
meets
the
3
department’s
income
eligibility
requirements
for
the
diversion
4
program.
Incentives
may
be
provided
in
the
form
of
payment
or
5
services
to
help
a
family
to
obtain
or
retain
employment.
The
6
diversion
program
subaccount
may
also
be
used
for
payments
to
7
participants
as
necessary
to
cover
the
expenses
of
removing
8
barriers
to
employment
and
to
assist
in
stabilizing
employment.
9
In
addition,
the
diversion
program
subaccount
may
be
used
for
10
funding
of
services
and
payments
for
persons
whose
family
11
investment
program
eligibility
has
ended,
in
order
to
help
the
12
persons
to
stabilize
or
improve
their
employment
status.
13
b.
The
A
diversion
program
is
created
under
the
family
14
investment
program.
The
program
shall
provide
incentives
15
to
divert
a
family’s
participation
in
or
transition
of
16
a
family
from
the
family
investment
program
by
helping
a
17
participant
obtain
or
retain
employment,
by
removing
barriers
18
to
employment,
by
stabilizing
a
participant’s
employment,
or
19
by
improving
a
participant’s
employment
status.
The
program
20
shall
be
implemented
statewide
in
a
manner
that
preserves
local
21
flexibility
in
program
design.
The
department
shall
assess
and
22
screen
individuals
who
would
most
likely
benefit
from
diversion
23
program
assistance.
The
department
may
shall
adopt
income
24
eligibility
requirements
and
additional
eligibility
criteria
25
for
the
diversion
program
as
necessary
for
compliance
with
26
federal
law
and
for
screening
those
families
who
would
be
most
27
likely
to
become
eligible
for
the
family
investment
program
if
28
diversion
program
incentives
would
were
not
be
provided
to
the
29
families
.
30
Sec.
57.
Section
239B.14,
subsection
2,
Code
2024,
is
31
amended
to
read
as
follows:
32
2.
An
individual
who
commits
a
fraudulent
practice
under
33
this
section
is
personally
liable
for
the
amount
of
assistance
34
or
other
benefits
fraudulently
obtained.
The
amount
of
the
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63
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2698
assistance
or
other
benefits
may
be
recovered
from
the
offender
1
or
the
offender’s
estate
in
an
action
brought
or
by
claim
2
filed
in
the
name
of
the
state
and
the
recovered
funds
shall
3
be
deposited
in
the
family
investment
program
account
credited
4
to
the
appropriation
to
the
department
for
community
access
5
and
eligibility
to
be
used
for
the
purposes
of
the
family
6
investment
program
.
The
action
or
claim
filed
in
the
name
of
7
the
state
shall
not
be
considered
an
election
of
remedies
to
8
the
exclusion
of
other
remedies.
9
Sec.
58.
Section
252B.27,
subsection
1,
Code
2024,
is
10
amended
to
read
as
follows:
11
1.
The
director,
within
the
limitations
of
the
amount
12
appropriated
for
child
support
services,
or
moneys
transferred
13
for
this
purpose
from
the
family
investment
program
account
14
created
in
section
239B.11
appropriation
to
the
department
for
15
community
access
and
eligibility
,
may
establish
new
positions
16
and
add
employees
to
child
support
services
if
the
director
17
determines
that
both
the
current
and
additional
employees
18
together
can
reasonably
be
expected
to
maintain
or
increase
net
19
state
revenue
at
or
beyond
the
budgeted
level
for
the
fiscal
20
year.
21
Sec.
59.
TRANSITION
PROVISION.
All
unencumbered
and
22
unobligated
moneys
remaining
on
June
30,
2024,
in
the
family
23
investment
program
account
created
in
section
239B.11,
are
24
appropriated
to
the
department
of
health
and
human
services
for
25
community
access
and
eligibility.
26
CHILD
SUPPORT
COLLECTION
SERVICES
CENTER
REFUND
ACCOUNT
27
Sec.
60.
Section
252B.13A,
Code
2024,
is
amended
by
adding
28
the
following
new
subsection:
29
NEW
SUBSECTION
.
3.
Support
payments
received
by
the
30
collection
services
center
shall
be
deposited
in
the
collection
31
services
center
refund
account.
The
account
shall
be
separate
32
from
the
general
fund
of
the
state
and
shall
not
be
considered
33
part
of
the
general
fund
of
the
state.
The
moneys
deposited
34
in
the
account
are
not
subject
to
section
8.33
and
shall
not
35
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63
H.F.
2698
be
transferred,
used,
obligated,
appropriated,
or
otherwise
1
encumbered
except
as
provided
for
the
purposes
of
this
chapter.
2
Notwithstanding
section
12C.7,
subsection
2,
interest
or
3
earnings
on
moneys
deposited
in
the
account
shall
be
credited
4
to
the
account.
5
QUALITY
ASSURANCE
ASSESSMENT
——
PAYMENT
PERIOD
BASIS
6
Sec.
61.
Section
249L.3,
subsection
2,
Code
2024,
is
amended
7
to
read
as
follows:
8
2.
The
quality
assurance
assessment
shall
be
paid
by
each
9
nursing
facility
to
the
department
on
a
quarterly
monthly
basis
10
after
the
nursing
facility’s
medical
assistance
payment
rates
11
are
adjusted
to
include
funds
appropriated
from
the
quality
12
assurance
trust
fund
for
that
purpose.
The
department
shall
13
prepare
and
distribute
a
form
upon
which
nursing
facilities
14
shall
calculate
and
report
the
quality
assurance
assessment.
15
A
nursing
facility
shall
submit
the
completed
form
with
the
16
assessment
amount
no
later
than
thirty
days
following
the
end
17
of
each
calendar
quarter
month
.
18
SUPPORTED
COMMUNITY
LIVING
SERVICES
19
Sec.
62.
Section
225C.21,
subsection
1,
Code
2024,
is
20
amended
to
read
as
follows:
21
1.
As
used
in
this
section
,
“supported
community
living
22
services”
means
services
provided
in
a
noninstitutional
23
setting
to
adult
persons
sixteen
years
of
age
and
older
with
24
mental
illness,
an
intellectual
disability,
brain
injury,
or
25
developmental
disabilities
to
meet
the
persons’
daily
living
26
needs.
27
CENTERS
OF
EXCELLENCE
GRANT
PROGRAM
28
Sec.
63.
NEW
SECTION
.
135.194
Centers
of
excellence
grant
29
program.
30
1.
The
department
shall
administer
a
centers
of
excellence
31
grant
program
to
encourage
innovation
and
collaboration
among
32
regional
health
care
providers
in
rural
areas,
based
upon
the
33
results
of
a
regional
community
needs
assessment,
in
order
34
to
transform
health
care
delivery
that
provides
quality,
35
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2698
sustainable
care
in
meeting
the
needs
of
the
local
community.
1
2.
An
applicant
for
a
grant
shall
specify
how
the
grant
will
2
be
expended
to
accomplish
the
goals
of
the
program
and
shall
3
provide
a
detailed
five-year
sustainability
plan
prior
to
being
4
awarded
the
grant.
5
3.
Following
receipt
of
a
grant,
a
recipient
shall
submit
6
periodic
reports
as
specified
by
the
department
to
the
governor
7
and
the
general
assembly
regarding
the
recipient’s
expenditure
8
of
the
grant
and
progress
in
accomplishing
the
program’s
goals.
9
REGIONAL
AUTISM
ASSISTANCE
PROGRAM
10
Sec.
64.
Section
256.35,
Code
2024,
is
amended
to
read
as
11
follows:
12
256.35
Regional
autism
assistance
program.
13
The
department
shall
establish
a
regional
autism
assistance
14
program,
to
be
administered
by
the
child
health
specialty
15
clinics
of
the
university
of
Iowa
hospitals
and
clinics.
The
16
program
shall
be
designed
to
coordinate
collaborate
with
the
17
autism
support
program
created
in
chapter
225D
to
enhance
18
interagency
collaboration
in
coordinating
educational,
medical,
19
and
other
human
services
for
persons
with
autism,
their
20
parents,
and
providers
of
services
to
persons
with
autism.
The
21
function
functions
of
the
program
shall
include
but
is
are
22
not
limited
to
regionalized
and
integrated
care
delivery
and
23
coordination,
family
navigation,
the
coordination
of
diagnostic
24
and
assessment
services,
the
maintaining
of
a
research
base,
25
coordination
of
in-service
training,
providing
provision
of
26
technical
assistance,
and
providing
provision
of
consultation.
27
LODGING
EXPENSES
UNIVERSITY
OF
IOWA
HOSPITALS
AND
CLINICS
——
28
CANCER
PATIENTS
29
Sec.
65.
NEW
SECTION
.
217.41D
Lodging
for
cancer
patients
30
——
university
of
Iowa
hospitals
and
clinics.
31
The
department
shall
use
funding
appropriated
to
the
32
department
for
lodging
expenses
associated
with
care
provided
33
at
the
university
of
Iowa
hospitals
and
clinics
for
patients
34
with
cancer
in
accordance
with
this
section.
The
funding
shall
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be
used
for
patients
whose
travel
distance
is
thirty
miles
1
or
more
and
whose
income
is
at
or
below
two
hundred
percent
2
of
the
federal
poverty
level
as
defined
by
the
most
recently
3
revised
poverty
income
guidelines
published
by
the
United
4
States
department
of
health
and
human
services.
The
department
5
shall
establish
the
maximum
number
of
overnight
stays
and
the
6
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
7
based
on
the
state
employee
rate
established
by
the
department
8
of
administrative
services.
9
ASSISTED
LIVING
PROGRAM
——
REVISED
PAYMENT
MODEL
STUDY
10
Sec.
66.
ASSISTED
LIVING
PROGRAM
——
REVISED
PAYMENT
11
MODEL
STUDY.
The
department
of
health
and
human
services,
12
in
consultation
with
Medicaid
provider
associations
and
13
stakeholders,
shall
explore
options
for
a
revised
payment
model
14
for
reimbursement
of
assisted
living
programs
that
provide
15
services
to
Medicaid
recipients.
The
study
shall
include
16
consideration
of
all
sources
of
funding
utilized
by
residents
17
of
assisted
living
programs.
The
department
of
health
and
18
human
services
shall
report
all
options
identified
to
the
19
general
assembly
by
December
1,
2024.
20
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
——
APPROPRIATION
21
Sec.
67.
Section
35A.16,
subsection
1,
paragraph
b,
Code
22
2024,
is
amended
to
read
as
follows:
23
b.
There
is
appropriated
from
the
general
fund
of
the
state
24
to
the
department,
for
the
fiscal
year
beginning
July
1,
2009,
25
and
for
each
subsequent
fiscal
year,
the
sum
of
one
million
26
nine
hundred
ninety
thousand
dollars
to
be
credited
to
the
27
county
commissions
of
veteran
affairs
fund.
28
DIVISION
XVIII
29
HEALTH
CARE
EMPLOYMENT
AGENCIES
AND
HEALTH
CARE
TECHNOLOGY
30
PLATFORMS
31
Sec.
68.
Section
135Q.1,
Code
2024,
is
amended
to
read
as
32
follows:
33
135Q.1
Definitions.
34
As
used
in
this
chapter
,
unless
the
context
otherwise
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requires:
1
1.
“Affiliate”
means
an
entity
that
directly
or
indirectly
2
is
controlled
with
or
by,
or
is
under
the
common
control
with,
3
a
health
care
entity.
For
the
purposes
of
this
subsection,
4
“control”
means
the
same
as
defined
in
section
423.3,
subsection
5
92,
paragraph
“e”
.
6
1.
2.
“Department”
means
the
department
of
inspections,
7
appeals,
and
licensing.
8
2.
3.
a.
“Health
care
employment
agency”
or
“agency”
9
means
an
agency
that
contracts
with
a
health
care
entity
10
in
this
state
to
provide
agency
workers
for
temporary
or
11
temporary-to-hire
employee
placements.
12
b.
“Health
care
employment
agency”
does
not
include
a
health
13
care
entity
or
an
affiliate
of
a
health
care
entity
when
acting
14
as
a
health
care
employment
agency
for
the
sole
purpose
of
15
providing
agency
workers
to
the
health
care
entity
itself
or
to
16
an
affiliate
of
the
health
care
entity.
17
3.
4.
“Health
care
employment
agency
worker”
or
“agency
18
worker”
means
an
individual
who
contracts
with
or
is
employed
by
19
a
health
care
employment
agency
to
provide
nursing
services
to
20
health
care
entity
consumers.
21
4.
5.
“Health
care
entity”
means
a
facility,
agency,
or
22
program
licensed
or
certified
by
the
department
or
by
the
23
centers
for
Medicare
and
Medicaid
services
of
the
United
States
24
department
of
health
and
human
services.
25
6.
“Health
care
technology
platform”
or
“platform”
includes
26
an
individual,
a
trust,
a
partnership,
a
corporation,
a
limited
27
liability
partnership
or
company,
or
any
other
business
entity
28
that
develops
and
operates,
offers,
or
maintains
a
system
or
29
technology
that
provides
an
internet-based
or
application-based
30
marketplace
through
which
an
independent
nursing
services
31
professional
bids
on
open
shifts
posted
by
a
health
care
entity
32
to
provide
nursing
services
for
the
health
care
entity.
33
7.
“Independent
nursing
services
professional”
means
a
person
34
engaged
as
an
independent
contractor
through
a
health
care
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technology
platform
to
provide
nursing
services
for
a
health
1
care
entity.
An
independent
nursing
services
professional
2
shall
be
considered
an
independent
contractor
provided
the
3
independent
nursing
services
professional
in
the
independent
4
nursing
services
professional’s
sole
discretion
bids
on
open
5
shifts
and
chooses
where,
when,
and
how
often
to
work.
6
8.
“Individual
agency
worker
category”
includes
registered
7
nurses,
licensed
practical
nurses,
certified
nurse
aides,
8
certified
medication
aides,
home
health
aides,
medication
9
managers,
and
noncertified
or
nonlicensed
staff
providing
10
personal
care
as
defined
in
section
231C.2
who
are
health
care
11
employment
agency
workers.
12
5.
9.
“Managing
entity”
means
a
business
entity,
13
owner,
ownership
group,
chief
executive
officer,
program
14
administrator,
director,
or
other
decision
maker
whose
15
responsibilities
include
directing
the
management
or
policies
16
of
a
health
care
employment
agency
or
a
health
care
technology
17
platform
.
“Managing
entity”
includes
an
individual
who,
18
directly
or
indirectly,
holds
a
beneficial
interest
in
a
19
corporation,
partnership,
or
other
business
entity
that
20
constitutes
a
managing
entity.
21
6.
10.
“Nursing
services”
means
those
services
which
may
be
22
provided
only
by
or
under
the
supervision
of
a
nurse.
“Nursing
23
services”
includes
services
performed
by
a
registered
nurse,
a
24
licensed
practical
nurse,
a
certified
nurse
aide,
a
certified
25
medication
aide,
a
home
health
aide,
a
medication
manager,
or
26
by
noncertified
or
nonlicensed
staff
providing
personal
care
27
as
defined
in
section
231C.2
.
“Nursing
services”
does
not
28
include
the
practice
of
nursing
by
an
advanced
registered
nurse
29
practitioner
or
an
advanced
practice
registered
nurse
licensed
30
under
chapter
152
or
152E
.
31
11.
“Nursing
services
professionals”
includes
registered
32
nurses,
licensed
practical
nurses,
certified
nurse
aides,
33
certified
medication
aides,
home
health
aides,
medication
34
managers,
and
noncertified
or
nonlicensed
staff
providing
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personal
care
as
defined
in
section
231C.2,
who
are
not
1
health
care
employment
agency
workers
but
instead
are
employed
2
directly
by
or
contract
directly
with
a
health
care
entity.
3
Sec.
69.
Section
135Q.2,
Code
2024,
is
amended
to
read
as
4
follows:
5
135Q.2
Health
care
employment
agency
requirements
——
6
registration
——
liability
——
penalties
.
7
1.
a.
A
health
care
employment
agency
operating
in
the
8
state
shall
register
annually
with
the
department.
Each
9
separate
location
of
a
health
care
employment
agency
shall
10
register
annually
with
and
pay
an
annual
registration
fee
of
11
five
hundred
dollars
to
the
department.
The
department
shall
12
issue
each
location
a
separate
certification
of
registration
13
upon
approval
of
registration
and
payment
of
the
fee.
The
14
annual
registration
fees
shall
be
retained
by
the
department
as
15
repayment
receipts
as
defined
in
section
8.2
.
16
b.
A
health
care
employment
agency
that
fails
to
register
17
with
the
department
as
required
under
this
subsection
shall
be
18
prohibited
from
contracting
with
any
health
care
entity
in
this
19
state.
20
2.
A
health
care
employment
agency
shall
do
all
of
the
21
following:
22
a.
Ensure
that
agency
workers
comply
with
all
applicable
23
requirements
relating
to
the
health
requirements
and
24
qualifications
of
personnel
in
health
care
entity
settings.
25
b.
Document
that
each
agency
worker
meets
the
minimum
26
licensing,
certification,
training,
and
health
requirements
27
and
the
continuing
education
standards
for
the
agency
worker’s
28
position
in
the
health
care
entity
setting.
29
c.
Maintain
records
for
each
agency
worker
and
report,
30
file,
or
otherwise
provide
any
required
documentation
to
31
external
parties
or
regulators
which
would
otherwise
be
the
32
responsibility
of
the
health
care
entity
if
the
agency
worker
33
was
directly
employed
by
the
health
care
entity.
34
d.
Maintain
professional
and
general
liability
insurance
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coverage
with
minimum
per
occurrence
coverage
of
one
million
1
dollars
and
aggregate
coverage
of
three
million
dollars
to
2
insure
against
loss,
damage,
or
expense
incident
to
a
claim
3
arising
out
of
the
death
or
injury
of
any
person
as
the
result
4
of
negligence
or
malpractice
in
the
provision
of
services
by
5
the
agency
or
an
agency
worker.
6
3.
a.
A
health
care
employment
agency
shall
not
do
any
of
7
the
following:
8
(1)
Restrict
in
any
manner
the
employment
opportunities
9
of
an
agency
worker
by
including
a
noncompete
clause
in
any
10
contract
with
an
agency
worker
or
health
care
entity.
11
(2)
In
any
contract
with
an
agency
worker
or
health
care
12
entity,
require
payment
of
liquidated
damages,
employment
fees,
13
or
other
compensation
if
the
agency
worker
is
subsequently
14
hired
as
a
permanent
employee
of
the
health
care
entity.
15
(3)
Use
the
establishment
of,
or
the
required
applicability
16
of,
the
statewide
maximum
allowable
charges
schedule
under
17
section
135Q.4
as
a
basis
for
prohibiting
or
otherwise
18
interfering
with
a
wage
increase
for
any
agency
worker.
19
b.
This
subsection
shall
not
apply
to
a
contract
between
20
a
health
care
employment
agency
and
an
agency
worker
or
a
21
health
care
entity
if
the
contract
meets
all
of
the
following
22
criteria:
23
(1)
The
contract
is
entered
into
for
the
purpose
of
placing
24
an
agency
worker
the
health
care
employment
agency
assisted
in
25
obtaining
authorization
to
work
in
the
United
States.
26
(2)
The
contract
contains
an
initial
duration
term
of
27
not
less
than
twenty-four
months
and
a
total
duration
term,
28
including
any
renewals
or
extensions,
of
not
more
than
29
thirty-six
months.
30
(3)
The
contract
requires
the
agency
worker
to
work
for
31
a
single
health
care
entity
for
the
entire
duration
of
the
32
contract.
33
c.
Any
contract
that
violates
this
subsection
shall
be
34
unenforceable
in
court.
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4.
A
health
care
employment
agency
shall
submit
a
report
to
1
the
department
on
a
quarterly
basis
for
each
health
care
entity
2
participating
in
Medicare
or
Medicaid
with
whom
the
agency
3
contracts
that
includes
all
of
the
following
by
provider
type:
4
a.
A
detailed
list
of
the
average
amount
charged
to
the
5
health
care
entity
for
each
individual
agency
worker
category.
6
b.
A
detailed
list
of
the
average
amount
paid
by
the
agency
7
to
agency
workers
in
each
individual
agency
worker
category.
8
5.
a.
A
health
care
employment
agency
that
violates
9
subsection
1
or
subsection
2
is
subject
to
denial
or
revocation
10
of
registration
for
a
period
of
one
year
and
a
monetary
penalty
11
of
five
hundred
dollars
for
a
first
offense
and
five
thousand
12
dollars
for
each
offense
thereafter.
13
b.
A
health
care
employment
agency
that
violates
subsection
14
3
or
that
knowingly
provides
an
agency
worker
who
has
an
15
illegally
or
fraudulently
obtained
or
issued
diploma,
16
registration,
license,
certification,
or
background
check
to
17
a
health
care
entity
is
subject
to
immediate
revocation
of
18
registration.
The
department
shall
notify
the
agency
thirty
19
days
in
advance
of
the
date
of
such
revocation.
20
c.
(1)
The
managing
entity
of
an
agency
for
which
21
registration
has
been
denied
or
revoked
under
this
subsection
22
shall
not
be
eligible
to
apply
for
or
be
granted
registration
23
for
another
agency
during
the
two-year
period
following
the
24
date
of
the
denial
or
revocation.
25
(2)
The
department
shall
not
approve
a
new
registration
26
or
renew
an
existing
registration
for
any
agency
for
which
27
the
managing
entity
is
also
the
managing
entity
of
an
agency
28
for
which
registration
has
been
denied
or
revoked
during
the
29
two-year
period
in
which
registration
of
the
violating
agency
30
is
denied
or
revoked.
31
6.
5.
The
department
shall
establish
a
system
for
members
32
of
the
public
to
report
complaints
against
an
agency
or
33
agency
worker.
The
department
shall
investigate
any
complaint
34
received
and
shall
report
the
department’s
findings
to
the
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complaining
party
and
the
agency
involved.
1
Sec.
70.
NEW
SECTION
.
135Q.3
Health
care
technology
2
platform
requirements
——
registration
——
liability.
3
1.
a.
A
health
care
technology
platform
operating
in
4
the
state
shall
register
annually
with
the
department
and
5
pay
an
annual
registration
fee
of
five
hundred
dollars
to
6
the
department.
The
department
shall
issue
each
health
7
care
technology
platform
a
certificate
of
registration
upon
8
approval
of
registration
and
payment
of
the
fee.
The
annual
9
registration
fees
shall
be
retained
by
the
department
as
10
repayment
receipts
as
defined
in
section
8.2.
11
b.
A
health
care
technology
platform
that
fails
to
register
12
with
the
department
as
required
under
this
subsection
shall
be
13
prohibited
from
contracting
with
any
health
care
entity
in
this
14
state.
15
c.
A
health
care
technology
platform
that
allows
independent
16
nursing
services
professionals
to
utilize
the
platform
to
bid
17
on
open
shifts
is
an
authorized
agency
for
purposes
of
access
18
to
the
single
contact
repository.
A
health
care
technology
19
platform
shall
rerun
background
checks
for
an
independent
20
nursing
services
professional
following
two
consecutive
years
21
of
inactivity
on
the
platform
by
the
independent
nursing
22
services
professional.
23
2.
A
health
care
technology
platform
shall
verify
that
24
an
independent
nursing
services
professional
utilizing
the
25
platform
does
all
of
the
following:
26
a.
Supplies
documentation
demonstrating
that
the
independent
27
nursing
services
professional
meets
all
applicable
state
28
requirements
and
qualifications
of
personnel
in
a
health
care
29
entity
setting.
30
b.
Meets
all
applicable
minimum
state
licensing
and
31
certification
requirements.
32
c.
Maintains
professional
liability
insurance
coverage
with
33
the
minimum
per
occurrence
coverage
of
one
million
dollars
and
34
aggregate
coverage
of
three
million
dollars
to
insure
against
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loss,
damage,
or
expense
incident
to
a
claim
arising
out
of
1
the
death
or
injury
of
any
person
as
the
result
of
negligence
2
or
malpractice
in
the
provision
of
services
by
the
independent
3
nursing
services
professional.
4
3.
a.
A
health
care
technology
platform
shall
not
do
any
5
of
the
following:
6
(1)
Restrict
in
any
manner
the
employment
opportunities
of
7
an
independent
nursing
services
professional
by
including
a
8
noncompete
clause
in
any
contract
with
an
independent
nursing
9
services
professional
or
health
care
entity.
10
(2)
In
any
contract
with
an
independent
nursing
services
11
professional
or
health
care
entity,
require
payment
of
12
liquidated
damages,
employment
fees,
or
other
compensation
if
13
the
independent
nursing
services
professional
is
subsequently
14
hired
as
a
permanent
employee
or
is
engaged
directly
as
a
15
contractor
of
the
health
care
entity.
16
b.
Any
contract
that
violates
this
subsection
shall
be
17
unenforceable
in
court.
18
4.
The
department
shall
establish
a
system
for
members
19
of
the
public
to
report
complaints
against
a
health
care
20
technology
platform
or
an
independent
nursing
services
21
professional.
The
department
shall
investigate
any
complaint
22
received
and
shall
report
the
department’s
findings
to
the
23
complaining
party
and
the
health
care
technology
platform
24
involved.
25
Sec.
71.
NEW
SECTION
.
135Q.4
Statewide
maximum
allowable
26
charges
schedule
——
establishment
and
annual
revision
——
required
27
utilization
and
compliance
——
rules.
28
1.
The
department
of
health
and
human
services
shall
29
annually
establish
and
publish
by
September
30,
a
statewide
30
maximum
allowable
charges
schedule
that
shall
be
applicable
31
January
1
of
the
immediately
following
calendar
year
to
nursing
32
services
provided
by
a
health
care
employment
agency
worker.
33
The
department
of
health
and
human
services
shall
utilize
the
34
most
recently
preceding
nursing
facility
cost
report
schedule
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H
to
calculate
the
statewide
maximum
allowable
charges.
The
1
department
of
health
and
human
services,
in
collaboration
2
with
stakeholders,
shall
develop
a
process
to
periodically
3
obtain
wage
information
from
provider
types
other
than
nursing
4
facilities.
5
2.
The
amounts
established
in
the
statewide
maximum
6
allowable
charges
schedule
shall
meet
all
of
the
following
7
requirements:
8
a.
The
amounts
shall
be
no
greater
than
one
hundred
fifty
9
percent
of
the
statewide
average
wage
paid
in
the
most
recently
10
preceding
cost
report
year
by
a
specific
type
of
health
care
11
entity
to
a
specific
type
of
nursing
services
professional,
and
12
within
the
applicable
core-based
statistical
area
of
the
state.
13
b.
The
amounts
shall
be
inclusive
of
the
hourly
rate,
14
administrative
fees,
contract
fees,
transportation
or
travel
15
stipends,
per
diems,
and
any
other
costs
a
health
care
16
employment
agency
is
authorized
to
include
in
the
charge
to
a
17
health
care
entity
for
nursing
services
provided
by
an
agency
18
worker
within
an
individual
agency
worker
category.
19
3.
Each
separate
location
of
a
health
care
employment
agency
20
registered
under
section
135Q.2
shall
utilize
and
comply
with
21
the
statewide
maximum
allowable
charges
schedule
established
22
under
this
section.
23
4.
The
statewide
maximum
allowable
charges
schedule
24
established
under
this
section
shall
not
apply
to
any
of
the
25
following:
26
a.
A
contract
between
a
health
care
employment
agency
and
27
an
agency
worker
or
a
health
care
entity
if
the
contract
meets
28
all
of
the
following
criteria:
29
(1)
The
contract
is
entered
into
for
the
purpose
of
placing
30
a
specific
agency
worker
with
a
health
care
entity.
31
(2)
The
contract
contains
an
initial
duration
term
of
not
32
less
than
twelve
consecutive
weeks.
33
(3)
The
contract
requires
the
agency
worker
to
work
for
34
a
single
health
care
entity
for
the
entire
duration
of
the
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contract.
1
b.
A
health
care
technology
platform.
2
5.
The
department
of
health
and
human
services,
in
3
cooperation
with
the
department,
shall
adopt
rules
pursuant
to
4
chapter
17A
to
administer
this
section.
5
Sec.
72.
NEW
SECTION
.
135Q.5
Penalties
——
enforcement.
6
1.
a.
A
health
care
employment
agency
that
violates
7
section
135Q.2,
subsection
1
or
4,
is
subject
to
an
initial
8
monetary
penalty
of
five
thousand
dollars
and
shall
be
provided
9
notification
by
the
department
and
given
a
thirty-day
grace
10
period
in
which
to
comply.
11
b.
A
health
care
employment
agency
that
fails
to
comply
12
following
the
notification
and
within
the
thirty-day
grace
13
period
under
paragraph
“a”
,
shall
be
subject
to
a
monetary
14
penalty
of
twenty-five
thousand
dollars.
15
c.
If
a
health
care
employment
agency
fails
to
comply
16
with
paragraph
“b”
,
the
health
care
employment
agency
shall
17
be
subject
to
an
additional
monetary
penalty
of
twenty-five
18
thousand
dollars,
revocation
of
registration,
and
denial
of
19
subsequent
registration
for
up
to
three
years.
20
2.
a.
A
health
care
employment
agency
that
violates
section
21
135Q.2,
subsection
2,
or
that
knowingly
provides
an
agency
22
worker
who
has
an
illegally
or
fraudulently
obtained
or
issued
23
diploma,
registration,
license,
certification,
or
background
24
check
to
a
health
care
entity
is
subject
to
a
monetary
penalty
25
of
five
thousand
dollars
for
each
violation.
26
b.
If
a
health
care
employment
agency
commits
a
second
or
27
subsequent
violation
of
section
135Q.2,
subsection
2,
within
28
any
three-year
period,
the
health
care
employment
agency
shall
29
be
subject
to
immediate
revocation
of
registration.
The
30
department
shall
notify
the
agency
thirty
days
in
advance
of
31
the
date
of
such
revocation.
32
3.
A
health
care
employment
agency
that
violates
section
33
135Q.2,
subsection
3,
is
subject
to
a
monetary
penalty
of
34
twenty-five
thousand
dollars
for
the
first
violation.
If
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a
health
care
employment
agency
violates
section
135Q.2,
1
subsection
3,
a
second
or
subsequent
time,
the
health
care
2
employment
agency
shall
be
subject
to
immediate
revocation
of
3
registration,
and
shall
not
be
eligible
to
apply
for
or
be
4
granted
registration
for
the
three-year
period
immediately
5
following
the
date
of
revocation.
6
4.
a.
(1)
A
health
care
technology
platform
that
violates
7
section
135Q.3,
subsection
1,
is
subject
to
an
initial
8
monetary
penalty
of
five
thousand
dollars
and
shall
be
provided
9
notification
by
the
department
and
given
a
thirty-day
grace
10
period
in
which
to
comply.
11
(2)
A
health
care
technology
platform
that
fails
to
comply
12
with
the
notification
and
within
the
thirty-day
grace
period
13
under
subparagraph
(1)
shall
be
subject
to
a
monetary
penalty
14
of
twenty-five
thousand
dollars.
15
(3)
If
a
health
care
technology
platform
fails
to
comply
16
with
subparagraph
(2),
the
health
care
technology
platform
17
shall
be
subject
to
an
additional
monetary
penalty
of
18
twenty-five
thousand
dollars,
revocation
of
registration,
and
19
denial
of
subsequent
registration
for
up
to
three
years.
20
b.
(1)
A
health
care
technology
platform
that
violates
21
section
135Q.3,
subsection
2,
or
that
knowingly
allows
22
an
independent
nursing
services
professional
who
has
an
23
illegally
obtained
or
issued
diploma,
registration,
license,
24
certification,
or
background
check
to
utilize
the
platform
to
25
bid
on
a
shift
for
a
health
care
entity
is
subject
to
a
monetary
26
penalty
of
five
thousand
dollars
for
each
violation.
27
(2)
If
a
health
care
technology
platform
commits
a
second
or
28
subsequent
violation
of
section
135Q.3,
subsection
2,
within
29
any
three-year
period,
the
health
care
technology
platform
30
shall
be
subject
to
immediate
revocation
of
registration.
The
31
department
shall
notify
the
health
care
technology
platform
32
thirty
days
in
advance
of
the
date
of
such
revocation.
33
c.
(1)
A
health
care
technology
platform
that
violates
34
section
135Q.3,
subsection
3,
is
subject
to
a
monetary
penalty
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of
twenty-five
thousand
dollars
for
the
first
violation.
1
(2)
If
a
health
care
technology
platform
violates
section
2
135Q.3,
subsection
3,
a
second
or
subsequent
time,
the
health
3
care
technology
platform
shall
be
subject
to
immediate
4
revocation
of
registration,
and
shall
not
be
eligible
to
apply
5
for
or
be
granted
registration
for
the
three-year
period
6
immediately
following
the
date
of
revocation.
7
5.
A
health
care
employment
agency
that
violates
section
8
135Q.4
shall
be
subject
to
a
monetary
penalty
of
five
thousand
9
dollars
for
the
first
violation,
and
a
monetary
penalty
of
10
twenty-five
thousand
dollars
for
each
subsequent
violation.
11
6.
a.
The
managing
entity
of
an
agency
for
which
12
registration
has
been
denied
or
revoked
under
this
section
13
shall
not
be
eligible
to
apply
for
or
be
granted
registration
14
for
another
agency
during
the
three-year
period
following
the
15
date
of
the
denial
or
revocation.
16
b.
The
department
shall
not
approve
a
new
registration
17
or
renew
an
existing
registration
for
any
agency
for
which
18
the
managing
entity
is
also
the
managing
entity
of
an
agency
19
for
which
registration
has
been
denied
or
revoked
during
the
20
three-year
period
in
which
registration
of
the
violating
agency
21
is
denied
or
revoked.
22
7.
a.
The
managing
entity
of
a
health
care
technology
23
platform
for
which
registration
has
been
denied
or
revoked
24
under
this
section
shall
not
be
eligible
to
apply
for
or
25
be
granted
registration
for
another
health
care
technology
26
platform
during
the
two-year
period
following
the
date
of
the
27
denial
or
revocation.
28
b.
The
department
shall
not
approve
a
new
registration
or
29
renew
an
existing
registration
for
any
health
care
technology
30
platform
for
which
the
managing
entity
is
also
the
managing
31
entity
of
a
health
care
technology
platform
for
which
32
registration
has
been
denied
or
revoked
during
the
two-year
33
period
in
which
registration
of
the
violating
health
care
34
technology
platform
is
denied
or
revoked.
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8.
Any
monetary
penalties
collected
under
this
section
1
shall
be
retained
by
the
department
as
repayment
receipts
as
2
defined
in
section
8.2.
3
9.
The
attorney
general
shall
enforce
this
chapter.
4
Sec.
73.
NEW
SECTION
.
135Q.6
Department
annual
report.
5
The
department
shall
submit
an
annual
report
to
the
general
6
assembly
by
January
15,
for
the
immediately
preceding
fiscal
7
year,
that
includes
a
summary
of
the
number
of
registrations
8
issued
and
the
amount
of
registration
fees
collected,
the
9
violations
of
this
chapter,
the
amount
of
monetary
penalties
10
collected,
the
number
of
health
care
employment
agencies,
11
health
care
technology
platforms,
and
managing
entities
for
12
whom
a
registration
was
revoked
or
denied,
the
statewide
13
maximum
allowable
charges
schedule,
and
any
recommendations
for
14
changes
to
the
chapter.
15
Sec.
74.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
16
deemed
of
immediate
importance,
takes
effect
upon
enactment.
17
DIVISION
XIX
18
MEDICAL
CANNABIDIOL
REGISTRATION
CARD
——
TELEMEDICINE
——
19
PRACTITIONER
REQUIREMENTS
20
Sec.
75.
Section
124E.3,
Code
2024,
is
amended
by
adding
the
21
following
new
subsection:
22
NEW
SUBSECTION
.
4.
A
health
care
practitioner
that
23
establishes
or
maintains
a
relationship
with
a
patient
through
24
the
use
of
telemedicine
shall
comply
with
the
requirements
of
25
653
IAC
13.11(7).
26
DIVISION
XX
27
FOSTER
CARE
PROCESSES,
SERVICES,
AND
SUPPORTS
28
Sec.
76.
Section
232.96A,
subsection
6,
Code
2024,
is
29
amended
to
read
as
follows:
30
6.
The
child
is
in
need
of
treatment
to
cure
or
alleviate
a
31
serious
chemical
dependency
or
mental
illness
or
disorder,
or
32
emotional
damage
as
evidenced
by
severe
anxiety,
depression,
33
withdrawal,
or
behavioral
health
disorder
that
compromises
34
the
child’s
safety
or
causes
untoward
aggressive
behavior
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toward
the
child’s
self
or
others
in
the
household,
and
the
1
child’s
parent,
guardian,
or
custodian
is
unwilling
to
provide
2
such
treatment
or
the
parent’s,
guardian’s,
or
custodian’s
3
efforts
to
secure
needed
treatment
have
been
exhausted
and
4
unsuccessful
.
5
Sec.
77.
Section
232.96A,
subsections
11,
12,
and
13,
Code
6
2024,
are
amended
by
striking
the
subsections.
7
Sec.
78.
Section
234.38,
Code
2024,
is
amended
to
read
as
8
follows:
9
234.38
Foster
care
reimbursement
rates.
10
The
department
shall
make
reimbursement
payments
directly
11
to
foster
parents
for
services
provided
to
children
pursuant
12
to
section
234.6,
subsection
1
,
paragraph
“e”
,
subparagraph
13
(2),
or
section
234.35
.
In
any
fiscal
year,
the
reimbursement
14
rate
shall
be
based
upon
sixty-five
percent
of
the
United
15
States
department
of
agriculture
estimate
of
the
cost
to
raise
16
a
child
in
the
calendar
year
immediately
preceding
the
fiscal
17
year.
The
department
may
pay
an
additional
stipend
for
a
child
18
with
special
needs.
The
department
shall
review
reimbursement
19
payment
rates
paid
to
foster
parents
under
this
section
no
less
20
than
once
every
three
years.
The
department
shall
adopt
rules
21
to
implement
this
section.
22
Sec.
79.
Section
234.39,
subsection
2,
Code
2024,
is
amended
23
to
read
as
follows:
24
2.
a.
A
person
entitled
to
periodic
support
payments
25
pursuant
to
an
order
or
judgment
entered
in
any
action
for
26
support,
who
also
is
or
has
a
child
receiving
foster
care
27
services,
is
deemed
to
have
assigned
to
the
department
28
current
and
accruing
support
payments
attributable
to
the
29
child
effective
as
of
the
date
the
child
enters
foster
care
30
placement,
to
the
extent
of
expenditure
of
foster
care
funds.
31
The
department
shall
notify
the
clerk
of
the
district
court
32
when
a
child
entitled
to
support
payments
is
receiving
foster
33
care
services
pursuant
to
chapter
234
.
Upon
notification
34
by
the
department
that
a
child
entitled
to
periodic
support
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payments
is
receiving
foster
care
services,
the
clerk
of
1
the
district
court
shall
make
a
notation
of
the
automatic
2
assignment
in
the
judgment
docket
and
lien
index.
The
notation
3
constitutes
constructive
notice
of
assignment.
The
clerk
of
4
court
shall
furnish
the
department
with
copies
of
all
orders
5
and
decrees
awarding
support
when
the
child
is
receiving
6
foster
care
services.
At
the
time
the
child
ceases
to
receive
7
foster
care
services,
the
assignment
of
support
shall
be
8
automatically
terminated.
Unpaid
support
accrued
under
the
9
assignment
of
support
rights
during
the
time
that
the
child
was
10
in
foster
care
remains
due
to
the
department
up
to
the
amount
11
of
unreimbursed
foster
care
funds
expended.
The
department
12
shall
notify
the
clerk
of
court
of
the
automatic
termination
13
of
the
assignment.
Unless
otherwise
specified
in
the
support
14
order,
an
equal
and
proportionate
share
of
any
child
support
15
awarded
shall
be
presumed
to
be
payable
on
behalf
of
each
child
16
subject
to
the
order
or
judgment
for
purposes
of
an
assignment
17
under
this
section
.
18
b.
This
subsection
shall
not
apply
when
a
child
is
placed
19
with
a
relative
or
fictive
kin
as
those
terms
are
defined
in
20
section
232.2,
who
is
not
licensed
under
chapter
237
to
provide
21
child
foster
care.
22
Sec.
80.
Section
600.8,
subsection
3,
Code
2024,
is
amended
23
to
read
as
follows:
24
3.
a.
The
department,
an
agency,
or
a
certified
adoption
25
investigator
shall
conduct
all
investigations
and
reports
26
required
under
subsection
2
.
27
b.
The
department
shall
pay
the
costs
of
the
preplacement
28
investigation
and
the
postplacement
investigation
under
29
subsection
2,
up
to
a
maximum
of
two
thousand
dollars
for
the
30
preplacement
investigation
and
up
to
a
maximum
of
two
thousand
31
dollars
for
the
postplacement
investigation.
32
c.
The
department
shall
not
pay
the
costs
of
the
33
preplacement
investigation
or
the
postplacement
investigation
34
as
required
under
paragraph
“b”
until
a
prospective
adoption
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2698
petitioner
has
been
approved
under
subsection
1,
paragraph
“a”
,
1
subparagraph
(3),
by
the
person
making
the
investigation.
2
Sec.
81.
2023
Iowa
Acts,
chapter
112,
section
7,
subsection
3
7,
is
amended
to
read
as
follows:
4
7.
For
child
and
family
protective
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
6
35,380,654
7
Of
the
funds
appropriated
in
this
subsection,
up
to
8
$3,000,000
shall
be
used
for
the
kinship
caregiver
stipend
9
program.
10
Sec.
82.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
LEGAL
11
REPRESENTATION
FOR
JUVENILE
CASES
INTERIM
STUDY
COMMITTEE.
12
1.
The
department
of
health
and
human
services
shall
13
establish
a
legal
representation
for
juvenile
cases
interim
14
study
committee
for
the
2024
interim
to
investigate,
study,
and
15
propose
legislation
relating
to
client-directed
representation
16
for
children
in
juvenile
court
cases.
17
2.
The
committee
shall
consist
of
the
following
voting
18
members:
19
a.
Two
members
of
the
house
of
representatives,
one
20
of
whom
shall
be
appointed
by
the
speaker
of
the
house
of
21
representatives
and
one
of
whom
shall
be
appointed
by
the
22
minority
leader
of
the
house
of
representatives.
23
b.
Two
members
of
the
senate,
one
of
whom
shall
be
appointed
24
by
the
majority
leader
of
the
senate
and
one
of
whom
shall
be
25
appointed
by
the
minority
leader
of
the
senate.
26
3.
The
committee
shall
also
following
ex
officio,
nonvoting
27
members:
28
a.
The
state
public
defender.
29
b.
A
person
who
works
for
an
organization
providing
advocacy
30
for
kids,
appointed
by
the
governor.
31
c.
A
juvenile
court
judge,
appointed
by
the
judicial
branch.
32
d.
A
county
attorney
working
in
juvenile
courts,
appointed
33
by
the
Iowa
county
attorneys
association.
34
4.
The
committee
shall
submit
a
report
to
the
general
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assembly
by
January
10,
2025.
1
Sec.
83.
EFFECTIVE
DATE.
The
section
of
this
division
2
of
this
Act
amending
2023
Iowa
Acts,
chapter
112,
section
7,
3
subsection
7,
being
deemed
of
immediate
importance,
takes
4
effect
upon
enactment.
5
Sec.
84.
RETROACTIVE
APPLICABILITY.
The
section
of
this
6
division
of
this
Act
amending
2023
Iowa
Acts,
chapter
112,
7
section
7,
is
retroactively
applicable
to
July
1,
2023.
8
DIVISION
XXI
9
NURSING
FACILITY
OVERSIGHT
10
Sec.
85.
NEW
SECTION
.
135C.35C
Nursing
facilities
——
joint
11
training
sessions.
12
The
department
shall
semiannually
provide
joint
training
13
sessions
for
inspectors
and
nursing
facilities
to
review
at
14
least
three
of
the
ten
most
frequently
issued
federal
citations
15
in
the
state
during
the
immediately
preceding
calendar
year.
16
The
department
shall
develop
a
protocol
to
identify
regional
17
citation
patterns
relating
to
complaints,
standards,
and
18
outcomes
in
the
nursing
facility
inspection
process.
The
19
department
shall
include
the
state
long-term
care
ombudsman,
20
or
the
state
long-term
care
ombudsman’s
designee,
and
21
representatives
of
each
nursing
facility
provider
association
22
in
the
state
in
the
planning
process
for
the
joint
training
23
sessions.
24
Sec.
86.
Section
135C.40,
subsection
1,
Code
2024,
is
25
amended
by
adding
the
following
new
paragraph:
26
NEW
PARAGRAPH
.
d.
(1)
The
department
shall
establish
and
27
maintain
a
process
to
review
each
citation
issued
for
immediate
28
jeopardy
or
substandard
quality
of
care
prior
to
issuance
of
29
final
findings
under
section
135C.40A.
Representatives
of
the
30
nursing
facility
issued
such
a
citation
may
participate
in
31
the
review
to
provide
context
and
evidence
for
the
department
32
to
consider
in
determining
if
a
final
finding
of
immediate
33
jeopardy
or
substandard
quality
of
care
should
be
issued.
The
34
review
shall
ensure
consistent
and
accurate
application
of
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federal
and
state
inspection
protocols
and
defined
regulatory
1
standards.
2
(2)
For
the
purposes
of
this
paragraph:
3
(a)
“Immediate
jeopardy”
means
a
situation
in
which
the
4
provider’s
noncompliance
with
one
or
more
requirements
of
5
participation
has
caused,
or
is
likely
to
cause,
serious
6
injury,
harm,
impairment,
or
death
to
a
resident.
7
(b)
“Likely”
means
probable
and
reasonably
to
be
expected,
8
and
suggests
a
greater
degree
of
probability
than
a
mere
risk,
9
potential,
or
possibility
that
a
particular
event
will
cause
10
serious
injury,
harm,
impairment,
or
death
to
a
resident.
11
(c)
“Substandard
quality
of
care”
means
the
same
as
defined
12
in
42
C.F.R.
§488.301.
13
EXPLANATION
14
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
15
the
explanation’s
substance
by
the
members
of
the
general
assembly.
16
This
bill
makes
appropriations
from
the
general
fund
of
17
the
state
to
the
department
of
veterans
affairs
and
to
the
18
department
of
health
and
human
services
(HHS)
for
fiscal
19
year
2024-2025.
The
appropriations
from
the
general
fund
20
of
the
state
to
the
department
of
veterans
affairs
include
21
appropriations
for
administration,
the
state
veterans
cemetery,
22
the
Iowa
veterans
home,
and
the
home
ownership
assistance
23
program.
The
standing
appropriation
for
the
county
commissions
24
of
veteran
affairs
is
codified
at
$900,000,
annually.
The
25
appropriations
from
the
general
fund
of
the
state
to
HHS
26
include
appropriations
for
aging
and
disability
services;
27
behavioral
health;
public
health;
community
access
and
28
eligibility
including
for
child
support
services;
Medicaid,
29
state
supplementary
assistance,
the
healthy
and
well
kids
30
in
Iowa
(Hawki)
program,
and
other
specified
health-related
31
programs
including
health
program
operations
and
reimbursement
32
rate
provisions;
family
well-being
and
protection
including
33
state
child
care
assistance,
early
intervention
and
supports,
34
and
child
protective
services;
state
specialty
care;
and
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administration
and
compliance.
The
bill
makes
an
appropriation
1
from
the
general
fund
of
the
state
to
HHS
for
FY
2025-2026
to
be
2
used
for
the
Medicaid
program
to
provide
for
additional
home
3
and
community-based
services
waiver
slots
for
individuals
with
4
an
intellectual
disability.
The
bill
also
makes
appropriations
5
to
HHS
from
the
sports
wagering
receipts
fund,
the
region
6
incentive
fund,
the
temporary
assistance
for
needy
families
7
block
grant,
the
pharmaceutical
settlement
account,
the
quality
8
assurance
trust
fund,
and
the
hospital
health
care
access
trust
9
fund.
10
The
bill
includes
transfer,
cashflow,
and
nonreversion
11
provisions;
emergency
rulemaking
authority
and
reporting
12
requirements;
and
certain
codified
provisions
relating
to
the
13
duties
and
programs
under
the
purview
of
HHS.
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