Bill Text: IA SSB1139 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to the health and well-being of children and families including provisions for maternal support and fatherhood initiatives, regional centers of excellence, a state-funded family medicine obstetrics fellowship program, state employee parental leave, adoption expenses under the adoption subsidy program, and accessibility to the all Iowa scholarship program; making appropriations; and including effective date and applicability provisions.(See SF 324.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2023-02-20 - Committee report approving bill, renumbered as SF 324. [SSB1139 Detail]
Download: Iowa-2023-SSB1139-Introduced.html
Senate
Study
Bill
1139
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
BILL
BY
CHAIRPERSON
EDLER)
A
BILL
FOR
An
Act
relating
to
the
health
and
well-being
of
children
and
1
families
including
provisions
for
maternal
support
and
2
fatherhood
initiatives,
regional
centers
of
excellence,
a
3
state-funded
family
medicine
obstetrics
fellowship
program,
4
state
employee
parental
leave,
adoption
expenses
under
the
5
adoption
subsidy
program,
and
accessibility
to
the
all
Iowa
6
scholarship
program;
making
appropriations;
and
including
7
effective
date
and
applicability
provisions.
8
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
9
TLSB
2133XC
(1)
90
pf/rh
S.F.
_____
DIVISION
I
1
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
(MOMS)
PROGRAM
——
FATHERHOOD
2
INITIATIVES
3
Section
1.
Section
217.41C,
subsection
1,
paragraph
c,
Code
4
2023,
is
amended
to
read
as
follows:
5
c.
For
the
purposes
of
this
section
,
“pregnancy
support
6
services”
means
those
nonmedical
services
that
promote
7
childbirth
by
providing
information,
counseling,
and
support
8
services
that
assist
pregnant
women
or
women
who
believe
they
9
may
be
pregnant
and
men
who
are
involved
or
who
think
they
10
might
be
involved
in
a
pregnancy
to
choose
childbirth
and
to
11
make
informed
decisions
regarding
the
choice
of
adoption
or
12
parenting
with
respect
to
their
children.
13
Sec.
2.
Section
217.41C,
Code
2023,
is
amended
by
adding
the
14
following
new
subsections:
15
NEW
SUBSECTION
.
8.
The
department
shall
develop
and
16
maintain
a
virtual
clearinghouse
of
pregnancy
support
17
services
and
resources
including
but
not
limited
to
all
of
the
18
following:
19
a.
Pregnancy
resource
center
and
maternity
home
information
20
including
contact
information,
location,
and
services
provided.
21
b.
Assistance
in
accessing
public
assistance
including
but
22
not
limited
to
the
special
supplemental
nutrition
program
for
23
women,
infants,
and
children
and
the
supplemental
nutrition
24
assistance
program.
25
c.
Educational
resources.
26
d.
Housing
assistance.
27
e.
Recovery
and
mental
health
services.
28
f.
Family
planning
education.
29
g.
Adoption
and
foster
care
information
and
services.
30
h.
Healing
and
support
services
for
abortion
survivors
and
31
their
families.
32
NEW
SUBSECTION
.
9.
Beginning
July
1,
2023,
and
thereafter,
33
funding
for
the
program
may
be
used
for
all
of
the
following
34
purposes:
35
-1-
LSB
2133XC
(1)
90
pf/rh
1/
12
S.F.
_____
a.
Fatherhood
engagement
grants.
The
department
may
1
award
grants
to
nonprofit,
community-based
organizations
to
2
address
the
needs
of
fathers
by
assisting
fathers
in
finding
3
employment,
managing
child
support
obligations,
transitioning
4
from
a
period
of
incarceration,
accessing
health
care,
5
understanding
child
development,
and
enhancing
parenting
skills
6
using
evidence-based
parenting
education.
Priority
in
the
7
awarding
of
grants
shall
be
based
on
the
demonstrated
need
8
in
a
geographic
area
and
the
prevalence
of
the
population
to
9
be
served
as
indicated
by
factors
including
but
not
limited
10
to
the
service
area’s
unemployment
rate,
incarceration
rate,
11
number
of
public
assistance
recipients,
number
of
single-parent
12
households,
level
of
housing
instability,
and
graduation
rates.
13
b.
Fatherhood
communications
initiative.
The
department
14
shall
administer
a
communications
initiative
on
responsible
15
fatherhood
including
but
not
limited
to
a
public
internet
site
16
that
provides
access
to
resources
on
effective
parenting
and
17
assistance
in
receiving
parenting
support
and
services.
18
c.
Mentoring
school-aged
males
grant
program.
The
19
department
may
award
three-year
renewable
grants
to
nonprofit
20
organizations
that
provide
mentorship,
social
and
academic
21
support,
and
life
skills
development
to
school-aged
males.
22
Priority
in
the
awarding
of
grants
shall
be
based
on
the
23
demonstrated
need
in
a
geographic
area
and
the
prevalence
of
24
the
population
to
be
served
as
indicated
by
factors
including
25
but
not
limited
to
the
service
area’s
unemployment
rate,
26
incarceration
rate,
number
of
public
assistance
recipients,
27
number
of
single-parent
households,
level
of
housing
28
instability,
and
graduation
rates.
The
department
shall
29
provide
technical
assistance
to
grantees
to
ensure
program
30
sustainability
following
the
end
of
the
three-year
grant
31
period.
32
Sec.
3.
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
PROGRAM
——
33
APPROPRIATION.
There
is
appropriated
from
the
general
fund
of
34
the
state
to
the
department
of
health
and
human
services
for
35
-2-
LSB
2133XC
(1)
90
pf/rh
2/
12
S.F.
_____
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
1
2024,
the
following
amount,
or
so
much
thereof
as
is
necessary,
2
to
be
used
for
the
purposes
designated:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
4
To
be
used
for
the
purposes
of
the
more
options
for
maternal
5
support
program
created
in
section
217.41C,
including
for
6
program
administration,
the
provision
of
services,
and
for
7
funding
of
fatherhood
engagement
grants,
the
fatherhood
8
communications
initiative,
and
the
mentoring
school-aged
males
9
grant
program.
10
Sec.
4.
2022
Iowa
Acts,
chapter
1131,
section
28,
subsection
11
8,
is
amended
to
read
as
follows:
12
8.
Of
the
funds
appropriated
under
this
section,
$500,000
13
shall
be
used
for
the
purposes
of
program
administration
and
14
provision
of
pregnancy
support
services
through
the
more
15
options
for
maternal
support
program
created
in
this
Act.
16
Notwithstanding
section
8.33,
moneys
appropriated
in
this
17
subsection
that
remain
unencumbered
or
unobligated
at
the
close
18
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
19
for
the
purposes
designated
until
the
close
of
the
succeeding
20
fiscal
year.
21
Sec.
5.
EFFECTIVE
DATE.
The
following,
being
deemed
of
22
immediate
importance,
takes
effect
upon
enactment:
23
The
section
of
this
division
of
this
Act
amending
2022
Iowa
24
Acts,
chapter
1131,
section
28,
subsection
8.
25
DIVISION
II
26
REGIONAL
CENTERS
OF
EXCELLENCE
GRANT
PROGRAM
27
Sec.
6.
REGIONAL
CENTERS
OF
EXCELLENCE
PROGRAM
——
GRANTS
——
28
APPROPRIATION.
There
is
appropriated
from
the
general
fund
of
29
the
state
to
the
department
of
health
and
human
services
for
30
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
31
2024,
the
following
amount,
or
so
much
thereof
as
is
necessary,
32
to
be
used
for
the
purposes
designated:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
34
The
funds
appropriated
in
this
section
shall
be
used
for
35
-3-
LSB
2133XC
(1)
90
pf/rh
3/
12
S.F.
_____
the
continuation
of
a
center
of
excellence
program
to
award
1
four
grants
to
encourage
innovation
and
collaboration
among
2
regional
health
care
providers
in
a
rural
area
based
upon
the
3
results
of
a
regional
community
needs
assessment
to
transform
4
health
care
delivery
in
order
to
provide
quality,
sustainable
5
care
that
meets
the
needs
of
the
local
communities.
An
6
applicant
for
the
grant
funds
shall
specify
how
the
funds
will
7
be
expended
to
accomplish
the
goals
of
the
program
and
shall
8
provide
a
detailed
five-year
sustainability
plan
prior
to
being
9
awarded
any
funding.
Following
the
receipt
of
grant
funding,
10
a
recipient
shall
submit
periodic
reports
as
specified
by
the
11
department
to
the
governor
and
the
general
assembly
regarding
12
the
recipient’s
expenditure
of
the
funds
and
progress
in
13
accomplishing
the
program’s
goals.
14
DIVISION
III
15
STATE-FUNDED
FAMILY
MEDICINE
OBSTETRICS
FELLOWSHIP
PROGRAM
16
Sec.
7.
NEW
SECTION
.
135.182
State-funded
family
medicine
17
obstetrics
fellowship
program
——
fund.
18
1.
The
department
shall
establish
a
family
medicine
19
obstetrics
fellowship
program
to
increase
access
to
family
20
medicine
obstetrics
practitioners
in
rural
and
underserved
21
areas
of
the
state.
A
person
who
has
completed
an
22
accreditation
council
for
graduate
medical
education
residency
23
program
in
family
medicine
is
eligible
for
participation
24
in
the
fellowship
program.
Participating
fellows
shall
25
enter
into
a
program
agreement
with
a
participating
teaching
26
hospital
which,
at
a
minimum,
requires
the
fellow
to
complete
a
27
one-year
fellowship
and
to
engage
in
full-time
family
medicine
28
obstetrics
practice
in
a
rural
or
underserved
area
of
the
29
state
for
a
period
of
at
least
five
years
within
nine
months
30
following
completion
of
the
fellowship
and
receipt
of
a
license
31
to
practice
medicine
in
the
state.
32
2.
Each
fellow
participating
in
the
program
shall
be
33
eligible
for
a
salary
and
benefits
including
a
stipend
as
34
determined
by
the
participating
teaching
hospital
which
shall
35
-4-
LSB
2133XC
(1)
90
pf/rh
4/
12
S.F.
_____
be
funded
through
the
family
medicine
obstetrics
fellowship
1
program
fund.
2
3.
The
department
shall
adopt
rules
pursuant
to
chapter
3
17A
to
administer
the
program,
including
defining
rural
and
4
underserved
areas
for
the
purpose
of
the
required
full-time
5
practice
of
a
person
following
completion
of
the
fellowship.
6
4.
a.
A
family
medicine
obstetrics
fellowship
program
7
fund
is
created
in
the
state
treasury
consisting
of
the
moneys
8
appropriated
or
credited
to
the
fund
by
law.
Notwithstanding
9
section
8.33,
moneys
in
the
fund
at
the
end
of
each
fiscal
year
10
shall
not
revert
to
any
other
fund
but
shall
remain
in
the
fund
11
for
use
in
subsequent
fiscal
years.
Moneys
in
the
fund
are
12
appropriated
to
the
department
to
be
used
to
fund
fellowship
13
positions
as
provided
in
this
section.
14
b.
For
the
fiscal
year
beginning
July
1,
2023,
and
each
15
fiscal
year
beginning
July
1
thereafter,
there
is
appropriated
16
from
the
general
fund
of
the
state
to
the
family
medicine
17
obstetrics
fellowship
program
fund
an
amount
sufficient
to
18
support
the
creation
of
four
fellowship
positions
as
provided
19
in
this
section.
20
5.
The
department
and
the
participating
teaching
hospitals
21
shall
regularly
evaluate
and
document
their
experiences
22
including
identifying
ways
the
program
may
be
modified
or
23
expanded
to
facilitate
increased
access
to
family
medicine
24
obstetrics
practitioners
in
rural
and
underserved
areas
of
the
25
state.
The
department
shall
submit
an
annual
report
to
the
26
general
assembly
by
January
1.
The
report
shall
include
the
27
number
of
fellowships
funded
to
date
and
any
other
information
28
identified
by
the
department
and
the
participating
teaching
29
hospitals
as
indicators
of
outcomes
and
the
effectiveness
of
30
the
program.
31
6.
For
the
purposes
of
this
section,
“teaching
hospital”
32
means
a
hospital
or
medical
center
that
provides
medical
33
education
to
prospective
and
current
health
professionals.
34
Sec.
8.
STATE-FUNDED
FAMILY
MEDICINE
OBSTETRICS
FELLOWSHIP
35
-5-
LSB
2133XC
(1)
90
pf/rh
5/
12
S.F.
_____
PROGRAM
AND
FUND
——
APPROPRIATION.
There
is
appropriated
from
1
the
general
fund
of
the
state
to
the
department
of
health
and
2
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
3
ending
June
30,
2024,
the
following
amount,
or
so
much
thereof
4
as
is
necessary,
to
be
used
for
the
purposes
designated:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
560,000
6
For
deposit
in
the
family
medicine
obstetrics
fellowship
7
program
fund
to
be
utilized
in
creating
and
providing
for
four
8
family
medicine
obstetrics
fellowship
positions
during
the
9
fiscal
year
in
accordance
with
the
family
medicine
obstetrics
10
fellowship
program
created
in
this
division
of
this
Act.
11
DIVISION
IV
12
STATE
EMPLOYEE
PAID
PARENTAL
LEAVE
BENEFIT
13
Sec.
9.
NEW
SECTION
.
70A.31
Paid
parental
leave.
14
1.
A
state
employee
entitled
to
leave
under
the
federal
15
Family
and
Medical
Leave
Act
of
1993
shall
be
provided
paid
16
leave
for
such
time
as
specified
in
this
section
for
the
birth
17
or
placement
for
adoption
with
the
employee
of
a
child
if
the
18
leave
is
taken
within
twelve
months
following
any
such
birth
19
or
adoption.
20
2.
a.
For
the
birth
of
a
child,
a
state
employee
parent
who
21
gave
birth
shall
be
entitled
to
up
to
four
weeks
of
paid
leave
22
and
a
state
employee
parent
who
did
not
give
birth
shall
be
23
entitled
to
up
to
one
week
of
paid
leave.
24
b.
For
the
placement
for
adoption
of
a
child,
a
state
25
employee
parent
shall
be
entitled
to
up
to
four
weeks
of
paid
26
leave.
27
3.
The
department
of
administrative
services
shall
adopt
28
rules
to
implement
this
section.
29
DIVISION
V
30
NONRECURRING
ADOPTION
EXPENSES
——
ADOPTION
SUBSIDY
PROGRAM
31
Sec.
10.
NEW
SECTION
.
234.48
Adoption
subsidy
——
32
nonrecurring
adoption
expenses.
33
Notwithstanding
any
provision
to
the
contrary,
the
maximum
34
reimbursement
provided
to
an
adoptive
parent
under
the
35
-6-
LSB
2133XC
(1)
90
pf/rh
6/
12
S.F.
_____
adoption
subsidy
program
for
nonrecurring
adoption
expenses
1
is
one
thousand
dollars.
For
the
purposes
of
this
section,
2
“nonrecurring
adoption
expenses”
means
the
same
as
defined
in
45
3
C.F.R.
§1356.41.
The
department
shall
adopt
rules
pursuant
to
4
chapter
17A
to
administer
this
section.
5
Sec.
11.
REPEAL.
2010
Iowa
Acts,
chapter
1031,
section
408,
6
is
repealed.
7
DIVISION
VI
8
ALL
IOWA
OPPORTUNITY
SCHOLARSHIP
PROGRAM
9
Sec.
12.
Section
261.87,
subsection
1,
paragraph
b,
10
unnumbered
paragraph
1,
Code
2023,
is
amended
to
read
as
11
follows:
12
“Eligible
foster
care
student”
means
a
person
under
13
twenty-six
years
of
age
who
has
a
high
school
diploma
or
a
high
14
school
equivalency
diploma
under
chapter
259A
and
is
described
15
by
any
of
the
following:
16
Sec.
13.
Section
261.87,
subsection
2,
paragraph
f,
Code
17
2023,
is
amended
to
read
as
follows:
18
f.
(1)
Begins
Except
as
provided
in
subparagraph
(2),
19
begins
enrollment
at
an
eligible
institution
within
two
20
academic
years
of
graduation
from
high
school
or
receipt
of
21
a
high
school
equivalency
diploma
under
chapter
259A
and
22
continuously
receives
awards
as
a
full-time
or
part-time
23
student
to
maintain
eligibility.
However,
the
student
may
24
defer
or
suspend
participation
in
the
program
for
up
to
two
25
years
in
order
to
pursue
obligations
that
meet
conditions
26
established
by
the
commission
by
rule
or
to
fulfill
military
27
obligations.
28
(2)
The
requirements
of
subparagraph
(1)
do
not
apply
to
an
29
eligible
foster
care
student.
30
Sec.
14.
APPLICABILITY.
This
division
of
this
Act
applies
31
to
applications
submitted
under
the
all
Iowa
opportunity
32
scholarship
program
established
pursuant
to
section
261.87
33
before,
on,
or
after
the
effective
date
of
this
division
of
34
this
Act.
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EXPLANATION
1
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
2
the
explanation’s
substance
by
the
members
of
the
general
assembly.
3
This
bill
relates
to
the
health
and
well-being
of
children
4
and
families.
The
bill
is
constructed
in
divisions.
5
DIVISION
I
——
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
(MOMS)
6
PROGRAM
——
FATHERHOOD
INITIATIVES.
This
division
relates
to
7
the
more
options
for
maternal
support
(MOMS)
program.
The
8
bill
adds
as
part
of
the
definition
of
“pregnancy
support
9
services”
services
to
men
who
are
involved
or
think
they
might
10
be
involved
in
a
pregnancy.
As
part
of
the
MOMS
program,
11
the
division
requires
HHS
to
develop
and
maintain
a
virtual
12
clearinghouse
of
pregnancy
support
services
and
resources.
The
13
services
and
resources
include
but
are
not
limited
to
pregnancy
14
resource
center
and
maternity
home
information;
assistance
in
15
accessing
public
assistance
including
but
not
limited
to
the
16
special
supplemental
nutrition
program
for
women,
infants,
and
17
children
program
and
the
supplemental
nutrition
assistance
18
program;
educational
resources;
housing
assistance;
recovery
19
and
mental
health
services;
family
planning
education;
adoption
20
and
foster
care
information
and
services;
and
healing
and
21
support
services
for
abortion
survivors
and
their
families.
22
As
part
of
the
MOMS
program,
beginning
July
1,
2023,
and
23
thereafter,
funding
for
the
program
may
be
used
for
fatherhood
24
engagement
grants
to
nonprofit,
community-based
organizations
25
to
address
the
needs
of
fathers
by
assisting
fathers
in
26
finding
employment,
managing
child
support
obligations,
27
transitioning
from
a
period
of
incarceration,
accessing
health
28
care,
understanding
child
development,
and
enhancing
parenting
29
skills
using
evidence-based
parenting
education;
a
fatherhood
30
communications
initiative
administered
by
HHS,
including
but
31
not
limited
to
a
public
internet
site
that
provides
access
to
32
resources
on
effective
parenting
and
assistance
in
receiving
33
parenting
support
and
services;
and
a
mentoring
school-aged
34
males
grant
program
to
provide
mentorship,
social
and
academic
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support,
and
life
skills
development
to
school-aged
males.
1
The
division
also
appropriates
$2
million
from
the
general
2
fund
of
the
state
to
HHS
for
fiscal
year
2023-2024
to
be
used
3
for
the
MOMS
program
including
for
program
administration,
the
4
provision
of
services,
and
for
funding
of
fatherhood
engagement
5
grants,
the
fatherhood
communications
initiative,
and
the
6
mentoring
school-aged
males
grant
program.
7
The
division
provides
that
the
funding
appropriated
for
the
8
MOMS
program
for
fiscal
year
2022-2023
is
not
to
revert,
but
9
is
to
remain
available
for
the
MOMS
program
for
fiscal
year
10
2023-2024.
This
provision
takes
effect
upon
enactment.
11
DIVISION
II
——
REGIONAL
CENTERS
OF
EXCELLENCE
GRANT
PROGRAM.
12
This
division
appropriates
$1
million
from
the
general
fund
13
of
the
state
to
the
department
of
health
and
human
services
14
(HHS)
for
fiscal
year
2023-2024
for
continuation
of
a
regional
15
center
of
excellence
program
to
award
four
grants
to
encourage
16
innovation
and
collaboration
among
regional
health
care
17
providers
in
a
rural
area
based
upon
the
results
of
a
regional
18
community
needs
assessment
to
transform
health
care
delivery
in
19
order
to
provide
quality,
sustainable
care
that
meets
the
needs
20
of
the
local
communities.
An
applicant
for
the
grant
funds
21
shall
specify
how
the
funds
will
be
expended
to
accomplish
the
22
goals
of
the
program
and
shall
provide
a
detailed
five-year
23
sustainability
plan
prior
to
being
awarded
any
funding.
24
Following
the
receipt
of
grant
funding,
a
recipient
shall
25
submit
periodic
reports
as
specified
by
HHS
to
the
governor
and
26
the
general
assembly
regarding
the
recipient’s
expenditure
of
27
the
funds
and
progress
in
accomplishing
the
program
goals.
28
DIVISION
III
——
STATE-FUNDED
FAMILY
MEDICINE
OBSTETRICS
29
FELLOWSHIP
PROGRAM
AND
FUND.
This
division
requires
HHS
to
30
establish
a
family
medicine
obstetrics
fellowship
program
to
31
increase
access
to
family
medicine
obstetrics
practitioners
32
in
rural
and
underserved
areas
of
the
state.
A
person
who
33
has
completed
an
accreditation
council
for
graduate
medical
34
education
residency
program
in
family
medicine
is
eligible
for
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participation
in
the
fellowship
program.
Participating
fellows
1
shall
enter
into
a
program
agreement
with
a
participating
2
teaching
hospital
which,
at
a
minimum,
requires
the
fellow
3
to
complete
a
one-year
fellowship
and
to
engage
in
full-time
4
family
medicine
obstetrics
practice
in
a
rural
or
underserved
5
area
of
the
state
for
a
period
of
at
least
five
years
within
6
nine
months
following
completion
of
the
fellowship
and
receipt
7
of
a
license
to
practice
medicine
in
the
state.
Each
fellow
8
participating
in
the
program
shall
be
eligible
for
salary
and
9
benefits
including
a
stipend
as
determined
by
the
participating
10
teaching
hospital
and
funded
through
the
family
medicine
11
obstetrics
fellowship
program
fund.
12
The
division
requires
HHS
to
adopt
administrative
rules
13
to
administer
the
program,
including
defining
rural
and
14
underserved
areas
for
the
purpose
of
the
required
full-time
15
practice
of
a
person
following
completion
of
the
fellowship.
16
The
division
creates
a
family
medicine
obstetrics
fellowship
17
program
fund
in
the
state
treasury
consisting
of
the
moneys
18
appropriated
or
credited
to
the
fund
by
law.
Moneys
in
the
19
fund
at
the
end
of
each
fiscal
year
shall
not
revert
to
any
20
other
fund
but
shall
remain
in
the
fund
for
use
in
subsequent
21
fiscal
years.
Moneys
in
the
fund
are
appropriated
to
HHS
22
to
be
used
to
fund
fellowship
positions
as
provided
in
the
23
division.
The
division
appropriates
a
sufficient
amount
from
24
the
general
fund
of
the
state
to
the
fund
annually
to
support
25
the
creation
of
four
fellowship
positions.
The
division
26
provides
an
appropriation
for
deposit
in
the
fund
for
fiscal
27
year
2023-2024.
28
The
division
requires
HHS
and
the
participating
teaching
29
hospitals
to
regularly
evaluate
and
document
their
experiences
30
including
identifying
ways
the
program
may
be
modified
or
31
expanded
to
facilitate
increased
access
to
family
medicine
32
obstetrics
practitioners
in
rural
and
underserved
areas
of
the
33
state.
The
department
shall
submit
an
annual
report
to
the
34
general
assembly
by
January
1.
The
report
shall
include
the
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number
of
fellowships
funded
to
date
and
any
other
information
1
identified
by
HHS
and
the
participating
teaching
hospitals
as
2
indicators
of
outcomes
and
the
effectiveness
of
the
program.
3
DIVISION
IV
——
STATE
EMPLOYEE
PAID
PARENTAL
LEAVE
BENEFIT.
4
This
division
provides
that
a
state
employee
entitled
to
leave
5
under
the
federal
Family
and
Medical
Leave
Act
of
1993
shall
6
be
provided
paid
leave
for
the
birth
or
adoption
of
a
child
if
7
the
leave
is
taken
within
12
months
following
any
such
birth
or
8
adoption.
The
division
provides
that
a
state
employee
parent
9
who
gives
birth
or
adopts
a
child
shall
be
entitled
to
up
to
10
four
weeks
of
paid
leave
while
a
state
employee
parent
of
a
11
child
who
did
not
give
birth
shall
be
entitled
to
up
to
one
12
week
of
paid
leave.
The
division
requires
the
department
of
13
administrative
services
to
adopt
rules
to
implement
this
paid
14
parental
leave
benefit.
15
DIVISION
V
——
NONRECURRING
ADOPTION
EXPENSES
——
ADOPTION
16
SUBSIDY
PROGRAM.
This
division
provides
that
the
maximum
17
reimbursement
provided
to
an
adoptive
parent
under
the
adoption
18
subsidy
program
for
nonrecurring
adoption
expenses
is
$1,000.
19
The
division
defines
“nonrecurring
adoption
expenses”
as
the
20
reasonable
and
necessary
adoption
fees,
court
costs,
attorney
21
fees,
and
other
expenses
which
are
directly
related
to
the
22
legal
adoption
of
a
child
with
special
needs
which
are
not
23
incurred
in
violation
of
state,
tribal,
or
federal
law,
and
24
which
have
not
been
reimbursed
from
other
sources
or
other
25
funds.
Under
federal
regulation,
“other
expenses
which
26
are
directly
related
to
the
legal
adoption
of
a
child
with
27
special
needs”
means
the
costs
of
the
adoption
incurred
by
28
or
on
behalf
of
the
parents
and
for
which
parents
carry
the
29
ultimate
liability
for
payment.
Such
costs
may
include
the
30
adoption
study,
including
health
and
psychological
examination,
31
supervision
of
the
placement
prior
to
adoption,
transportation,
32
and
the
reasonable
costs
of
lodging
and
food
for
the
child
or
33
the
adoptive
parents
when
necessary
to
complete
the
placement
34
or
adoption
process.
The
department
of
health
and
human
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services
shall
adopt
administrative
rules
to
administer
the
1
division.
The
division
also
repeals
a
provision
in
2010
Iowa
2
Acts
which
limited
the
nonrecurring
adoption
expenses
to
$500
3
and
prohibited
additional
amounts
for
court
costs
and
other
4
related
legal
expenses.
5
DIVISION
VI
——
ALL
IOWA
OPPORTUNITY
SCHOLARSHIP
PROGRAM.
6
This
division
relates
to
the
all
Iowa
opportunity
scholarship
7
program
(program),
which
provides
scholarships
to
Iowa
8
students
who
graduate
from
high
school
or
receive
a
high
9
school
equivalency
diploma
to
help
such
students
attend
a
10
community
college
in
this
state
or
an
institution
of
higher
11
learning
governed
by
the
state
board
of
regents.
The
program
12
prioritizes
awarding
scholarships
to
certain
students,
13
including
eligible
foster
care
students.
Eligible
foster
care
14
students
are
students
who
age
out
of
Iowa’s
foster
care
system,
15
age
out
of
the
state
training
school,
or
are
adopted
from
16
Iowa’s
foster
care
system
after
reaching
16
years
of
age.
17
Current
law
requires
that,
in
order
to
be
eligible
to
18
receive
a
scholarship
under
the
program,
the
student
must
begin
19
enrollment
at
a
community
college
or
institution
of
higher
20
learning
governed
by
the
state
board
of
regents
within
two
21
academic
years
of
graduation
from
high
school
or
receipt
of
a
22
high
school
equivalency
diploma
and
continuously
receive
awards
23
as
a
full-time
or
part-time
student
to
maintain
eligibility.
24
The
division
strikes
these
requirements
for
eligible
foster
25
care
students.
The
division
also
provides
that,
for
purposes
26
of
the
program,
“eligible
foster
care
student”
does
not
include
27
a
person
who
is
26
years
of
age
or
older.
28
The
division
applies
to
applications
submitted
under
29
the
program
before,
on,
or
after
the
effective
date
of
the
30
division.
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