HF 766 — A bill for an act relating to appropriations for health and human services and veterans and including other related provisions and appropriations, providing penalties, and including effective date and retroactive and other applicability date provisions. (Formerly HSB 253.) Various effective dates, see bill.

•FTEs .12.00 a.

•(1) •Of •the .funds appropriated in this subsection, $4,021,000 shall be used for the tobacco use prevention and control initiative, including efforts at the state and local levels, as provided in chapter 142A.

•The •commission .on tobacco use prevention and control established pursuant to section 142A.3 shall advise the director of public health in prioritizing funding needs and the allocation of moneys appropriated for the programs and initiatives.

•Activities .of the programs and initiatives shall be in alignment with the United States centers for disease control and prevention best practices for comprehensive tobacco control programs that House File 766, p.

.FTEs5 •include •the •goals .1of 2preventing .0youth 0initiation .of tobacco usage, reducing exposure to secondhand smoke, and promotion of tobacco cessation.

•To •maximize •resources, .the department shall determine if third-party sources are available to instead provide nicotine replacement products to an applicant prior to provision of such products to an applicant under the initiative.

aThe .department shall track and report to the individuals specified in this Act, any reduction in the provision of nicotine replacement products realized by the initiative through implementation of the prerequisite screening.

(1)(2) Of(a) thThe edepartment fundsshall acollaborate pwith pthe roalcoholic pbeverages riadivision teof dthe indepartment thof iscommerce sufor benforcement seof c tio n , $4,021,000 s h a ll be used fo r th e tobacco uselaws, pregulations, reand vordinances e n tio n and cto oengage n tro l i n i t i a t iin c lu d in gtobacco econtrol factivities fapproved oby rthe tdivision sof atobacco tuse thprevention e s t a t e and locontrol cof athe ldepartment leof vpublic ehealth ls , as providedspecified in cthe hmemorandum aof punderstanding teentered rinto 142A.between the divisions.

The(b) commissionFor onthe tobaccofiscal useyear pbeginning reJuly v1, e2019, nand tioending nJune and30, c2020, othe nterms troof lthe ememorandum sof taunderstanding, bentered lisinto hbetween ethe ddivision pof utobacco rsuuse anprevention tand tocontrol sof ethe cdepartment tioof npublic 142A.3health sand hthe aalcoholic llbeverages adivision dof vthe isedepartment thof ecommerce, dgoverning ircompliance echecks cconducted to rensure olicensed fretail ptobacco uoutlet bconformity licwith htobacco elaws, aregulations, lth in p r i o r i t i z i n g funding needs and thordinances erelating ato llopersons cunder a18 tioyears nof oage, fshall moneyscontinue ato prestrict pthe ronumber pof riasuch techecks dto foone rcheck thper eretail programoutlet, s and ione nadditional icheck tfor iany aretail toutlet ifound vAto c tiv itie s o f th e program s and i n i t i a t i v e s s h a ll be in alignmviolation entduring wthe ithfirst thcheck. e U nited S ta te s c e n te rs fo r d ise a se c o n tro l and p re v e n tio n b e s t p r a c tic e s fo r com prehensive tobacco c o n tro l program s th a t House F ile 766, p.

5 include the goals of preventing youth in itia tio n of tobacco usage, reducing exposure to secondhand smoke, and promotion of tobacco cessation.

To maximize resources, the department sh all determine i f th ird -p arty sources are available to instead provide nicotine replacement products to an applicant prior to provision of such products to an applicant under the in itia tiv e The department sh all track and report to the individuals specified in th is Act, any reduction in the provision of nicotine replacement products realized by the in itia tiv e through implementation of the p rereq u isite screening.

(2) (a) The department sh all collaborate with the alcoholic beverages division of the department of commerce for enforcement of tobacco laws, regulations, and ordinances and to engage in tobacco control a c tiv itie s approved by the division of tobacco use prevention and control of the department of public health as specified in the memorandum of understanding entered into between the divisions.

(b) For the fisc a l year beginning July 1, 2019, and ending June 30, 2020, the terms of the memorandum of understanding, entered into between the division of tobacco use prevention and control of the department of public health and the alcoholic beverages division of the department of commerce, governing compliance checks conducted to ensure licensed r e ta il tobacco o u tle t conformity with tobacco laws, regulations, and ordinances relatin g to persons under 18 years of age, sh all continue to r e s tr ic t the number of such checks to one check per r e ta il o u tle t, and one additional check for any r e ta il o u tle t found to be in violation during the f i r s t check.

(1) Of the funds appropriated in ththis is subsection, $21,089,000 shshall all be used for problem gambling and substance-related disorder prevention, treatmtreatment, ent, and recovery services, including a 24-hour helpline, public information resources, professional traintraining, in g , youth prevention, and program evaluation.

(2) Of the amount allocated under ththis is paragraph, $306,000 shshall a ll be uutilized tiliz e d by the department of public health, in collaboration with the department of human services, to support establishmestablishment ent and maintenance of a single statewide 24-hour House FFile ile766, 766p. ,p .

6 ccrisis ris is hotline for the Iowa chichildren’s l dren ' s behavioral health system ththat at incorporates warmline services which may be provided through expansion of existing ccapabilities a p a b ilitie s maintained by the department of public health as required pursuant to 2018 Iowa Acts, chapter 1056, section 16.

The requirement of section 123.17, subsection 5, is met by the appropriations and alloallocations catio n s made in ththis is division of ththis is Act for purposes of substance-related disorder treatmtreatment ent and addictive disorders for the fisfiscal c a l year beginning July 1, 2019.

HEALTHY CHILDREN AND FAMILIES For promoting the optimum health stastatus tu s for children and adolescents from bbirth irth through 21 years of age, and famfamilies, ilies, and for not more than the following fufull-time ll-tim e equivalent positions:

5,817,057 $ 5,817,057 ...............................................

Of the funds appropriated in ththis is subsection, not more than $734,000 shshall a ll be used for the healthy opportunities for parents to experience success (HOPES)-healthy famfamilies ilies Iowa (HFI) program established pursuant to section 135.106.

The funding shshall a ll be ddistributed istrib u ted to renew the grants ththat at were provided to the grantees ththat at operated the program during the fisfiscal c a l year ending June 30, 2018.

However, the department shshall a ll issue a request for proposals and ddistribute istrib u te grants to the grantees selected to operate the program no lalater te r than January 11, , 2020.

The department shshall a ll not reretain ta in any portion of the alloallocation catio n under ththis is paragraph for admadministrative inistrativecosts. co sts.

In order to implement the lelegislative gintent isla tiv e in ten t stated in sections 135.106 and 2561.9,256I.9, ppriority rio rity for home vvisitation is ita tio n program funding shshall a ll be given to programs using evidence-based or promising models for home vvisitation. is ita tio n .

Of the funds appropriated in ththis is subsection, $3,075,000 shshall a ll be used for continuation of the departmdepartment’s ent'sinitiative in itia tiv e to provide for adequate developmental surveillance and screening during a cchild’s hfirst ild 's f i r s t five years.Theyears. funds sh a ll be used f i r s t to fu lly fund the current s ite s to ensure th at the s ite s are fu lly operational, with the remaining funds House F ile 766, p .

7The tofunds shall be used fofirst rto expansionfully fund the current sites to aensure dthat dthe itiosites nare afully loperational, swith ithe tremaining efunds sHouse .File 766, p.

The7 fto ube lused lfor im plem entation and expansion s h a ll in c lu d e enhancing th e scope o f th e i n i t i a t i v e through c o lla b o ra tio n w ith th e c h ild h e a lth s p e c ia lty c l i n i c s to promadditional otesites. h e a lth y c h ild developm ent through e a rly id e n tif ic a tio n and response to both biom edical and s o c ia l d eterm in an ts o f h e a lth y developm ent;

byThe mfull onitoringimplementation cand hexpansion ildshall hinclude eenhancing athe lthscope mof ethe tricinitiative sthrough tocollaboration informwith pthe rchild ahealth cspecialty ticclinics eto ,promote documenthealthy lochild ndevelopment gthrough -termearly hidentification e a lth im pacts and saresponse vto inboth gbiomedical s, and psocial rodeterminants vof idhealthy edevelopment; fo r continuous improvement through tr a in in g , e d u c a tio n , and e v a lu a tio n ;

and by pmonitoring rochild vhealth idmetrics into ginform fopractice, rdocument plong-term rhealth aimpacts cand titiosavings, nand eprovide rfor ccontinuous oimprovement nthrough straining, ueducation, lta tio n p a r tic u la r ly fo r c h ild re n w ith b e h a v io ra l c o n d itio n s and needs.evaluation;

The departm ent of p u b lic h e a lth s h a ll a ls o c o lla b o ra te w ith th e Iowa M edicaid e n te r p r is e and thby eproviding cfor hpractitioner ildconsultation hparticularly efor achildren lthwith sbehavioral pconditions e c ia lty c l i n i c s to in te g r a te th e a c t i v i t i e s o f th e f i r s t fiv e i n i t i a tin to th e e sta b lish m e n t o f p a tie n t-c e n te re d m edical homes, community u t i l i t i e s , acco u n tab le c a re o rg a n iz a tio n s , and oneeds. th e r in te g ra te d c a re models developed to improve h e a lth q u a lity and p o p u la tio n h e a lth w hile reducing h e a lth c a re c o s ts .

ToThe thdepartment eof maximumpublic ehealth xshall tealso ncollaborate twith pthe oIowa sMedicaid senterprise iband lethe ,child fundinghealth aspecialty lloclinics cto aintegrate tethe dactivities inof tthe hfirst ifive sinitiative paragraphinto sthe hestablishment aof llpatient-centered bemedical uhomes, tcommunity iutilities, laccountable icare zorganizations, eand dother asintegrated mcare atchingmodels fundsdeveloped foto rimprove mhealth edicalquality aand spopulation shealth iswhile tareducing nhealth ccare ecosts. program reim bursem ent.

dTo .the maximum extent possible, funding allocated in this paragraph shall be utilized as matching funds for medical assistance program reimbursement.

Ofd. th e funds a p p ro p ria te d in t h i s su b se c tio n , $64,000 s h a ll be d is tr ib u te d to a sta te w id e d e n ta l c a r r i e r to p ro v id e funds to co n tin u e th e donated d e n ta l s e rv ic e s program p a tte rn e d a f t e r th e p r o je c ts developed by th e d e n ta l l i f e l i n e network to p ro v id e d e n ta l s e rv ic e s to in d ig e n t in d iv id u a ls who a re e ld e r ly or w ith d i s a b i l i t i e s .

eOf .the funds appropriated in this subsection, $64,000 shall be distributed to a statewide dental carrier to provide funds to continue the donated dental services program patterned after the projects developed by the dental lifeline network to provide dental services to indigent individuals who are elderly or with disabilities.

Ofe. th e funds a p p ro p ria te d in t h i s su b se c tio n , $156,000 s h a ll be used to p ro v id e a u d io lo g ic a l s e rv ic e s and h earin g a id s fo r c h ild re n .

fOf .the funds appropriated in this subsection, $156,000 shall be used to provide audiological services and hearing aids for children.

Off. th e funds a p p ro p ria te d in t h i s su b se c tio n , $23,000 i s tr a n s f e r r e d to th e u n iv e rs ity o f Iowa c o lle g e o f d e n tis tr y fo r p ro v isio n o f prim ary d e n ta l s e rv ic e s to c h ild re n .

SOf tathe te funds sappropriated hin athis llsubsection, be$23,000 matchedis ontransferred ato dthe ouniversity llaof rIowa -college fof odentistry rfor -provision dof oprimary lladental rservices bto achildren. s is .

TheState ufunds nshall ivbe ematched rson ity o f Iowa c o lle g e o f d e n tis tr y s h a lldollar-for-dollar cbasis. o o rd in a te e f f o r t s w ith th e departm ent o f p u b lic h e a lth , o r a l and h e a lth d e liv e ry system bureau, to p ro v id e d e n ta l c a re to underserved p o p u la tio n s throughout th e s t a t e .

gThe .university of Iowa college of dentistry shall coordinate efforts with the department of public health, oral and health delivery system bureau, to provide dental care to underserved populations throughout the state.

Ofg. th e funds a p p ro p ria te d in t h i s su b se c tio n , $50,000 s h a ll be used to ad d ress youth s u ic id e p re v e n tio n .

HouseOf Fthe ilefunds 766appropriated ,in pthis .subsection, $50,000 shall be used to address youth suicide prevention.

8House hFile .766, p.

Of8 thh. e funds a p p ro p ria te d in t h i s su b se c tio n , $40,000 s h a ll be used to su p p o rt th e Iowa e f f o r t to ad d ress th e survey o f c h ild re n who ex p erien ce ad v erse childhood ex p erien ces known as ACEs.

iOf .the funds appropriated in this subsection, $40,000 shall be used to support the Iowa effort to address the survey of children who experience adverse childhood experiences known as ACEs.

Ofi. th e funds a p p ro p ria te d in t h i s su b se c tio n , up to $494,000 s h a ll be used fo r childhood o b e s ity p re v e n tio n .

Of the funds appropriated in this subsection, up to $494,000 shall be used for childhood obesity prevention.

CHRONIC CONDITIONS For seserving rvindividuals inidentified g in d iv id u a ls id e n tif ie d as having chchronic roconditions n ic c o n d itio n s or sspecial phealth ecare c ia l h e a lth c a re needs, and fofor r not more ththan anthe thfollowing efull-time followequivalent ingpositions: f u ll- tim e e q u iv a le n t p o s itio n s :

FTEs 9.00 aa. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $153,000 sshall h a ll be used fofor rgrants g ra n ts to inindividual dpatients iv id u a l p a tie n ts who have an ininherited hmetabolic edisorder r ite d m etab o lic d iso rd e r to aassist swith sthe icosts sof tmedically wnecessary ith th e c o s ts o f m ed ically n ecessary foods and formformula. ula.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $1,055,000 sshall h a ll be used fofor rthe thbrain einjury bservices ra in in ju ry s e rv ic e s program ppursuant u rsu an t to ssection e c tio n 135.22B, inincluding c lu d in g $861,000 fofor rcontracting cwith o n tra c tin g w ith an eexisting xnationally isaffiliated tin g n a tio n a lly a f f i l i a t e d and stastatewide teorganization w id e o rg a n iz a tio n whose purpose iis s to eeducate, dserve, u c a te , s e rv e , and susupport p p o rt Iowans wwith ithbrain binjury ra in in ju ry and ththeir efamilies, irfor faresource mfacilitator ilieservices s , fo r reso u rce f a c i l i t a t o r s e rv ic e s in accordance wwith ithsection s e c tio n 135.22B, susubsection b se c tio n 9, and fofor rcontracting c o n tra c tin g to enhance bbrain rainjury intraining in ju ry tr a in in g and rerecruitment cof ruservice itmproviders e n t o f s e rv ic e p ro v id e rs on a stastatewide tebasis. w id e b a s is .Of th e amount a llo c a te d in t h i s p arag rap h , $95,000 s h a ll be used to fund 1.00 f u ll- tim e e q u iv a le n t p o s itio n to serv e as th e s t a t e b ra in in ju ry s e rv ic e s program m anager.

cOf .the amount allocated in this paragraph, $95,000 shall be used to fund 1.00 full-time equivalent position to serve as the state brain injury services program manager.

Ofc. th e funds a p p ro p ria te d in t h i s su b se c tio n , $144,000 s h a ll be used fo r th e p u b lic purpose o f co n tin u in g to c o n tra c t w ith an e x is tin g n a tio n a lly a f f i l i a t e d o rg a n iz a tio n to p ro v id e e d u c a tio n , c lie n t- c e n te r e d program s, and c l i e n t and fam ily su p p o rt fo r people liv in g w ith e p ile p sy and th e ir fa m ilie s .

TheOf amountthe afunds lloappropriated c a te d in tthis hsubsection, i$144,000 sshall p arag rap h in excess o f $50,000 s h a ll be matchedused dfor othe llapublic rpurpose -of fcontinuing oto rcontract -with dan oexisting llanationally raffiliated byorganization thto eprovide oeducation, rgclient-centered aprograms, nand izclient aand tiofamily nsupport sfor ppeople eliving cwith ifepilepsy ieand dtheir .Fundsfamilies. a llo c a te d under t h i s paragraph s h a ll be d is tr ib u te din th e ir e n tir e ty fo r th e purpose s p e c ifie d on Ju ly , 2019.

The amount allocated in this paragraph in excess of $50,000 shall be matched dollar-for-dollar by the organization specified.

Funds allocated under this paragraph shall be distributed in their entirety for the purpose specified on July 1, 2019.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $809,000 House FFile ile766, 766p. , p .

9 shashall l l be used fofor rchild chealth hspecialty ildclinics. h e a lth s p e c ia lty c l i n i c s .

ee. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $384,000 sshall h a ll be used by ththe eregional reautism gassistance io n a l au tism a s s is ta n c e program eestablished spursuant ta b lis h e d p u rsu an t to ssection e c tio n 256.35, and adadministered m in istered by ththe echild chealth hspecialty ildclinic hlocated eat athe lthuniversity sof p e c ia lty c l i n i c lo c a te d a t th e u n iv e rs ity o f Iowa hhospitals o s p ita ls and cclinics. l i n i c s .

The funds sshall h a ll be used to enhance ininteragency tecollaboration ra g e n c y c o lla b o ra tio n and ccoordination oof oeducational, rdmedical, in a tio n o f e d u c a tio n a l, m ed ical, and oother th e r human sservices efor rvpersons icwith eautism, stheir fofamilies, r p erso n s w ith au tism , th e ir fa m ilie s , and pproviders roof vservices, idincluding edelivering rsregionalized oservices fof scare ecoordination, rvfamily icnavigation, e s , in c lu d in g d e liv e rin g re g io n a liz e d s e rv ic e s o f c a re c o o rd in a tio n , fam ily n a v ig a tio n , and inintegration teof gservices r a tio n o f s e rv ic e s through ththe estatewide sta te w id e system oof fregional rechild ghealth iospecialty nclinics a l c h ild h e a lth s p e c ia lty c l i n i c s and ffulfilling uother lrequirements f i lo th e r requirem ents as sspecified p e c ifie d in chchapter ap225D. ter 2250.

The uuniversity nof iv e rs ity o f Iowa sshall h a ll not rereceive c e iv e funds aallocated llo c a te d under tthis h i s paragraph fofor rindirect incosts dassociated irwith ethe cregional tautism cassistance oprogram. s ts a s s o c ia te d w ith th e re g io n a l au tism a s s is ta n c e program .

ff. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $577,000 sshall h a ll be used fofor rthe thcomprehensive e com prehensive cancer ccontrol o n tro l program to reduce ththe e burden oof f cancer in Iowa through pprevention, reearly vdetection, eeffective ntreatment, tio n , e a rly d e te c tio n , e f f e c tiv e tre a tm e n t, and enensuring suquality rinof glife. q u a lity o f l i f e .

Of ththe e funds aallocated llo c a te d in ththis isparagraph p“f”, arag rap h " f " , $150,000 sshall h a ll be used to susupport p p o rt a melanoma reresearch se a rc h symposium, a melanoma bbiorepository io re p o s ito ry and rregistry, ebasic g is tr y , b a s ic and trtranslational a n s la tio n a l melanoma reresearch, s e a rc h , and cclinical ltrials. i n i c a l t r i a l s .

gg. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $97,000 sshall h a ll be used fofor rcervical c e r v ic a l and colon cancer scscreening, re e n in g , and $177,000 sshall h a ll be used to enhance ththe ecapacity cof athe pcervical a c ity o f th e c e r v ic a l cancer screenscreening in g program to ininclude cprovision luof d e p ro v isio n o f recommended pprevention re v e n tio n and eearly adetection rlymeasures d e te c tio n m easures to a broader range oof f low-income women.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $506,000 sshall h a ll be used fofor rthe thcenter efor ccongenital e n te r fo r c o n g e n ita l and ininherited hdisorders. e r ite d d is o rd e rs .

COMMUNITY CAPACITY For strestrengthening nthe ghealth thcare edelivery n in g th e h e a lth c a re d e liv e ry system aat tthe thlocal elevel, lo c a l le v e l, and fofor r not more ththan anthe thfollowing efull-time followequivalent ingpositions: f u ll- tim e e q u iv a le n t p o s itio n s :

$ 5,5945,594,677 ,............................................... 677 FTEs 13.00 House F ile 766 , p .

10FTEs a13.00 .House File 766, p.

Of10 tha. e funds a p p ro p ria te d in t h i s su b se c tio n , $95,000 i s a llo c a te d fo r c o n tin u a tio n o f th e c h ild v is io n screen in g program implemented through th e u n iv e rs ity o f Iowa h o s p ita ls and c l i n i c s in c o lla b o ra tio n w ith e a rly childhood Iowa a re a s .

TheOf programthe sfunds happropriated ain llthis submsubsection, it$95,000 ais reallocated pfor ocontinuation rtof tothe thchild evision departmscreening entprogram regimplemented ardthrough inthe guniversity thof eIowa usehospitals oand fclinics fundsin acollaboration llowith cearly achildhood teIowa dareas. under th is paragraph "au .

The reprogram pshall osubmit rt s h a llreport into cluthe ddepartment eregarding ththe euse oof b je c tiv e s and r e s u lts fo r th e program year in c lu d in g th e ta r g e t p o p u la tio n and how th e funds aallocated llounder cthis aparagraph te“a”. d a s s is te d th e program in m eeting th e o b je c tiv e s ;

thThe ereport number,shall aginclude e,the objectives and loresults cfor athe tioprogram nyear wincluding iththe intarget thpopulation eand show tthe afunds tallocated eassisted othe fprogram in dmeeting ivthe idobjectives; u a ls serv ed ;

ththe enumber, typeage, oand flocation swithin ethe rvstate icof eindividuals sserved; provided to th e in d iv id u a ls serv ed ;

ththe etype dof isservices trprovided ibto uthe tioindividuals nserved; o f funds based on s e rv ic e p ro v id ed ;

andthe thdistribution eof cofunds nbased tinon uservice inprovided; g needs o f th e program .

and the continuing needs of the program.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $48,000 sshall h a ll be used fofor r a ggrant ra n t to a stastatewide teassociation wof idpsychologists, ethat a s s o c ia tio n o f p s y c h o lo g is tsaffiliated ,with ththe a t i s a f f i l i a t e d w ith th e American ppsychological syassociation, c h o lo g ic a l a s s o c ia tio n , to be used fofor rcontinuation cof o n tin u a tio n o f a program to rrotate ointern tapsychologists te in teplacements r n p sy c h o lo g ists in placem ents in urban and rrural umental rhealth aprofessional lshortage mareas. ental h e a lth p ro fe s s io n a l sh o rta g e a re a sFor th e purposes o f t h i s paragraph "bu, "m ental h e a lth p ro fe s s io n a l sh o rta g e area# means a geographic a re a in t h i s s t a t e th a t has been d e sig n a te d by th e U nited S ta te s departm ent o f h e a lth and human s e r v ic e s , h e a lth re so u rc e s and s e rv ic e s a d m in is tra tio n , bureau o f h e a lth p ro fe s s io n a ls , as having a sh o rta g e o f m ental h e a lth p ro fe s s io n a ls .

cFor .the purposes of this paragraph “b”, “mental health professional shortage area” means a geographic area in this state that has been designated by the United States department of health and human services, health resources and services administration, bureau of health professionals, as having a shortage of mental health professionals.

Ofc. th e funds a p p ro p ria te d in t h i s su b se c tio n , th e follow ing amounts a re a llo c a te d to be used as follow s to su p p o rt th e g o a ls o f in c re a se d a c c e s s , h e a lth system in te g r a tio n , and engagem ent:

(1)Of Notthe lefunds sappropriated sin ththis ansubsection, $600,000the ifollowing samounts aare lloallocated c a te d to thbe eused Iowa p r e s c r ip tio n drug c o rp o ra tio n fo r c o n tin u a tio n o f th e p h arm aceu tical in f r a s tr u c tu r e fo r s a fe ty n e t p ro v id e rs as dfollows eto scsupport ribthe egoals dof inincreased 2007access, Iowahealth Asystem cts,integration, ch ap ter 218, s e c tio n 108, and foengagement: r th e p r e s c r ip tio n drug d o n atio n re p o s ito ry program c re a te d in c h a p te r 135M.

Funds(1) aNot lloless cthan a$600,000 teis dallocated underto tthe hIowa iprescription sdrug subparagraphcorporation sfor hcontinuation aof llthe bepharmaceutical dinfrastructure isfor trsafety ibnet uproviders teas ddescribed in th2007 eIowa irActs, echapter n218, tirsection e108, tyand fofor rthe thprescription edrug purposedonation srepository pprogram ecreated cin ifiechapter d135M. on Ju ly 1 , 2019.

(2)Funds Notallocated leunder sthis ssubparagraph thshall anbe $334,000distributed i s a llo c a te d to fre e c l i n i c s and fre e c l i n i c s o f Iowa fo r n ecessary in ftheir rentirety afor sthe trpurpose uspecified con tuJuly r1, e2019. , sta te w id e House F ile 766, p .

11(2) cNot oless othan rd$334,000 in a tio n , p ro v id e r re c ru itm e n t, s e rv ic e d e liv e ry , and p ro v isio n o f a s s is taallocated n c e to pfree aclinics tieand nfree tsclinics inof seIowa cfor unecessary rininfrastructure, gstatewide aHouse mFile edical766, homep. in c lu s iv e o f o r a l h e a lth c a re Funds a llo c a te d under th is subparagraph s h a ll be d is tr ib u te d in th e ir e n tir e ty fo r th e purpose s p e c ifie d on Ju ly 1 , 2019.

(3)11 Notcoordination, leprovider srecruitment, sservice thandelivery, $25,000and iprovision sof aassistance llo c a te d to thpatients e Iowa a s s o c ia tio n o f r u r a l h e a lth c l i n i c s fo r n ecessary in fsecuring r a smedical trhome uinclusive cof tuoral rhealth ecare. and s e rv ic e d e liv e ry tra n sfo rm a tio Funds a llo c a te d under t h i s subparagraph s h a ll be d is tr ib u te d in th e ir e n tir e ty fo r th e purpose s p e c ifie d on Ju ly 1 , 2019.

(4)Funds Notallocated leunder sthis ssubparagraph thanshall $225,000be idistributed s a llo c a te d to th e Polk county m edical s o c ie ty fo r c o n tin u a tio n o f th e s a fe ty n e t p ro v id e r p a tie n t a c c e ss to s p e c ia lty h e a lth c a re i n i t i a t i v e as d e sc rib e d in 2007their Iowaentirety Afor cts,the chpurpose apspecified teron 218,July s1, e2019. c tio n 109.

Funds(3) aNot lloless cthan a$25,000 te d under t h i s subparagraph s h a ll be d is trallocated ibto uthe teIowa dassociation inof thrural ehealth irclinics efor nnecessary tirinfrastructure eand tyservice fodelivery rtransformation. th e purpose s p e c ifie d on Ju ly 1 , 2019.

Funds allocated under this subparagraph shall be distributed in their entirety for the purpose specified on July 1, 2019.

(4) Not less than $225,000 is allocated to the Polk county medical society for continuation of the safety net provider patient access to specialty health care initiative as described in 2007 Iowa Acts, chapter 218, section 109.

Funds allocated under this subparagraph shall be distributed in their entirety for the purpose specified on July 1, 2019.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $191,000 iis sallocated afor llothe c a te d fo r th e purposes oof fhealth hcare e a lth c a re and ppublic uhealth bworkforce licinitiatives. h e a lth w orkforce i n i t i a t i v e s .

ee. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $96,000 sshall h a ll be used fofor r a mmatching atchingdental deducation eloan nrepayment ta l ed u catio n lo an repaym ent program to be aallocated llo c a te d to a ddental enonprofit nhealth taservice lcorporation n o n p ro fit h e a lth s e rv ic e c o rp o ra tio n to cocontinue n tin u e to develop ththe ecriteria c r i t e r i a and implement ththe e loan repaymrepayment entprogram. program .

ff. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $100,000 sshall h a ll be used fofor rthe th e purposes oof fthe th e Iowa donor rregistry e g is tr y as sspecified p e c ifie d in ssection e c tio n 142C.18.

gg. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , $96,000 sshall h a ll be used fofor rcontinuation cof o n tin u a tiogrant n o f a g ra n t to a nnationally aaffiliated tiovolunteer n a lly a f f i l i a t e d v o lu n te e r eye oorganization rgthat a n iz a tio n th a t has an eestablished s ta b lis h e d program fofor rchildren c h ild re n and aadults d u lts and ththat ais tsolely idedicated s s o le ly d e d ic a te d to ppreserving resight se rv in g s ig h t and ppreventing reblindness v e n tin g b lin d n e ss through eeducation, dnationally ucertified cvision ascreening tio n , n a tio n a lly c e r t i f i e d v is io n sc re e n in g and trtraining, a in in g , and community and ppatient aservice tieprograms. n t s e rv ic e program s.

The ccontractor oshall nsubmit tra c to r s h a llreport subm it a re p o rt to ththe eindividuals inidentified d iv id u a ls id e n tif ie d in ththis is Act fofor rsubmission submof issionreports oregarding fthe re p o rts reg ard in g th e use oof f funds aallocated llo c a te d under tthis h i s paragraph -“g”. g · .

The rereport pshall oinclude rtthe sobjectives h a ll in c lu d e th e o b je c tiv e s and rresults efor sthe u lts fo r th e program year inincluding cthe lutarget dpopulation in g th e ta r g e t p o p u la tio n and how ththe e funds aallocated lloassisted cthe a te d a s s is te d th e House FiFile l e 766, pp. .

12 program in mmeeting eeting the objectives;

the number, age, grade level iif fapproappropriate, priate, and location wwithin ithin the sstate taof teof individuals served;

the ddistribution istribof u tio nof funds based on services provided;

Of the funds appropriated in ththis issubsection,subsection, $2,000,000 shshall abe llbe deposited in the medical residency traintraining in g account created in section 135.175, subsection 5, paragraph "a",“a”, and is appropriated from the account to the departmdepartment ent of public health to be used for the purposes of the medical residency traintraining instate gmatching s ta tematching grants program as specified in section 135.176.

ii. .

Of the funds appropriated in ththis issubsection,subsection, $250,000 shshall abe llbe used for the public purpose of providing funfunding ding to Des Moines university to continue a provider education project to provide primary care physiphysicians cians with the traintraining in g and sskills knecessary ills necessar y to recognize the signs of mental illnillness e s in ppatients. a tie n ts.

Of the funds appropriated in ththis is subsection, $400,000 shshall abe llbe used for rurural ralpsychiatric presidencies sy ch iatric reside ncies to support the annual creation and traintraining inof gof four ppsychiatric syresidents ch iatricresidents who wwill ill provide mentmental al health services in underserved areas of the sstate. ta te .

Of the funds appropriated in ththis is subsection, $150,000 shshall all be used for ppsychiatric sytraining chto iatricincrease train in gto increa se access to mental health care services by expanding the mental health workforce via traintraining inof gof additional physiphysician cianassistants aand ssista n tsand nurse ppractitioners. ra c titio n e rs.

ESSENTIAL PUBLIC HEALTH SERVICES To provide public health services ththat at reduce riskrisks s and invest in promoting and protecting good health over the course oof f a lifetimlifetime e with a ppriority rio rity given to older Iowans and vulnervulnerable able populations:

.......................................................................................

....$ 7,662,464 6.

.........INFECTIOUS DISEASES For reducing the incidence and prevalence of communicable diseases, and for not more than the following full-time equivalent positions:

$.................................................. 7,662 ,464 6.

INFECTIOUS$ DISEASES1,796,426 For............................................... reducing the incidence and prevalence of comm unicable diseases, and for not more than the following fu lltim e equivalent positions:

•FTEs e • e e • e e •• • • • • • • • • • • e •eIe • I•e e • e e •$ 1,796,426 •• •••••• •••••• •••••• •••••• •••••• •••I••••••• ••••• FTE s 4.00 House FFile i766, lp. e 766 , p .

13 .7.

PUBLIC PROTECTION For pprotecting rothe tehealth c tin g th e hea l th and ssafety aof fethe typublic o f th e p u b lic through eestablishing sstandards ta b lis h in g sta n d a rd s and enenforcing foregulations, rcin g re g u la tio n s , and fofor r not more ththan anthe thfollowing efull-time foequivalent llopositions: w in g f u ll- tim e e q u iv a le n t p o s itio n s :

•.................................................. •e• Ie • • • • • • • e • • • e e I•eII IIeII II II e• Ie • II• III I• I $ 4,093,383 • • • • • • • • • • • • • • • • • • • • • • "!' • • • • • • • • • • • •FTE• s • 14 2 • 00 a .

Of$ th4,093,383 e............................................... funds a p p ro p ria te d in t h i s su b se c tio n , not more th an $304,000 s h a ll be c re d ite d to th e emergency m edical s e rv ic e s fund c re a te d in s e c tio n 135.25.

MoneysFTEs in142.00 tha. e emergency m edical s e rv ic e s fund a re a p p ro p ria te d to th e departm ent to be used fo r th e purposes o f th e fund.

Of the funds appropriated in this subsection, not more than $304,000 shall be credited to the emergency medical services fund created in section 135.25.

Moneys in the emergency medical services fund are appropriated to the department to be used for the purposes of the fund.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , up to $243,000 sshall h a ll be used fofor rsexual sexviolence uprevention al v io le n c e p re v e n tio n programming through a stastatewide teorganization wrepresenting idprograms eserving ovictims rgof asexual nviolence iz a tio n re p re se n tin g program s se rv in g v ic tim s o f se x u a l v io le n c e through ththe edepartment’s dsexual eviolence pprevention aprogram, rtm e n t's sex u al v io le n c e p re v e n tio n program , and fofor rcontinuation cof o n tin u a tiotraining n o f a tr a in in g program fofor rsexual sexassault u al a s s a u lt response team (SART) members, inincluding crepresentatives luof d in g re p re s e n ta tiv e s o f law enforcemenforcement, ent,victim vadvocates, icprosecutors, tim a d v o c a te s, p ro s e c u to rs , and ccertified emedical rpersonnel. t i f i e d m edical p e rso n n e l.

However, ththe edepartment departmshall entissue s h a llrequest isfor sproposals u e a re q u e st fo r p ro p o sa ls and exexecute ecu te a ccontract owith nthe tracontractor cselected t w ith th e c o n tra c to rprovide sthe e le c te d to p ro v id e th e programming and trtraining a in in g as sspecified p e c ifie d in tthis h i s paragraph no llater a t e r than January 11, , 2020.

The amount aallocated llo c a te d in tthis h i s paragraph "b"“b” sshall h a ll not be used to susupplant p p la n t funding adadministered mfor inother isteredsexual foviolence rprevention o th e r sex u al v io le n c e p re v e n tio n or vvictims icassistance timprograms. s a s s is ta n c e program s.

The departmdepartment entshall s h a ll not rretain e ta in any pportion oof rtiothe nallocation o f th e a llo c a tio n under tthis h i s paragraph fofor radministrative acosts. d m in is tra tiv e c o s ts .

cc. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , up to $500,000 sshall h a ll be used fofor rthe thstate epoison scontrol tcenter. a t e p o iso n c o n tro l c e n te r.

PPursuant ursuant to ththe edirective d ir e c tiv e under 2014 Iowa AActs, cts,chapter c h a p te r 1140, ssection e c tio n 102, ththe efederal fematching d e ra l m atching funds aavailable v a ila b le to ththe estate spoison tcontrol acenter t e p o iso n c o n tro l c e n te r from ththe edepartment departmof ent o f human sservices e rv ic e s under ththe efederal feChildren’s dHealth eInsurance ra l C h ild re n 's H ealth In su ran ce Program RReauthorization e a u th o riz a tio n Act aallotment lloshall tm e n t s h a ll be ssubject u b je c t to ththe efederal feadministrative d e ra l a d m in is tra tiv e cap rurule leof o f 10 ppercent eapplicable rc e n t a p p lic a b le to funding provided under TTit. i t .

XXI oof fthe thfederal eSocial feSecurity d e ra l S o c ia l S e c u rity Act and inincluded cluwithin dthe eddepartment’s wcalculations ithof inthe th e d e p a rtm e n t's c a lc u la tio n s o f th e cap.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsubsection, i s su b se c tio n , up to House FFile ile766, 766p. , p .

14 $504$504,000 ,shall 000 s h a ll be used fofor r childhood lelead apoisoning dprovisions. p o iso n in g p ro v is io n s .

RESOURCE MANAGEMENT For eestablishing s ta b lis h in g and ssustaining uthe soverall taability inof inthe gdepartment th e o v e ra ll a b i l i t y o f th e departm ent to ddeliver eservices liv e r s e rv ic e s to ththe epublic, p u b lic , and fofor r not more ththan anthe thfollowing efull-time followequivalent ingpositions: f u ll- tim e e q u iv a le n t p o s itio n s :

•.................................................. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • $.• • •971,215• • • • • • • ...............................................

$ 971,215 ...............................................

MISCELLANEOUS PROVISIONS aa. .

The uuniversity nof iv e rs ity o f Iowa hhospitals o s p ita ls and cclinics l i n i c s under tthe hecontrol cof othe nstate tro l o f th e s t a t e board oof fregents reshall g e n ts s h a ll not rereceive cindirect ecosts iv e in d ir e c t c o s ts from ththe e funds aappropriated p p ro p ria te d in tthis hsection. i s s e c tio n .

The uuniversity nof iv e rs ity o f Iowa hhospitals o s p ita ls and cclinics lbillings i n i c s b i l l i n g s to ththe edepartment departmshall ent s h a ll be on aat tleast l e a squarterly tbasis. a q u a rte rly b a s is .

The departmdepartment entof opublic fhealth pshall ucollaborate bwith licapplicable hstakeholders e a lth s h a ll c o lla b o ra te w ith a p p lic a b le sta k e h o ld e rs to review ththe eallocations, agrants, llo c a tio n s , g ra n ts , and oother thdistributions eof r d is tr ib u tio n s o f funds aappropriated p p ro p ria te d under tthis hdivision iof sthis d iv is io n o f t h i s Act and sshall hsubmit a llreport subm it a re p o rt to ththe eindividuals inidentified d iv id u a ls id e n tif ie d in ththis is Act fofor rsubmission submof issionreports o f re p o rts by December 15, 2019, regregarding ard in g a pproposal rofor pthe odistribution salof fo r th e d is tr ib u tio n o f funds ththat a t more cclearly lereflects athe rdepartment’s lystated rpriorities e f l e c t s th e d e p a rtm e n t's s ta te d p r i o r i t i e s and ggoals, oprovides aincreased lsflexibility , p ro v id es in cthe redistribution aof se d f l e x i bin th et y d is tr ib u tio n o f funds to meet ththese epriorities se p r i o r i t i e s and ggoals, o a ls , and enensures sustakeholder resaccountability sta k e h o ld e r a c c o u n ta b ility and a ddiscernable isreturn c e rn a b le re tu rn on ininvestment. v estm en t.

CONTRACTED SERVICES ~—— PROHIBITED USE OF GENERAL FUND MONEYS FOR LOBBYING.

The1. departm ent s h a ll subm it a re p o rt to th e in d iv id u a ls id e n tif ie d in t h i s Act fo r subm ission o f re p o rts by January 1 , 2020, reg ard in g th e outcomes o f any program or a c t i v i t y fo r which funding i s a p p ro p ria te d o r a llo c a te d from th e g e n e ra l fund o f th e s t a t e to th e departm ent under t h i s d iv is io n o f t h i s A ct, and fo r which a re q u e st fo r p ro p o sa ls p ro cess i s s p e c if ic a lly re q u ire d .

The department shall submit a report to the individuals identified in this Act for submission of reports by January 1, 2020, regarding the outcomes of any program or activity for which funding is appropriated or allocated from the general fund of the state to the department under this division of this Act, and for which a request for proposals process is specifically required.

The departmdepartment entshall sincorporate hinto athe llgeneral inconditions capplicable o rp o ra te in to thall e g e n e ra l c o n d itio n s a p p lic a b le to a l l award documents ininvolving v o lv in g funding aappropriated por pallocated ro p ria te d o r a llo c a te d from ththe egeneral g e n e ra l fund oof fthe thstate e s t a t e to ththe edepartment departm ent under tthis hdivision iof sthis dAct, iv is io n o f t h i s A ct, a pprohibition roagainst hthe ib itio n a g a in s t th e use oof f such funding fofor rthe thcompensation eof com pensation o f a lolobbyist. b b y is t.

For ththe e purposes oof fthis tsection, h“lobbyist” i s s e c tio n , ·1 o b b y is t" means House FFile ile 766, pp. .

15 ththe e same as ddefined efin ed in ssection e c tio n 68B.2;

however, "“lobbyist” lo b b y is t" does not ininclude c lu d e a person employed by a sstate t a t e agency oof fthe thexecutive e e x e c u tiv e branch oof fstate s t a t e government who rerepresents pthe re s e n ts th e agency rrelative e la tiv e to ththe epassage, pdefeat, assagapproval, e,or dmodification eof felegislation athat t, ap p ro v al, o r m o d ific a tio n o f le g is la tio n th a t i s being coconsidered n sid ered by ththe egeneral gassembly. e n e ra l assem bly.

DIVISION IV DEPARTMENT OF VETERANS AFFAIRS ~—— FY 2019-2020 Sec.

There iis sappropriated a p p ro p ria te d from ththe egeneral g e n e ra l fund oof fthe thstate e s t a t e to ththe edepartment departmof entveterans oaffairs ffor vthe efiscal te ra n s a f f a i r s fo r th e f i s c a l year beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, ththe efollowing foamounts, llo w in g am ounts, or so much ththereof e re o f as iis snecessary, n e c e ssa ry , to be used fofor rthe th e purposes ddesignated: e sig n a te d :

DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION For ssalaries, asupport, lmaintenance, a r i e s , su p p o rt, m aintenance, and mmiscellaneous iscellanpurposes, eo u s p u rp o ses, and fofor r not more than ththe efollowing fofull-time lloequivalent wpositions: in g f u ll- tim e e q u iv a le n t p o s itio n s :

$ 1,225,500 FTEs............................................... 15.00 2.

IOWAFTEs VETERANS15.00 HOME2. For s a l a r i e s , su p p o rt, m aintenance, and m iscellan eo u s p u rp o ses:

IOWA VETERANS HOME For salaries, support, maintenance, and miscellaneous purposes:

$ 7,162,976 aa. .

The Iowa vveterans e te ra n s home bbillings iinvolving lthe ldepartment iof n g s in v o lv in g th e departm ent o f human sservices eshall rv ic e s s h a ll be submsubmitted itted to ththe edepartment departm ent on aat tleast l e a smonthly tbasis. a m onthly b a s is .

WWithin ithinavailable aresources v a ila b le re so u rc e s and in conformconformance ancewith wassociated ithstate a s s o c ia te d s t a t e and fefederal d e ra l program eeligibility lrequirements, ithe g i b ireq u irem en ts, th e Iowa vveterans e te ra n s home may implement mmeasures easures to pprovide rofinancial vassistance id e f in a n c ia l a s s is ta n c e to oor r on bbehalf eof hveterans a lf o f v e te ra n s or ththeir e ir spouses who aare reparticipating p a r tic ip a tin g in ththe e community rereentry eprogram. n try program .

cc. .

The Iowa vveterans e te ra n s home exexpenditure preport enshall d itu re re p o rt s h a ll be susubmitted bmonthly m itted m onthly to ththe elegislative lservices e g i s l a t i v e s e rv ic e s agency.

The Iowa vveterans e te ra n s home sshall hcontinue a ll co n tin u e to ininclude c lu d e in ththe e annual ddischarge iscreport happlicant ainformation rg e re p o rt a p p lic a n t in fo rm atio n to pprovide rofor vthe idcollection eof fodemographic rinformation thincluding ebut c o lle c tio n o f dem ographic in fo rm atio n in c lu d in g b u t not limlimited ite d to ththe e number oof findividuals inapplying dfor ivadmission id u a ls ap p ly in g fo r adm ission and adadmitted mor itted o r denied admadmittance ittance and ththe ebasis bfor athe sadmission is fo r th e adm ission or ddenial; e n ia l;

ththe eage, aggender, e, g en d er, and race oof f such inindividuals; d iv id u a ls ;

House FiFile l e 766, pp. .

16 and ththe elevel leof vcare efor lwhich o f c a re fo r whi ch such iindividuals napplied dfor ivadmission idincluding uresidential aor lsnursing alevel pof pcare. lie d fo r adm ission in c lu d in g r e s id e n tia l o r n u rsin g le v e l o f c a re .

HOME OWNERSHIP ASSISTANCE PROGRAM For trtransfer a n s f e r to ththe e Iowa finfinance aauthority nfor cthe econtinuation aof uthe th o rity fo r th e c o n tin u a tio n o f th e home owownership nershipassistance a s s is ta n c e program fofor rpersons p erso n s who aare re or were eeligible l i g i b l e members of ththe e armed foforces rcof ethe sUnited oStates, fpursuant th e U nited S ta te s , p u rsu an t to ssection e16.54: c tio n 1 6 .5 4 :

•.................................................. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • $ • 2 ,0 0 0 ,0 0 0 • • • • • • Sec.

$ 2,000,000 Sec.

NNotwithstanding otwthe ithstandingstanding thappropriation e sta n d in gsection a p p ro p ria tio n in s e c tio n 35A.16 fofor rthe thfiscal e f i s c a l year beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, ththe e amount aappropriated p p ro p ria te d from ththe egeneral g e n e ra l fund oof fthe thstate epursuant s t a t e p u rsu an t to ththat asection tfor sthe efollowing cdesignated tio n fo r th e follow ing d e sig n a te d purposes sshall h a ll not exceed ththe efollowing fo llo w in g amount:

For ththe e county comcommissions mof issionsveteran oaffairs f v e te ra n a f f a i r s fund under ssection e c tio n 35A.16:

$ 990,000 DIVISION V DEPARTMENT OF HUMAN SERVICES ~—— FY 2019-2020 Sec.

There iis sappropriated a p p ro p ria te d from ththe e fund ccreated re a te d in ssection e c tio n 8.41 to ththe edepartment departmof ent o f human sservices efor rvthe icfiscal e s fo r th e f i s c a l year beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, from moneys rereceived c e iv e d under ththe efederal fetemporary dassistance efor ra l tem porary a s s is ta n c e fo r needy fafamilies m ilie s (TANF) block ggrant rapursuant n t p u rsu an t to ththe efederal fePersonal dResponsibility e ra l P erso n al R e s p o n s ib ility and Work OOpportunity pReconciliation p o rtu n ity R e c o n c ilia tio n Act oof f1996, 1996 , Pub.

104-193, and susuccessor ccessolegislation, rthe lfollowing eamounts, g i s l a t i o n , th e fo llo w in g am ounts, or so much ththereof e re o f as iis snecessary, n e c e ssa ry , to be used fofor rthe th e purposes ddesignated: e sig n a te d :

To1. be c re d ite d to th e fam ily investm ent program account and used fo r a s s is ta n c e under th e fam ily investm ent program under ch ap ter 239B:

To be credited to the family investment program account and used for assistance under the family investment program under chapter 239B:

$ 4,524,004,524,006 6 2.

To be ccredited re d ite d to ththe efamily faminvestment ily investm ent program account and used fofor rthe th e job oopportunities p p o rtu n itie s and bbasic askills sic s k i l l s (JOBS) program and imimplementing plemfamily entinginvestment famagreements ily investm ent agreem ents in accordance wwith ithchapter ch ap ter 239B:

5,412,060 $ 5,412,060 House FFile ile 766, pp. .

To be used for the family development and self-suself-sufficiency fficien cy grant program in accordance with section 216A.107:

•.................................................. • • • • • • • • • • • • • • • • • • • • • • • • • • • •$• 2 ,8 9 8 ,9 8 0 • • • • • • • • • • • • Notwithstanding section 8.33, moneys appropriated in th is subsection th at remain unencumbered or unobligated a t the close of the fis c a l year sh a ll not revert but sh a ll remain available for expenditure for the purposes designated u n til the close of the succeeding fis c a l year.

However,$ unless2,898,980 suchNotwithstanding section 8.33, moneys areappropriated encumberedin orthis obligatedsubsection onthat remain unencumbered or beforeunobligated Septemberat 30,the 2020,close of the moneysfiscal shyear ashall llnot revrevert ert.but shall remain available for expenditure for the purposes designated until the close of the succeeding fiscal year.

However, unless such moneys are encumbered or obligated on or before September 30, 2020, the moneys shall revert.

For fiefield ld operations:

For general admadministration: inistration:

............................................................................................

'.......

For sstate ta te child care assistance:

Of the funds appropriated in ththis is subsection, $26,205,412 is trantransferred sferred to the child care and development block grant appropriation made by the Eighty-eighth General Assembly, 2019 session, for the federal fisfiscal c a l year beginning October 1, 2019, and ending September 30, 2020.

Of ththis is amount, $200,000 shshall all be used for provision of educational opportunities to registered child care home providers in order to improve services and programs offered by ththis is category of providers and to increase the number of providers.

The department may contract with ininstitutions stitu tio n s of higher education or child care resource and rereferral fe rra l centers to provide the educational opportunities.

Allowable admadministrative inistrative costs under the contracts shshall all not exceed 5 percent.

The application for a grant shshall a ll not exceed two pages in length.

Any funds appropriated in ththis is subsection remaining unallocated shshall a ll be used for sstate ta te child care assistance payments for famfamilies ilies who are employed including but not limlimited ited to individuals enrolled in the family investment program.

$ 32,38032,380,654 , 654 8.

House FiFile l766, ep. 766 , p .

18 •.................................................. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •$• • •125,000• • • • • • • • • • .

For$ pregnancy125,000 p9. rev en t i on g ra n ts on th e c o n d itio n th a t fam ily p lan n in g s e rv ic e s a re funded:

•For •pregnancy •prevention •grants • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • $ • 1 ,9 1 3 ,2 0 3 • • • • • • Pregnancy p re v e n tio n g ra n ts s h a ll be awarded to program s in e x is te n c e on orthe bcondition ethat fofamily replanning Juservices lyare 1funded: , 2019, i f th e program s have dem onstrated p o s itiv e outcom es.

G.................................................. rants s h a ll be awarded to pregnancy p re v e n tio n program s which a re developed a f t e r Ju ly , 2019, i f th e program s a re based on e x is tin g models th a t have dem onstrated p o s itiv e outcom es.

G$ rants1,913,203 sPregnancy hprevention agrants llshall complybe wawarded ithto thprograms e requirem ents provided in 1997existence Iowaon Aor cts,before cJuly h1, a2019, pif tethe rprograms 208,have sdemonstrated epositive coutcomes. tio n 14, su b se c tio n s 1 and 2, in c lu d in g th e requirem ent th a t g ra n t program s must em phasize sex u al a b s tin e n c e .

PGrants rshall io r ity in th e aw arding o f g ra n ts s h a ll be givenawarded to programpregnancy sprevention thprograms a t se rv e a re a s o f th e s t a t e which demare onstratedeveloped thafter eJuly h1, ig2019, hif ethe stprograms pare ercenbased tagon eexisting omodels fthat unplannedhave pdemonstrated regpositive noutcomes. an cies o f fem ales o f c h ild b e a rin g age w ith in th e geographic a re a to be serv ed by th e g ra n t.

Grants shall comply with the requirements provided in 1997 Iowa Acts, chapter 208, section 14, subsections 1 and 2, including the requirement that grant programs must emphasize sexual abstinence.

Priority in the awarding of grants shall be given to programs that serve areas of the state which demonstrate the highest percentage of unplanned pregnancies of females of childbearing age within the geographic area to be served by the grant.

For technology needs and oother thresources enecessary r reso u rces n ecessary to meet fefederal dwelfare e ra l w e lfa re reform rereporting, ptracking, o rtin g , tra c k in g , and case management reqrequirements: u irem en ts:

..................................................

aa. .

NNotwithstanding otw ithstanding any pprovision ro v isio n to ththe econtrary, cincluding obut n tra ry , in c lu d in g b u t not limlimited ite d to reqrequirements u irem en ts in ssection e c tio n 8.41 or pprovisions ro v isio n s in 2018 Iowa AActs cts or 2019 Iowa AActs ctsregarding regthe ardreceipt in g th e re c e ip t and aappropriation pof pfederal ro p ria tio n o f fe d e ra l block ggrants, rfederal a n ts , fe d e ra l funds from ththe etemporary temassistance poraryfor a s s is ta n c e fo r needy fafamilies m ilie s block ggrant rareceived n t receiv ed by ththe estate s t a t e and not ootherwise thappropriated erw ise a p p ro p ria te d in ththis issection s e c tio n and remremaining ainingavailable afor vthe afiscal ila b le fo r th e f i s c a l year beginning JuJuly ly1, 1 , 2019, aare reappropriated a p p ro p ria te d to ththe edepartment departmof ent o f human sservices e rv ic e s to ththe eextent e x te n t as may be nnecessary ecessary to be used in ththe efollowing followpriority ingorder: p r i o r i t y o rd e rth e fam ily investm ent program , fo r s t a t e c h ild c a re a s s is ta n c e program payments fo r fa m ilie s who a re employed, and fo r th e fam ily investm ent program sh a re o f system c o s ts fo r e l i g i b i l i t y d e te rm in a tio n and r e la te d fu n c tio n s .The fe d e ra l funds a p p ro p ria te d in t h i s paragraph "a " s h a ll be expended only a f t e r a l l o th e r funds a p p ro p ria te d in su b se c tio n 1 fo r a s s is ta n c e under th e fam ily investm ent program , in su b se c tio n 6 fo r s t a t e c h ild c a re a s s is ta n c e , or in su b se c tio n 10 fo r technology c o s ts r e la te d to th e fam ily House F ile 7 66, p.

19the family investment program, for state child care assistance program ,payments asfor applicabfamilies lewho ,haveare beenemployed, expended.and for the family investment program share of system costs for eligibility determination and related functions.

ForThe thefederal purposesfunds ofappropriated thin isthis subsection,paragraph the“a” shall be expended only after all other funds appropriated in subsection 6,1 paragrafor phassistance ·under athe ·family forinvestment tranprogram, sferin tosubsection the6 for state child care andassistance, develoor pmentin blocksubsection grant10 appropriationfor aretechnology consideredcosts furelated llyto expended when the fufamily llHouse amountFile has766, beenp. tran sferred .

19 investment program, as applicable, have been expended.

For the purposes of this subsection, the funds appropriated in subsection 6, paragraph “a”, for transfer to the child care and development block grant appropriation are considered fully expended when the full amount has been transferred.

The department sshall, hon a llon a quarterly bbasis, asis, advise the lelegislative g isla tiv services agency and department of management of the amount of funds appappropriated ropriated in ththis is subsection ththat at was expended in the pprior rioquarter. r q u arter.

Of the amounts appropriated in ththis is section, $$12,962,008 12,962,008 for the fisfiscal c a l year beginnbeginning ing July 1, 2019, is trantransferred sferred to the appropriaappropriation tion of the federal sosocial cial services block grant made to the department of human services for ththat atfiscal fisyear. c a lyear.

For cocontinuation ntinuation of the program providing categorical eeligibility lig ib ility for the food assistance program as spespecified cifiedfor fo r the program in the section of ththis is division of ththis is Act relatinrelating g to the family investminvestment ent program account:

••••••.................................................. ••••• •••••• ••••• •••••• ••••• •••••• •• i••••••• • $ 14,236 14.

The$ depar14,236 tment14. may tran sfer funds allocated in th is section to the appropriations made in th is d ivision of th isAct for the same fis c a year for general adm in istration and fie ld oper ations for resources necessary to implement and operate the services referred to in th is se ction and those funded in the appropriation made in th is division of th isAct for the same fis c a year for the family investment program from the ge neral fund of the s ta t.

The department may transfer funds allocated in this section to the appropriations made in this division of this Act for the same fiscal year for general administration and field operations for resources necessary to implement and operate the services referred to in this section and those funded in the appropriation made in this division of this Act for the same fiscal year for the family investment program from the general fund of the state.

With the exception of moneys allocated under ththis issection sectio n for the family development and selfself-sufficiency -su fficien cy grant progprogram, ram, to the extent moneys allocated in ththis is section are deemed by the department not to be necesnecessary sary to support the purposes for which they are alallocated, losuch cated ,such moneys may be used in the same fisfiscal cyear a lyear for any other purpose for which funds are allocated in ththis is section or in section 8 of ththis is division for the family investment program account.

IIf f there are coconflicting nneeds, flictinpriority gneeds,shall pfirst riobe rity sh a llf i r sbe given to the famfamily ily investment program account as spespecified cified under subsection 1 of ththis is section and used for the purposes of assistance under the family investment program in accordance wiwith th chapter 239B, House FFile il766, ep. 766 , p .

20 folfollowed lowed by sstate tchild acare tassistance ec h ild c a re a s s is ta n c program payments fofor rfamilies fa m ilie s who aare re employed, followfollowed ed by oother thpriorities eas rpspecified r i o r i t i ass s p e c ifie d by ththe edepartment. departm ent.

Moneys1. c re d ite d to th e fam ily investm ent program (FIP) account fo r th e f i s c a year beginning J u ly 1 , 2019, and ending Ju ne 30, 2020, s h a ll be used to p ro v id e a s s is ta n cin accordance w ith c h a p te 239B.

Moneys credited to the family investment program (FIP) account for the fiscal year beginning July 1, 2019, and ending June 30, 2020, shall be used to provide assistance in accordance with chapter 239B.

The departmdepartment ent may use a pportion oof rtiothe n o f th e moneys ccredited re d ite d to ththe e FIP account ununder derthis tsection has inecessary ssfor esalaries, csupport, tiomaintenance, nas n ecessary fo r s a l a r i e ssu p p o rt,m aintenance, and mmiscellaneous iscellanpurposes. eo u s p u rp o ses.

The departmdepartment ent may trtransfer a n s f e funds aallocated lloin csubsection a te din su b se c tio n 4, exexcluding cluthe dallocation inunder gsubsection th e a llo c a tio nunder su b sec tio n 4, pparagraph arag“b”, rapto hthe "appropriations bmade " ,to th e a p p ro p ria tio n smade in tthis hdivision iof sdthis ivAct isfor iothe n o f t h i sAct fo r th e same ffiscal i s c l year fofor rgeneral gadministration e n e ra a d m in is tra tio n and ffield ioperations efor lresources onecessary p e ra tio n sfo r re so u rc e sn ecessary to implement and ooperate pthe eservices rareferred teth e s e rv ic e sre fe rre d to in tthis hsection iand ssthose e c tio nand th o se funded in ththe eappropriations amade p p ro p ria tio n smade in ssection e7 cfor tiothe n7temporary foassistance rfor th e tem porary a s s is ta n c fo r needy fafamilies m ilie s block ggrant ra n t and in ssection e c tio n 9 fofor rthe thfamily einvestment fam ily investm e nt program from ththe egeneral g e n e ra l fund oof fthe thstate ein sthis tdivision aof tthis einAct tfor hthe i sd iv is io n o f t h i sAct fo r th e same ffiscal iyear. s c a y e a r.

Moneys aappropriated p p ro p ria te in tthis hdivision iof sdthis iv is io no f t h i Act and ccredited re d ite d to ththe e FIP account fofor rthe thfiscal e f i s c a year beginning JJuly uly1, , 2019, and ending June 30, 2020, aare reallocated aas llofollows: c a te das fo llo w s:

aa. .

To be reretained ta in e d by ththe edepartment departmof ent o f human sservices eto rv ic e sto be used fofor rcoordinating cwith othe orddepartment inof a tin gw ith th e departm ent o f human rrights ig h ts to more eeffectively fserve fparticipants ein c tiv e lse rv e p a r tic ip a n tin FIP and oother thshared eclients rshand ared c l i e n tand to meet fefederal dreporting erequirements ra l re p o rtin g req u irem en ts under ththe efederal fetemporary dassistance efor ra l tem porary a s s is ta n cfo r needy fafamilies m ili e s block ggrant: ra n t:

•.................................................. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • $ • • • 2 0,0 0 0 • • • • b .

To$ th20,000 eb. departm ent o f human r ig h ts fo r s t a f f i n g , a d m in is tra tio n ,and im plem entation o f th e fam ily deve lopm ent and s e lf - s u f f ic ie ng ra n tprogram in accordance w ith s e c tio n 216A.107:

.....................................To the department of human rights for staffing, administration, and implementation of the family development and self-sufficiency grant program in accordance with section 216A.107:

.....................................................

..$ 6,192,834 (1) Of the funds allocated for the family development and self-sufficiency grant program in this paragraph “b”, not more than 5 percent of the funds shall be used for the House File 766, p.

...21 administration of the grant program.

.....(2) The department of human rights may continue to implement the family development and self-sufficiency grant program statewide during fiscal year 2019-2020.

$(3) 6,1The 92department ,83of 4human (1)rights Ofmay thengage e funds a llo c a te d fo r th e fam ily developm ent and s e lf - s u f f ic ie ng ra n tprogram in tactivities h i sparagraph " b " , n o t more than 5 p e rc e n to fstrengthen thand eimprove fundsfamily soutcomes hmeasures aand lldata becollection usedsystems founder rthe thfamily edevelopment Houseand Fself-sufficiency igrant lprogram. e 766, p .

21c. a d m in is tra tio n o f th e g ra n t program .

(2)For Thethe departmdiversion entsubaccount oof fthe humanFIP raccount: ig h ts may co n tin u e to implement th e fam ily developm ent and s e lf - s u f f ic ie n c y g ra n t program sta te w id e d u rin g f i s c a l year 2019-2020.

(3).................................................. The departm ent o f human r ig h ts may engage in a c t i v i t i e s to stre n g th e n and improve fam ily outcomes m easures and d a ta c o lle c tio n system s under th e fam ily developm ent and s e lf - s u f f ic ie n c y g ra n t program .

c$ .815,000 A portion of the moneys allocated for the diversion subaccount may be used for field operations, salaries, data management system development, and implementation costs and support deemed necessary by the director of human services in order to administer the FIP diversion program.

ForTo ththe eextent dmoneys ivallocated ein rsthis ioparagraph n“c” subaccountare odeemed fby ththe edepartment FIPnot accoto ube nnecessary t:to support diversion activities, such moneys may be used for other efforts intended to increase engagement by family investment program participants in work, education, or training activities, or for the purposes of assistance under the family investment program in accordance with chapter 239B.

............

...

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...

...

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..

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$ 815,000 A p o rtio n o f th e moneys a llo c a te d fo r th e d iv e rs io n subaccount may be used fo r f i e l d o p e ra tio n s , s a l a r i e s , d a ta management system developm ent, and im plem entation c o s ts and su p p o rt deemed n ecessary by th e d ir e c to r o f human s e rv ic e s in o rd er to a d m in iste r th e FIP d iv e rs io n program .

To th e e x te n t moneys a llo c a te d in t h i s paragraph ·c " a re deemed by th e departm ent not to be n ecessary to su p p o rt d iv e rs io n a c t i v i t i e s , such moneys may be used fo r o th e r e f f o r t s in ten d ed to in c re a s e engagement by fam ily investm ent program p a r tic ip a n ts in work, e d u c a tio n , or tr a in in g a c t i v i t i e s , or fo r th e purposes o f a s s is ta n c e under th e fam ily investm ent program in accordance w ith c h a p te r 239B.

For ththe e food aassistance s s is ta n c e employment and trtraining aprogram: in in g program :

• •• •• ••• •• •• ••• •• •• ••• •• •• ti••• •• •• ••• •• •• ••• •• ••• • ·$ 66 , 588 (1) The departm ent s h a ll apply th e fe d e ra l supplem ental n u tr itio n a s s is ta n c e program (SNAP) employment and tr a in in g s t a t e p la n in o rd e r to maximize to th e f u l l e s t e x te n t p e rm itte d by fe d e ra l law th e use o f th e 50 p e rc e n t fe d e ra l reim bursem ent p ro v isio n s fo r th e claim ing o f allo w ab le fe d e ra l reim bursem ent funds from th e U nited S ta te s departm ent o f a g r ic u ltu r e p u rsu an t to th e fe d e ra l SNAP employment and tr a in in g program fo r p ro v id in g e d u c a tio n , employment, and tr a in in g s e rv ic e s fo r e l i g i b l e food a s s is ta n c e program p a r tic ip a n ts , in c lu d in g b u t not lim ite d to r e la te d dependent c a re and tra n s p o rta tio n expenses.

(2) The departm ent s h a ll co n tin u e th e c a te g o ric a l fe d e ra l food a s s is ta n c e program e l i g i b i l i t y a t 160 p e rc e n t o f th e fe d e ra l p o v erty le v e l and co n tin u e to e lim in a te th e a s s e t t e s t from e l i g i b i l i t req u irem en ts, c o n s is te n t w ith fe d e ra l food House F i le 766 , p .

22 a ss ista n c e program requ irem ents .

The departm ent s h a ll in clu d e as many food a s s is ta n c households as i s allow ed by fe d e ra l law .

The e l i g i b i l ip ro v is io n s h a ll conform to a l lfe d e ra l req u irem en ts in c lu d in greq u irem en ts a d d re ssin g in d iv id u a lwho a re in c a rc e ra te dor o th erw ise i ne l i g i b l e .

e .

For th e JOBS program :

$ 66,588 (1) The department shall apply the federal supplemental nutrition assistance program (SNAP) employment and training state plan in order to maximize to the fullest extent permitted by federal law the use of the 50 percent federal reimbursement provisions for the claiming of allowable federal reimbursement funds from the United States department of agriculture pursuant to the federal SNAP employment and training program for providing education, employment, and training services for eligible food assistance program participants, including but not limited to related dependent care and transportation expenses.

(2) The department shall continue the categorical federal food assistance program eligibility at 160 percent of the federal poverty level and continue to eliminate the asset test from eligibility requirements, consistent with federal food House File 766, p.

22 assistance program requirements.

The department shall include as many food assistance households as is allowed by federal law.

The eligibility provisions shall conform to all federal requirements including requirements addressing individuals who are incarcerated or otherwise ineligible.

e.

For the JOBS program:

..................................................

Of ththe echild csupport hcollections ildassigned su p p o rtc o lle c tio n sassig n ed under FIP, an amount equal to ththe efederal feshare dof esupport racollections lshshall a re o f su p p o rt c o lle c tio n s s h all be ccredited re d ite d to ththe echild csupport h ild su p p o rt recovery aappropriation p p ro p ria tio n made in tthis hdivision iof sdthis ivAct. is io n o f t h i sA ct.

Of ththe eremainder remof ainderthe oassigned fchild thsupport ecollections assigreceived nby edthe cchild hsupport ild su p p o rtc o lle c tio n sre c e iv e dby th e c hild su p p o rt recovery uunit, n it, a pportion oshall rtio n s h a ll be ccredited re d ite d to ththe e FIP accoaccount, u n t, a pportion o rtio n may be used to inincrease crecoveries, re a sere c o v e rie s and a pportion o rtio n may be used to ssustain ucash s ta incash flow in ththe echild csupport hpayments ildaccount. su p p o rt payme nts acco u n t.

IIf fas a s a consequence oof fthe thappropriations e a p p ro p ria tio n s and aallocations llomade c a tio n smade in tthis hsection ithe sresulting samounts eare cinsufficient tioto nthsustain ecash rassistance e s u ltin gamounts a re in s u f f ic ie nto s u s ta incash a s s isa n c e payments and meet fefederal dmaintenance eof raeffort lmrequirements, aintenanthe cedepartment oshall f e f f o r req u irem en ts, th e departm ent s h a ll seek suppsupplemental lem ental funding.

IIf fchild csupport hcollections ildassigned su p p o rt c o lle c tio n s assig n ed under FIP aare regreater gthan reestimated aor teare rthotherwise andetermined e stim a te d o r a re o th erw ise determ ined not to be rerequired qfor umaintenance ireof deffort, fothe rstate mshare aintenanceof oeither f e f f o r tth e s t a t esh a re o f e ith e r amount may be trtransferred a n s f e rd to or reretained ta in ethe dchild insupport thpayments eaccount. c h ild su p p o rtpay ments acco u n t.

The departmdepartment ent may adopt emergency rurules lefor sthe fofamily rinvestment, th e fam ily in v estm en t, JOBS, food aassistance, sand smedical isassistance taprograms nif cnecessary eand m edical a s s is ta n c e program s i f n ecessary to comply wwith ithfederal ferequirements. d e ra lreq u irem en ts.

SSec. ec .

99. .

FAMILY INVINVESTMENT EST ME N T PROGRAM GENERAL FUND.

There iis sappropriated afrom pthe pgeneral ro p ria te dfrom th e g e n ra l fund oof fthe thstate eto sthe tdepartment aof t eto th e departm ent o f human sservices efor rvthe icfiscal e fo r th e f i s c a year beginning JJuly u1, y , 2019, and ending June 30, 2020, ththe efollowing fo lo w in g amount, or so much ththereof eas reis onecessary, fto a s i s n e c e ssa ry ,to be used fofor rthe th e purpose ddesignated: e sig n a te d :

To be ccredited re d ite d to ththe efamily faminvestment ily in vestm ent program (FIP) account and used fofor rfamily faminvestment ily in vestm ent program aassistance s s is ta n c under cchapter h239B: a p te r239B:

.........................................................................

...........$ 40,365,037 1.

..Of the funds appropriated in this section, $6,606,198 is allocated for the JOBS program.

...House File 766, p.

..23 2.

...Of the funds appropriated in this section, $3,313,854 is allocated for the family development and self-sufficiency grant program.

......

$ 4 0,36 5 0 37 .

Of th e funds a p p ro p ria te din t h s s e c tio n ,$6,606,198 i s a llo c a te dfo r th e JOBS program .

House F ile 766 , p .

23 .

Of th e funds a p p ro p ria te d in t h i s s e c tio n , $3,313,854 i s a llo c a te d fo r th e fam ily developm ent and s e lf - s u f f ic ie n c y g ra n t program .

aa. .

NNotwithstanding otwsection ithstanding8.39, sfor ethe cfiscal tio n 8 .3 9 , fo r th e f i s c a l year beginning JuJuly ly1, 1 , 2019, iif fnecessary n ecessary to meet fefederal dmaintenance eof raeffort lrequirements m aintenance o f e f f o r t requirem ents or to trtransfer afederal ntemporary sassistance ffor e r fe d e ra l tem porary a s s is ta n c e fo r needy fafamilies m ilie s block ggrant ra n t funding to be used fofor r purposes oof fthe thfederal esocial feservices d e ra l s o c ia l s e rv ic e s block ggrant raor n t o r to meet cash flow needs rresulting e s u ltin g from ddelays elay s in rereceiving cfederal e iv in g fe d e ra l funding or to imimplement, plem ent, in accordance wwith iththis tdivision hof ithis sAct, dactivities ivcurrently is io n o f th is A ct, a c t i v i t i e s c u rre n tly funded wwith ithjuvenile jucourt vservices, e n ile c o u rt s e r v ic e s , county, or community moneys and sstate t a t e moneys used in comcombination binationwith w ith such moneys:moneys;

to comply wwith ithfederal ferequirements; d e ra l req u irem en ts:

oor r to maximize ththe e use oof ffederal fefunds; d e ra l funds:

ththe edepartment departmof ent o f human sservices e rv ic e s may trtransfer a n s f e r funds wwithin ith in or between any of ththe eappropriations a p p ro p ria tio n s made in ththis isdivision dof ivthis is io n o f t h i s Act and aappropriations p p ro p ria tio n s in law fofor rthe thfederal esocial feservices d e ra l s o c ia l s e rv ic e s block ggrant ra n t to ththe edepartment departmfor entthe fofollowing rpurposes, th e follow ing p u rp o ses, provided ththat athe t th e combined amount of sstate t a t e and fefederal dtemporary eassistance rafor l tem porary a s s is ta n c e fo r needy fafamilies m ilie s block ggrant ra n t funding fofor r each aappropriation premains pthe ro p ria tio n rem ains th e same bbefore e fo re and aafter fthe ttransfer: e r th e tr a n s f e r :

(1) For ththe efamily faminvestment ilyprogram. investm ent program .

((2) 2) For sstate tchild acare tassistance. e c h ild c a re a s s is ta n c e .

((3) 3) For cchild h ild and famfamily ilyservices. s e r v ic e s .

((4) 4) For ffield ioperations. e l d o p e ra tio n s .

((5) 5) For ggeneral eadministration. n e ra l a d m in is tra tio n .

TThis hissubsection sushall b se c tio n s h a ll not be coconstrued n stru ed to pprohibit rthe o h ib it th e use oof fexisting estate xtransfer isauthority tinfor gother spurposes. t a t e tr a n s f e r a u th o rity fo r o th e r p u rp o ses.

The departmdepartment entshall sreport h a ll re p o rt any trtransfers a n s f e r s made ppursuant u rsu an t to tthis hsubsection i s su b se c tio n to ththe elegislative lservices e g i s l a t i v e s e rv ic e s agency.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $195,000 sshall h a ll be used fofor rcontinuation cof o n tin u a tiogrant n o f a g ra n t to an IowIowa-based a-basednonprofit norganization owith n p ro fit o rg a nhistory izof aproviding tio n w ith a h is to ry o f p ro v id in g tax ppreparation reassistance p a ra tio n a s s is ta n c e to low-income Iowans in oorder rd er to expand ththe e usage oof fthe th e earned income tatax xcredit. c r e d i t .

The purpose oof fthe thgrant eis g ra n t i s to supply tthis hassistance i s a s s is ta n c e to underserved aareas reof athe sstate. o f th e s t a t e .

However, ththe edepartment departmshall entissue s h a llrequest isfor sproposals u e a re q u e st fo r p ro p o sals and exexecute ecu te a ccontract owith nthe tracontractor cselected t w ith th e c o n tra c to radminister s e le c te d to a d m in iste r House FFile ile766, 766p. , p .

24 ththe e program no llater athan te r th an January 11, , 2020.

The departmdepartment entshall s h a ll not rretain e ta in any pportion oof rtiothe nallocation o f th e a llo c a tio n under tthis hsubsection ifor sadministrative sucosts. b se c tio n fo r a d m in is tra tiv e c o s ts .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $70,000 sshall h a l l be used fofor rthe thcontinuation eof cthe oparenting nprogram, tin u a tio n o f th e p a re n tin g program , as sspecified p e c ifie d in 441 IAC ch.

100, rrelating e la tin g to pparental aobligations, re n ta l o b lig a tio n s , in which ththe echild csupport h ild su p p o rt recovery uunit nparticipates, it p a r tic ip a te s , to susupport pthe pefforts oof rt th e e f f o r t s o f a nnonprofit oorganization ncommitted p ro fit o rg a n iz a tio n com m itted to strestrengthening nthe g th e n in g th e community through youth developmdevelopment, ent,healthy hliving, e a lth y liv in g , and ssocial oresponsibility cheadquartered ia l r e s p o n s ib ility h ead q u artered in a county wwith ith a ppopulation o p u la tio n over 350,000 according to ththe elatest lcertified afederal tcensus. e s t c e r t i f i e d fe d e ra l cen sThe funds a llo c a te d in t h i s su b se c tio n s h a ll be used by th e r e c ip ie n t o rg a n iz a tio n to develop a la rg e r community e f f o r t , through p u b lic and p r iv a te p a rtn e rs h ip s , to su p p o rt a broad-based m u lti-c o u n ty parenthood i n i t i a t i v e th a t prom otes payment o f c h ild su p p o rt o b lig a tio n s , improved fam ily r e la tio n s h ip s , and f u ll- tim e employment.

The funds allocated in this subsection shall be used by the recipient organization to develop a larger community effort, through public and private partnerships, to support a broad-based multi-county parenthood initiative that promotes payment of child support obligations, improved family relationships, and full-time employment.

The departmdepartment ent may trtransfer a n s f e r funds aappropriated p p ro p ria te d in ththis issection, sexcluding ethe callocation tio n , ex clu d in gsubsection th e a llo c a tio n in su b se c tio n 2 fofor rthe thfamily edevelopment fam ily developm ent and sself-sufficiency egrant lfprogram, - s u f f ic ie n c y g ra n t program , to ththe eappropriations a p p ro p ria tio n s made in tthis hdivision iof sthis d iv is io n o f t h i s Act fofor rgeneral gadministration e n e ra l a d m in is tra tio n and ffield ioperations e l d o p e ra tio n s as nnecessary ecessary to aadminister dthis msection, insection iste r t h i s s e c tio n , s e c tio n 7 fofor rthe thtemporary eassistance temfor porary a s s is ta n c e fo r needy fafamilies m ilie s block ggrant, ra n t, and ssection e c tio n 8 fofor rthe thfamily einvestment fam ily investm ent program accoaccount. u n t.

There iis sappropriated a p p ro p ria te d from ththe egeneral g e n e ra l fund oof fthe thstate e s t a t e to ththe edepartment departmof ent o f human sservices efor rvthe icfiscal e s fo r th e f i s c a l year beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, ththe efollowing follow ing amount, oor r so much ththereof e re o f as iis snecessary, n e c e ssa ry , to be used fofor rthe th e purposes ddesignated: e sig n a te d :

For cchild hsupport ildrecovery, suincluding psalaries, psupport, omaintenance, rt reco v ery , in c lu d in g s a l a r i e s , su p p o rt, m aintenance, and mmiscellaneous iscellanpurposes, eo u s p u rp o ses, and fofor r not more ththan anthe thfollowing efull-time followequivalent ingpositions: f u ll- tim e e q u iv a le n t p o s itio n s :

•.................................................. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • $ •1 4 ,7 4 9 ,3 6 8• • • • • • • • • • • • • • • • • • • • • • • • • • • • .

•$ •14,749,368 •............................................... • • • • • • FTEs• • • • 459.

00FTEs •459.00 •1. • .

The departmdepartment entshall s h a ll expend up to $24,000, inincluding cfederal lufinancial dparticipation, infor gthe fefiscal d e ra l f in a n c ia l p a r tic ip a tio n , fo r th e f i s c a l year beginning JuJuly ly1, 1 , 2019, fofor r a cchild hsupport ildpublic suawareness pcampaign. p o rt p u b lic aw areness cam paign.

The departmdepartment ent and ththe eoffice oof fthe fattorney icgeneral eshall o f th e a tto rn e y g e n e ra l s h a ll House FFile ile766, 766p. , p .

25 cocooperate o p erate i n c o n tin u a tio n o f th e campaign The p u b lic aw areness campaign s h a ll em phasize, through a v a r ie ty o f media a c t i v i t i eth e im portance o f maximum involvem ent o f both p a re n ts in thcontinuation e liv e s of ththe ecampaign. ir c h ild re n as w ell as th e im portance of payment o f c h ild su p p o rt o b lig a tio n s .

The public awareness campaign shall emphasize, through a variety of media activities, the importance of maximum involvement of both parents in the lives of their children as well as the importance of payment of child support obligations.

FFederal ed eral access and vvisitation igrant s i t a t i o n g ra n t moneys sshall h a ll be issuissued edirectly d d ir e c tly to pprivate rnot-for-profit ivagencies athat teprovide nservices o t- f o r - p r o f it ag en cies th a t p ro v id e s e rv ic e s designed to inincrease ccompliance rewith athe sechild com pliance w ith th e c h ild access pprovisions ro v isio n s of ccourt oorders, uincluding rtbut o rd e rs , in c lu d in g b u t not limlimited ite d to nneutral evisitation usites tra l v i s i t a t i o n s i t e s and mmediation ediationservices. s e rv ic e s .

The aappropriation p p ro p ria tio n made to ththe edepartment departmfor entchild fosupport r c h ild su p p o rt recovery may be used throughout ththe efiscal fyear i s c a l y ear in ththe e manner nnecessary ecessaryfor fo r purposes oof f cash flow management, and fofor r cash flow management purposes ththe edepartment departm ent may tetemporarily m p o ra rily draw more than ththe e amount aappropriated, p p ro p ria te d , provided ththe e amount aappropriated pis p ro p ria te d i s not exceeded aat tthe thclose eof cthe lofiscal syear. e o f th e f i s c a l y e a r.

HEALTH CARE TRUST FUND ~—— MMEDICAL E D I C A ASSISTANCE ~—— FY 2019-2020.

Any funds remremaining aining in ththe ehealth hcare etrust a lth c a re t r u s t fund ccreated re a te d in ssection e c tio n 453A.35A fofor rthe thfiscal e f i s c a l year beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, aare reappropriated a p p ro p ria te d to ththe edepartment departmof ent o f human sservices e rv ic e s to supplemsupplement entthe thmedical eassistance m edical a s s is ta n c e program aappropriations p p ro p ria tio n s made in ththis isdivision dof ivthis isAct, iofor nmedical oassistance freimbursement t h i s A ct, fo r m edical a s s is ta n c e reim bursem ent and aassociated scosts, sincluding o c ia te d c o s ts , in c lu d in g program aadministration d m in is tra tio n and ccosts oassociated swith ts a s s o c ia te d w ith program imimplementation. plem entation.

MEDICAID FRAUD FUND ~MEDICAL—— MEDICAL ASSISTANCE ~—— FFY Y 2019-2020.

Any funds remremaining aining in ththe eMedicaid Mfraud edicaid frau d fund ccreated re a te d in ssection e c tio n 249A.50 fofor rthe thfiscal e f i s c a l year beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, aare reappropriated a p p ro p ria te d to ththe edepartment departmof ent o f human sservices e rv ic e s to supplemsupplement entthe thmedical eassistance mappropriations edical a s s is ta n c e a p p ro p ria tio n s made in tthis hdivision iof sthis dAct, ivfor ismedical ioassistance nreimbursement o f t h i s A ct, fo r m edical a s s is ta n c e reim bursem ent and aassociated scosts, sincluding o c ia te d c o s ts , in c lu d in g program aadministration d m in is tra tio n and ccosts oassociated swith ts a s s o c ia te d w ith program imimplementation. plem entation.

There iis sappropriated a p p ro p ria te d from ththe egeneral g e n e ra l fund oof fthe thstate e s t a t e to ththe edepartment departmof ent o f human sservices efor rvthe icfiscal eyear s fo r th e f i s c a l y ear beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, ththe efollowing fo llo w in g amount, or so much ththereof e re o f as iis snecessary, n e c e ssa ry , to be used fofor rthe th e purpose ddesignated: e sig n a te d :

House FFile ile 766, pp. .

26 For mmedical edicalassistance a s s is ta n c e program reimreimbursement bursem ent and aassociated scosts s o c ia te d c o s ts as sspecifically p e c if ic a lly provided in ththe ereimbursement reimmethodologies bursem ent m ethodologies in eeffect f f e c t on June 30, 2019, except as ootherwise thexpressly erwauthorized ise e x p re ssly a u th o riz e d by lawlaw, ,consistent cwith ooptions n s is te n t w ith o p tio n s under fefederal d e ra l law and reregulations, g u la tio n s , and ccontingent o n tin g e n t upon rereceipt c e ip t of approval from ththe eoffice oof fthe f ic e o f th e governor of reimreimbursement bursemfor ent fo r each aabortion bperformed o rtio n perform ed under ththe eprogram: program :

I............................................... •e • • • e e e •• • • ••e • •e • • • • • • e e • eti•• •• t•e • • • $ 1,427,379,707 .

Iowans$ su1,427,379,707 p1. p o rt reducing th e number of a b o rtio n s perform ed in our s t a t e .

FundsIowans asupport preducing pthe ronumber pof riaabortions teperformed din underour tstate. h i s s e c tio n s h a ll not be used fo r a b o rtio n s , u n le ss o th erw ise a u th o riz e d under t h i s s e c tio n .

Funds appropriated under this section shall not be used for abortions, unless otherwise authorized under this section.

The pprovisions roof vthis isiosection nrelating s o f t h i s s e c tio n r e la tin g to aabortions bshall oalso rtio n s s h a ll a ls o apply to ththe e Iowa hhealth e a lth and wwellness ellnplan esscreated ppursuant la n c re a te d p u rsu an t to chchapter ap ter 249N.

The departmdepartment entshall sutilize h a ll u t i l i z e not more ththan an $60,000 oof fthe th e funds aappropriated p p ro p ria te d in tthis hsection i s s e c tio n to cocontinue nthe tin u e th e AIDS/HIV hhealth einsurance a lth in su ran ce premium payment program as eestablished s ta b lis h e d in 1992 Iowa AActs, cts, Second EExtraordinary xSession, trachapter o rd in a ry S e ssio n , ch ap ter 1001, ssection e c tio n 409, susubsection b se c tio n 6.

Of ththe e funds aallocated llo c a te d in tthis hsubsection, i s s u b s e c tio n , not more than $5,000 may be expended fofor radministrative apurposes. d m in is tra tiv e p u rp o ses.

Of ththe e funds aappropriated p p ro p ria te d in tthis h i s Act to ththe edepartment departmof entpublic ohealth ffor paddictive udisorders, b lic h e a lth fo r a d d ic tiv e d is o rd e rs , $950,000 fofor rthe thfiscal e f i s c a l year beginning JuJuly ly1, 1 , 2019, iis stransferred tr a n s f e r r e d to ththe edepartment departmof ent o f human sservices efor rv ic e s fo r an inintegrated tesubstance-related gdisorder ra te d s u b s ta n c e -re la te d d iso rd e r managed ccare asystem. re system .

The departmdepartments entsof o f human sservices e rv ic e s and ppublic uhealth bshall lic h e a lth s h a ll work totogether g e th e r to mmaintain ainthe tainlevel thof emental lehealth v e l o f m ental h e a lth and ssubstance-related udisorder btreatment sservices ta n c e -re la te d d iso rd e r tre a tm e n t s e rv ic e s provided by ththe e managed ccare acontractors. re c o n tra c to rs .

Each departmdepartment entshall stake hthe asteps llnecessary tak e th e s te p s n ecessary to cocontinue nthe tinfederal uwaivers e th e fe d e ra l w aivers as nnecessary ecessary to mmaintain ainthe tainlevel thof eservices. le v e l o f s e r v ic e s .

aa. .

The departmdepartment entshall saggressively h a ll a g g re ssiv e ly pursue ooptions pfor tioproviding nmedical sassistance fo r p ro v id in g m edical a s s is ta n c e or oother thassistance e r a s s is ta n c e to inindividuals dwith ivspecial id u a ls w ith s p e c ia l needs who become inineligible e lig ib le to cocontinue nreceiving tinservices u e re c e iv in g s e rv ic e s under ththe eearly e a rly and pperiodic escreening, riodiagnostic, d ic sc re e n in g , d ia g n o s tic , and treatmtreatment en t program under ththe emedical massistance edical a s s is ta n c e program due to becoming 21 yyears earsof o f age who have been approved fofor r House FFile ile 766, pp. .

27 aadditional dassistance d itio n a l a s s is ta n c e through ththe edepartment’s dexception e p a rtm e n t's ex cep tio n to ppolicy oprovisions, licbut y p ro v is io n s , b u t who have hhealth ecare a lth c a re needs in excess oof fthe th e funding aavailable v a ila b le through ththe eexception ex cep tio n to ppolicy oprovisions. lic y p ro v is io n s .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $100,000 sshall h a ll be used fofor rparticipation p a r tic ip a tio n in one or more ppilot iprojects loperated o t p r o je c ts o p erated by a pprivate rprovider iv a te p ro v id e r to allow ththe eindividual in d iv id u a l or inindividuals d iv id u a ls to rereceive cservice e iv e s e rv ic e in ththe e community in accordance wwith ithprinciples pestablished r in cOlmstead ip le s e s ta b lis h e d in Olm stead v.

LL.C., .C ., 527 U.S.

581 (1999), fofor rthe th e purpose oof fproviding pmedical roassistance v id in g m edical a s s is ta n c e or oother thassistance e r a s s is ta n c e to inindividuals dwith ivspecial id u a ls w ith s p e c ia l needs who become inineligible e lig ib le to cocontinue nreceiving tinservices u e re c e iv in g s e rv ic e s under ththe eearly e a r ly and pperiodic escreening, riodiagnostic, d ic sc re e n in g , d ia g n o s tic , and tretreatment a tm e n t program under ththe emedical massistance edical a s s is ta n c e program due to becoming 21 yyears earsof o f age who have been approved fofor radditional aassistance d d itio n a l a s s is ta n c e through ththe edepartment’s dexception e p a rtm e n t's ex cep tio n to ppolicy oprovisions, lic y p ro v is io n s , but who have hhealth ecare a lth c a re needs in excess oof fthe th e funding aavailable v a ila b le through ththe eexception ex cep tio n to ththe epolicy pprovisions. o lic y p ro v is io n s .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , up to $3,050,082 may be trtransferred a n s f e r r e d to ththe efield foperations i e l d o p e ra tio n s or ggeneral eadministration nappropriations e ra l a d m in isthis tradivision tioof nthis a p p ro p ria tio n s in th is d iv is io n o f t h i s Act fofor roperational ocosts passociated ewith raPart tio n a l c o s ts a s s o c ia te d w ith P a rt D of ththe efederal feMedicare dPrescription e ra l M edicare P re s c rip tio n Drug Improvement and MModernization odernization Act oof f 2003, Pub.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , up to $442,100 may be trtransferred a n s f e r r e d to ththe eappropriation a p p ro p ria tio n in tthis hdivision iof sthis d iv is io n o f th is Act fofor rmedical mcontracts edical c o n tra c ts to be used fofor rclinical cassessment lservices i n i c a l assessm ent s e rv ic e s and pprior rauthorization ioof rservices. a u th o riz a tio n o f s e r v ic e s .

A pportion oof rtiothe n o f th e funds aappropriated p p ro p ria te d in tthis hsection i s s e c tio n may be trtransferred a n s f e r r e d to ththe eappropriations a p p ro p ria tio n s in tthis hdivision iof sthis d iv is io n o f t h i s Act fofor rgeneral gadministration, emedical ncontracts, ethe rachildren’s lhealth ainsurance dprogram, mor infield isoperations tra tio n , m edical c o n tr a c ts , th e c h ild r e n 's h e a lth in su ran ce program , o r f ie ld o p e ra tio n s to be used fofor rthe thstate e s t a t e match ccost o s t to comply wwith iththe th e payment eerror rrorate r r a te measurement (PERM) program fofor r both ththe emedical massistance edical a s s is ta n c e and cchildren’s hhealth ildinsurance rprograms e n 's h e a lth in su ran ce program s as developed by ththe ecenters cfor eMedicare n te rs fo r M edicare and MMedicaid edicaidservices sof ethe rvUnited icStates edepartment s o f th e U nited S ta te s departm ent of hhealth e a lth and human sservices e rv ic e s to comply wwith iththe thfederal e fe d e ra l Improper Payments InInformation fo rm atio n Act of 2002, Pub.

107-300, and to susupport pother previews o rt o th e r review s and qquality ucontrol a lity c o n tro l House FFile ile766, 766p. , p .

28 aactivities c t i v i t i e s to improve ththe eintegrity inof tethese gprograms. r ity o f th e se program s.

The departmdepartment entshall scontinue h a ll co n tin u e to implement ththe e recommendations oof fthe thassuring ebetter achild ssuhealth rin g b e tte r c h ild h e a lth and developmdevelopment entinitiative iII n i t i a t i v e I I (ABCDII) cclinical lpanel i n i c a l p an el to ththe e Iowa eearly a r ly and pperiodic escreening, riodiagnostic, d ic sc re e n in g , d ia g n o s tic , and tretreatment aservices tmhealthy emental ndevelopment tcollaborative s e rv ic e s h e a lth y m ental developm ent c o lla b o ra tiv e board regregarding ard in g changes to bbilling iprocedures, l l i n g p ro ced u res, codes, and eeligible lservice iproviders. g i b l e s e rv ic e p ro v id e rs .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , a ssufficient u f f ic ie n t amount iis sallocated a llo c a te d to supplemsupplement entthe th e incomes oof fresidents reof snursing idfacilities, eintermediate ncare tsfacilities ofor fpersons nwith umental rsinillness, g f a c i l i t i ein te rm e d ia te c a re f a c i l i t fo r p erso n s w ith m ental i l l n e s s , and inintermediate tecare rmfacilities efor dpersons iawith te c a re f a c i l i t ifo r p erso n s w ith an iintellectual ndisability, twith e l l e c t u a l d i s a b i l i t y , w ith incomes oof fless lethan s s th an $50 in ththe e amount nnecessary ecessaryfor fothe rresidents th e re s id e n ts to rereceive c e iv e a ppersonal e rso n a l needs allowallowance anceof o f $50 pper er month ppursuant u rsu an t to ssection e c tio n 249A.30A.

aa. .

HHospitals othat sp ita ls th a t meet ththe econditions cspecified o n d itio n s s p e c ifie d in subparagraphs (1) and (2) sshall heither acertify llpublic eexpenditures ith e r c e r t i f y p u b lic e x p e n d itu re s or trtransfer a n s f e r to ththe emedical massistance edical a s s is ta n c e program an amount eqequal u al to pprovide rothe vnonfederal idshare efor th e nonfe d e ra l sh are fo r a ddisproportionate isshare phospital ro p o rtio n a te sh a re h o s p ita l payment in an amount up to ththe ehospital-specific hlimit o s p ita l- s p e c if ic lim it as approved in ththe eMedicaid Mstate edicaidplan. s t a t e p la n .

The hhospitals othat s p ita ls th a t meet ththe econditions cspecified oshall nreceive d itio n s s p e c ifie d s h a ll re c e iv e and rretain e ta in 100 ppercent eof rcthe etotal ndisproportionate tshare ohospital f th e t o t a l d is p ro p o rtio n a te sh a re h o s p ita l payment in an amount up to ththe ehospital-specific hlimit o s p ita l- s p e c if ic lim it as approved in ththe eMedicaid Mstate edicaidplan. s t a t e p la n .

(1) The hhospital oqualifies sfor pdisproportionate itashare l q u a lif ie s fo r d is p ro p o rtio n a te sh a re and ggraduate radmedical ueducation atepayments. m edical ed u catio n paym ents.

(2) The hhospital ois s p ita l i s an Iowa state-owstate-owned nedhospital hwith o s p ita l w ith more ththan an 500 beds and eeight ig h t or more ddistinct iresidency sspecialty tor isubspecialty nprograms c t resid en cy s p e c ia lty o r s u b s p e c ia lty program s recognized by ththe e American ccollege oof llegraduate gmedical eeducation. o f g rad u ate m edical e d u c a tio n .

DDistribution isof tribthe udisproportionate tioshare n o f th e d is p ro p o rtio n a te sh a re payments sshall h a ll be made on a mmonthly onthlybasis. b a s is .

The ttotal o t a l amount oof fdisproportionate dshare is p ro p o rtio n a te sh are payments inincluding cgraduate lumedical deducation, in g g rad u ate m edical e d u c a tio n , enhanced ddisproportionate isshare, p ro p o rtio n a te s h a re , and Iowa state-owstate-owned nedteaching teachhospital in g h o s p ita l payments sshall h a ll not exceed ththe e amount oof fthe thstate’s eallotment s t a t e 's a llo tm e n t under Pub.

In aaddition, dthe dtotal itio n , th e t o t a l amount oof fall adisproportionate l l d is p ro p o rtio n a te House FFile ile766, 766p. , p .

29 shshare a re payments sshall h a l l not exceed ththe ehospital-specific hdisproportionate oshare slimits p ita l- s p e c if ic d is p ro p o rtio n a te sh a re lim its under Pub.

One hundred ppercent eof rcthe enonfederal nshare tof o f th e n o n fed eral sh a re o f payments to aarea reeducation aagencies edthat uare catiomedical nassistance agproviders enfor ciesmedical thassistance-covered aservices t a re m edical a s s is ta n c e p ro v id e rs fo r m edical a ssista n c e -c o v e re d s e rv ic e s provided to mmedical edicalassistance-covered achildren, ssistashall n c e -c o v e re d c h ild re n , s h a ll be made from ththe eappropriation a p p ro p ria tio n made in tthis hsection. i s s e c tio n .

A pportion oof rtiothe n o f th e funds aappropriated p p ro p ria te d in tthis hsection i s s e c tio n may be trtransferred a n s f e r r e d to ththe eappropriation a p p ro p ria tio n in tthis hdivision i s d iv is io n of tthis h i s Act fofor rmedical mcontracts edical c o n tra c ts to be used fofor radministrative aactivities dassociated mwith inthe is tra tiv e a c t i v i t i e s a s s o c ia te d w ith th e money fofollows llothe w s th e person ddemonstration emproject. o n stratio n p r o je c t.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $349,011 sshall h a ll be used fofor rthe thadministration eof athe dhealth minsurance in is tra tio n o f th e h e a lth in su ran ce premium payment programprogram, ,including insalaries, csupport, lumaintenance, d in g s a l a r i e s , su p p o rt, m aintenance, and mmiscellaneous iscellanpurposes. eo u s p u rp o ses.

aa. .

The departmdepartment ent may inincrease cthe re a s e th e amounts aallocated llofor csalaries, asupport, temaintenance, d fo r s a l a r i e s , su p p o rt, m aintenance, and mmiscellaneous iscellan eo u s purposes aassociated swith sthe omedical cassistance iaprogram, te d w ith th e m edical a s s is ta n c e program , as nnecessary, e c e ssa ry , to ssustain ucost s ta in c o s t management eefforts. f f o r t s .

The departmdepartment entshall sreport h a ll re p o rt any such inincrease c re a s e to ththe elegislative lservices e g i s l a t i v e s e rv ic e s agency and ththe edepartment departmof ent o f management.

IIf fthe thsavings e sav in g s to ththe emedical massistance edical a s s is ta n c e program from ongoing ccost o s t management eefforts f f o r t s exceed ththe eassociated acost sfor sthe ofiscal cyear ia te d c o s t fo r th e f i s c a l y ear beginning JuJuly ly1, 1 , 2019, ththe edepartment departm ent may trtransfer a n s f e r any savsavings ingenerated gfor sthe gfiscal en erated fo r th e f i s c a l year due to mmedical edicalassistance a s s is ta n c e program ccost o s t management eefforts f f o r t s to ththe eappropriation a p p ro p ria tio n made in tthis hdivision iof sthis d iv is io n o f th is Act fofor rmedical mcontracts edical c o n tra c ts or ggeneral eadministration n e ra l a d m in is tra tio n to ddefray ethe fracosts yassociated thwith eimplementing cthe oefforts. s ts a s s o c ia te d w ith im plem enting th e e f f o r t s .

For ththe efiscal f i s c a l year beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, ththe ereplacement replacemgeneration enttax g e n e ra tio n ta x revenues rerequired q u ire d to be ddeposited e p o site d in ththe eproperty ptax rorelief p e rty ta x r e l i e f fund ppursuant u rsu an t to ssection e c tio n 437A.8, susubsection b se c tio n 4, pparagraph arag“d”, rap h · d · , and ssection e c tio n 437A.15, susubsection b se c tio n 3, pparagraph arag“f”, rapshall hinstead · f · , s h a ll in s te a d be ccredited r e d ite d to and supplemsupplement entthe thappropriation e a p p ro p ria tio n made in tthis hsection i s s e c tio n and used fofor rthe thallocations e a llo c a tio n s made in ththis issection. s e c tio n .

aa. .

Of ththe e funds aappropriated p p ro p ria te d in ththis issection, s e c tio n , up to $50,000 may be trtransferred a n s f e r r e d by ththe edepartment departm ent to ththe e House File 766, p.

30 appropriatappropriation i on made in hthis isdivision div ision of ththis is Act to the depdepartment artment for the same fisfiscal c a year for general admadministration inistration to be used for associated admadministrative inistrative expenses and for not more than 1.00 fufull-time ll-tim e equivalent pposition, o sitio n in addition to those authorizeauthorized d for the same fiscfiscal ayear, lyear, to be assigned to implementing the chchildren’s ildmental ren 'mental health home pproject. ro ject.

Of the funds appropriated in ththis issection, section , up to $400,000 may be trantransferred sferred by the department to the appropriation made to the department in ththis is division of ththis isActAct for the same fiscfiscal ayear lyear for Medicaid programprogram-related -related general admadministration inistration planning and implementation aactivities. c tiv itie s The funds may be used for contracts or for personnel in addition to the amo unts appropriated for and the positions authorized for g eneral adm inistration for the fis c a year.

The funds may be used for contracts or for personnel in addition to the amounts appropriated for and the positions authorized for general administration for the fiscal year.

Of the funds appropriated in ththis is section, up to $3,00$3,000,000 0,000 may be transferred by the department to the appropriations made in ththis isdivisiondivision of ththis is Act for the samsame efiscal fis c a year for genergeneral aladministration adm inistration or medical contracts to be used to supsupport port the development and implementation of standardized assessment tools for persons with mental illnillness, e s s , an inintellectual tedisability, lle c tud is a bdevelopmental ilitya,developmentaldisability, dor is a b ilityor a brain injury.

Of the funds appropriated in ththis issection, sec tion, $150,000 shshall abe llbe used for lodging expenses associated with care provided aat t the univeuniversity rsity of Iowa hospitals and cclinics lin ic for ppatients atien ts with cancer whose travtravel el distance is 30 miles or more and whose income is aat toror below 200 percent of the federal poverty level as defined by the most recently revised poverty income guidelines published by the United SStates tates department of health and human services.

The department of human services shshall aestablish llestab lish the maximum number of overnight stays and the maximum rarate tereimbursed reimburs ed for overnight lodging, which may be based on the sstate taemployee teemployeerate ra te established by the department of admadministrative inistrative services.

The funds allocated in ththis is subsection shshall anot llnot be used as nonfederal share matching funds.

Of the funds appropriated in ththis is section, up to $3,383,880 shshall abe llbe used for admadministration inistra tion of the sstate tafamily tefamily planning services program pursuant to section 217.41B, and House FFile ile766, 766p. , p .

31 oof fthis t h i s amount, ththe edepartment departm ent may use up to $200,000 fofor radministrative a d m in is tra tiv e expenses.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $1,545,530 sshall h a ll be used and may be trtransferred a n s f e r r e d to oother thappropriations e r a p p ro p ria tio n s in tthis hdivision iof sthis d iv is io n o f t h i s Act as nnecessary ecessary to aadminister dthe mprovisions in istethe rdivision thof ethis p ro v isio n s in th e d iv is io n o f t h i s Act rrelating e la tin g to MMedicaid edicaid program aadministration. d m in is tra tio n .

The departmdepartment entshall scontinue h a ll co n tin u e to implement and aadminister dthe mprovisions in iste r th e p ro v isio n s of 2018 Iowa AActs, cts,chapter ch ap ter 1056.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , up to $39,069 may be trtransferred a n s f e r r e d to ththe edepartment departmof entinspections o f in sp e c tio n s and apappeals pfor ealsinspection focosts rrelated in sp e c tio n c o s ts r e la te d to such imimplementation plem entation and aadministration. d m in is tra tio n .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , up to $1,200,000 sshall h a ll be used to implement rereductions d u c tio n s in ththe ewaiting wlist aitinfor gthe lchildren’s imental shealth t fo r th e c h ild r e n 's m ental h e a lth home and community-based sservices ewaiver. rv ic e s w aiver.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $1,500,000 sshall h a ll be used to pprovide roreimbursement v id e reim bursem ent to ccritical r i t i c a l access hhospitals ofor sinpatient p ita ls fo r in p a tie n t and ooutpatient uservices tp a tie n t s e rv ic e s based on a ccritical raccess ihospital tadjustment ifactor cmethodology a l a c c e ss h o s p ita l adjustm ent fa c to r m ethodology developed by ththe edepartment departm ent as provided in tthis hdivision i s d iv is io n of tthis hAct. i s A ct.

The departmdepartment entof o f human sservices eshall rvutilize ic e s s h a ll u t i l i z e $1,000,000 oof fthe th e funds aappropriated p p ro p ria te d under tthis hsection i s s e c tio n to inincrease cthe recurrent asupported s e th e c u rre n t su p p o rted community livliving inprovider gdaily prates rofor vall idtiers e r d a ily r a te s fo r a l l t i e r s under ththe etiered tierate rreimbursement emethodology deffective rwith adates teof reimservice bursem ent m ethodology e f f e c tiv e w ith d a te s o f s e rv ic e beginning JuJuly ly1, , 2019.

The funding amount sshall h a ll be ddivided ivequally id ed e q u a lly among aall ltiers l t i e r s and aapplied pwithin p lie d w ith in each ttier i e r in accordance wwith iththe th e recommendations oof fthe thactuary. e a c tu a ry .

However, no rresulting erates sshall u ltin g r a te s s h a ll be lower ththan anthe thrates e r a te s in eeffect f f e c t on June 30, 2019.

There iis sappropriated a p p ro p ria te d from ththe egeneral g e n e ra l fund oof fthe thstate e s t a t e to ththe edepartment departmof ent o f human sservices efor rvthe icfiscal e s fo r th e f i s c a l year beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, ththe efollowing follow ing amount, or so much ththereof e re o f as iis snecessary, n e c e ssa ry , to be used fofor rthe th e purpose ddesignated: e sig n a te d :

For mmedical edicalcontracts: c o n tra c ts :

$.................................................. 17,992,530 House F ile 766 , p .

32$ .17,992,530 House File 766, p.

The32 departm1. ent o f in sp e c tio n s and ap p eals s h a ll p ro v id e a l l s t a t e m atching funds fo r survey and c e r t i f i c a t i o n a c t i v i t i e s perform ed by th e departm ent o f in sp e c tio n s and a p p e a ls.

The departmdepartment entof oinspections fand humanappeals sshall eprovide rvall icstate ematching s i s s o le ly re sp o n sib le fo r d is tr ib u tin g th e fe d e ra l m atching funds fofor rsurvey suchand acertification cactivities tperformed iby vthe idepartment tof iinspections eand sappeals. .

The department of human services is solely responsible for distributing the federal matching funds for such activities.

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $50,000 sshall h a ll be used fofor rcontinuation cof o n tin u a tio n o f home and community-based sservices ewaiver rvquality icassurance eprograms, sincluding wthe aiver q u a lity assu ran ce program s, in c lu d in g th e review and strestreamlining aof mprocesses lin in g o f p ro c e sse s and ppolicies orelated lic ie s r e la te d to ooversight v e rsig h t and qquality u a lity management to meet sstate t a t e and fefederal drequirements. e ra l req u irem en ts.

Of ththe e amount aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , up to $200,000 may be trtransferred a n s f e r r e d to ththe eappropriation afor pgeneral padministration ro p ria tio n fo r g e n e ra l a d m in isthis tradivision tioof nthis in th is d iv is io n o f t h i s Act to be used fofor radditional afull-time dequivalent dpositions itio n a l f u ll- tim e e q u iv a le n t p o s itio n s in ththe edevelopment developmof ent o f key hhealth einitiatives a lth i n i t i a t i v e s such as developmdevelopment ent and ooversight vof e rsig h t o f managed ccare aprograms re program s and developmdevelopment entof ohealth fstrategies htargeted etoward a lth s tr a te g ie s ta rg e te d tow ard improved qquality u a lity and reduced ccosts o s ts in ththe eMedicaid Mprogram. edicaid program .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $1,000,000 sshall h a ll be used fofor rplanning p lan n in g and developmdevelopment, ent, in cocooperation owith pthe eratiodepartment nof wpublic ithhealth, thof e departm ent o f p u b lic h e a lthphased-in , o f a p h a se d -in program to pprovide ro v id e a ddental e n ta l home fofor rchildren. c h ild re n .

aa. .

Of ththe e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c tio n , $573,000 sshall h a ll be ccredited re d ite d to ththe eautism ausupport tism su p p o rt program fund ccreated re a te d in ssection e c tio n 225D.2 to be used fofor rthe thautism esupport au tism su p p o rt program ccreated re a te d in cchapter h a p te r 225D, wwith iththe thexception eof exthe cepfollowing tio n o f th e fo llo w in g amount oof fthis thallocation is a llo c a tio n which sshall h a ll be used as fofollows: llo w s:

Of ththe e funds aallocated llo c a te d in tthis hsubsection, i s su b se c tio n , $25,000 sshall h a ll be used fofor rthe thpublic e p u b lic purpose oof fcontinuation cof o n tin u a tiogrant n o f a g ra n t to a nnonprofit oprovider nof pchild rowelfare fitservices pthat ro v id e r o f c h ild w e lfa re s e rv ic e s th a t has been in eexistence xfor is te n c e fo r more than 115 yyears, eis alocated rs , i s lo c a te d in a county wwith ith a ppopulation o p u la tio n between 200,000 and 220,000 accoaccording rd in g to ththe e most rerecent cfederal edecennial ncensus, tis felicensed d e ra l d e c e n n ia l cen su s, i s lic e n s e d as a ppsychiatric smedical yinstitution cfor hchildren, ia tr ic m edical i n s t i t u t i o n fo r c h ild re n , and pprovides roschool-based v id es sch o o l-b ased programming, to be used fofor rsupport suservices pfor pchildren owith rtautism s e rv ic e s fo r c h ild re n w ith au tism spectrum ddisorder is o rd e r and ththeir efamilies. ir fa m ilie s .

There1. i s a p p ro p ria te d from th e g e n e ra l fund o f th e House F ile 766 , p .

33There sis tappropriated afrom tthe egeneral tofund thof ethe departmHouse entFile o766, fp. human se rv i ces fo r th e f i s c a l year beginning Ju ly 1 , 2019, and ending June 30, 2020, th e fo llo w in g amount, or so much th e re o f as i s n e c e ssa ry , to be used fo r th e purpose d e sig n a te d :

For33 thstate eto sthe tdepartment aof thuman eservices supplemfor entarythe afiscal syear sbeginning July 1, 2019, and ending June 30, 2020, the following amount, or so much thereof as is tanecessary, nto cbe eused programfor :the purpose designated:

•For •the •state •supplementary •assistance •program: • • • • • • • • • • • • • • • • • • • • • • • • • • • • • $ • 7 ,8 1 2 ,9 0 9 • • • • • 2.

The.................................................. departm ent s h a ll in c re a s e th e p e rso n a l needs allow ance fo r re s id e n ts o f r e s id e n tia l c a re f a c i l i t i e s by th e same p ercen tag e and a t th e same tim e as fe d e ra l supplem ental s e c u r ity income and fe d e ra l s o c ia l s e c u rity b e n e fits a re in c re a se d due to a recognized in c re a se in th e c o s t o f liv in g .

The$ departm7,812,909 ent2. may adopt emergency ru le s to implement t h i s su b se c tio n .

The department shall increase the personal needs allowance for residents of residential care facilities by the same percentage and at the same time as federal supplemental security income and federal social security benefits are increased due to a recognized increase in the cost of living.

The department may adopt emergency rules to implement this subsection.

IIf f during ththe efiscal f i s c a l year beginning JuJuly ly1, 1 , 2019, ththe edepartment departmprojects entthat pstate rsupplementary oassistance jeexpenditures cfor ts th a tcalendar s t a t e supplem entary a s s is ta n c e e x p e n d itu re s fo r a calen d ar year wwill ill not meet ththe efederal fepass-through drequirement especified ra l p a ss-th ro u g h requirem ent s p e c ifie d in TTit. i t .

XVI oof fthe thfederal eSocial feSecurity dAct, esection ra l S o c ia l S e c u rity A ct, s e c tio n 1618, as ccodified o d ifie d in 42 u.s.c.U.S.C.

§1382g, ththe edepartment departm ent may taktake eactions aincluding cbut tio n s in c lu d in g b u t not limlimited ite d to inincreasing cthe repersonal a sin g th e p e rso n a l needs allowallowance ancefor foresidential rcare rfacility eresidents s id e n tia l c a re f a c i l re s id e n ts and making programprogrammatic madjustments atic ad ju stm en ts or upward adadjustments juof stmthe enresidential tscare ofacility for th e r e s id e n tia l c a re f a c i l i t y o r in-home hhealth-related ecare areimbursement lthrates -prescribed r e la te d c a re reim bursem ent r a te s p re s c rib e d in tthis hdivision iof sthis d iv is io n o f t h i s Act to enensure suthat refederal threquirements aare tmet. fe d e ra l requirem ents a re m et.

In aaddition, dthe ddepartment itio n , th e departm ent may make oother thprogrammatic e r program m atic and rrate aadjustments tenecessary ad ju stm en ts n ecessary to remremain ainwithin wthe ith in th e amount aappropriated p p ro p ria te d in ththis issection swhile eensuring ccompliance tiowith nfederal wrequirements. hile en su rin g com pliance w ith fe d e ra l req u irem en ts.

The departmdepartment ent may adopt emergency rurules le s to implement ththe eprovisions pof rothis vsubsection. isio n s o f t h i s su b se c tio n .

NNotwithstanding otwsection ithstanding8.33, s e c tio n 8 .3 3 , moneys aappropriated p p ro p ria te d in tthis hsection ithat sremain s e c tio n th a t rem ain unencumbered or uunobligated nat othe bclose ligof atedthe afiscal t th e c lo s e o f th e f i s c a l year sshall h a ll not rerevert vbut eshall rtremain bavailable ufor texpenditure sfor hthe a ll rem ain a v a ila b le fo r ex p en d itu re fo r th e purposes ddesignated euntil sigthe nclose aof tethe d u n t i l th e c lo se o f th e succeeding ffiscal iyear. s c a l y e a r.

CHILDREN'SCHILDREN’S HEALTH INSURANCE PROGRAM.

There1. i s a p p ro p ria te d from th e g e n e ra l fund o f th e s t a t e to th e departm ent o f human s e rv ic e s fo r th e f i s c a l year beginning Ju ly 1 , 2019, and ending June 30, 2020, th e fo llo w in g amount, o r so much th e re o f as i s n e c e ssa ry , to be used fo r th e House F ile 766 , p .

34There purposeis desappropriated ifrom gthe ngeneral atedfund :of the state to the department of human services for the fiscal year beginning July 1, 2019, and ending June 30, 2020, the following amount, or so much thereof as is necessary, to be used for the House File 766, p.

For34 mpurpose adesignated: intenance of th e h e a lth y and wel l k id s in Iowa (haw k-i) program p u rsu a n t to c h a p te r 514I, in c lu d in g supplem ental d e n ta l s e r v ic e s fo r r e c e ip to f fe d e ra l f ina n c ia l p a r tic ip a tio n under T i t .

XXIFor omaintenance fof ththe ehealthy feand dwell ekids rain lIowa S(hawk-i) oprogram cpursuant iato lchapter S514I, eincluding csupplemental udental rityservices, Afor ct,receipt whichof cfederal rfinancial eparticipation aunder teTit. s th e c h ild r e n 's h e a lth in su ra n c e program :

....XXI of the federal Social Security Act, which creates the children’s health insurance program:

........................................................................................

..$ 19,361,112 2.

..Of the funds appropriated in this section, $79,486 is allocated for continuation of the contract for outreach with the department of public health.

..

$ 1 9,3 61,112 2.

Of th e funds a p p ro p ria ted in t h i s s e c tio n , $79,486 i s a llo c a te d fo r c o n tin u a tio n o f th e c o n tra c t fo r o u tre a c h w ith th e departm ent o f p u b lic h e alth .

A pportion oof rtiothe n o f th e funds aappropriated p p ro p ria te d in tthis hsection i s s e c io n may be trtransferred a n s f e r r e to ththe eappropriations a p p ro p ria tio n s made in tthis hdivision iof sdthis iv i s io n o f t h i s Act fofor rfield foperations ieor lmedical dcontracts o p e ra tio n s o r m edical c o n tra c ts to be used fofor rthe thintegration eof inhawk-i te g r a tio n o f haw k-i program eeligibility, lpayment, i gi b i l i t y paym ent, and aadministrative dfunctions m in is tra tiv e fu n c tio n s under ththe e purview oof fthe thdepartment eof departm ent o f human sservices, eincluding rfor vthe icMedicaid e s ,inc lu d in g fo r th e M edicaid management ininformation fo rm atio n system upgrade.

TThere hereis iappropriated s a p p ro p ria te d from ththe egeneral g e n e ra l fund oof fthe thstate e s t a t e to ththe edepartment departmof enthuman oservices ffor humathe nfiscal syear e rv ic e s fo r th e f i s c a ly ear beginning JuJuly ly1, 1 , 2019, and ending June 30, 2020, ththe efollowing fo llo w in g amount, or so much ththereof eas reis onecessary, f a s i s n e c essa ry , to be used fofor rthe th e purpose ddesignated: e sig n a te d :

For cchild hcare ildprograms: c a re program s:

................................................................................

....$ 40,816,931 1.

..Of the funds appropriated in this section, $34,966,931 shall be used for state child care assistance in accordance with section 237A.13.

..

..

..

.....

$ 40 ,8 16 ,9 3 1 .

Of th e funds a p p ro p ra te d in t h i s s e c tio n , $34,966,931 s h a ll be used fo r s t a t ec h ild c a re a s s is ta n c e in accordance w ith s e c tio n 237 A.13.

NNothing othing in tthis hsection ishall s s e c tio n s h a ll be coconstrued n stru ed or iis sintended in ten d ed as or sshall himply a lgrant lim ply a g ra n t of eentitlement nfor titleservices m e n t fo r s e rv ic e s to ppersons erso n s who aare reeligible efor lassistance idue g i b l fo r a s s is ta n c edue to an income lelevel vconsistent ewith lthe cwaiting olist nrequirements sof issection te n tw ith th e w a itin g l i s t req u irem en ts o f s e c tio n 237A.13.

Any sstate tobligation a t e o b lig a tio n to pprovide roservices vidpursuant e s e rv ic e s p u rsu an t to tthis hsection iis slimited s e c tio n i s lim ite d to ththe eextent eof xthe te nt o f th e funds aappropriated p p ro p ria te d in tthis hsection. i s s e c tio n .

A llist iof sthe tregistered oand flicensed thchild ecare rfacilities eoperating g is te r e da nd lic e n s e d c h ild c a re f a c i l i t i eo p e ra tin g in ththe earea aserved re a serv ed by a cchild hcare ildresource c a re re so u rc e and rreferral eservice fshall e r r a s e rv ic e s h a l l be made aavailable v a ila b le to ththe efamilies fareceiving mstate iliechild scare reassistance c e iv in gthat sarea. t a t e c h ild c a re a s s is ta n c ein th a t a re a .

OOf fthe th e funds aappropriated p p ro p ria te d in tthis hsection, i s s e c io n , $5,850,000 House FFile ile766766, ,p. p .

35 shashall lbe lbe credited tto othethe early childhood programs grants account in the early childhood Iowa fund ccreated reated in section 5256I.11. 6 I.ll.

The moneys shshall abe llbedistributed dfor istrib u tefor funding of community-based early childhood programs targeted to children from bbirth irth through five years of age developed by early childhood Iowa areas in accordance with approved community plans as provided in section 2561.8.256I.8.

The department may use any of the funds appropriated in ththis s section as a match to obtain federal funds for use in expanding child care assistance and related programs.

For the purpose of expenditures of sstate taand teand federal child care funding, funds shshall abe llbe considered oobligated bligatedat athe tthe time expenditures are projected or are allocated to the departmentdepartment’s ' s service areaareas. s.

Projections shshall abe lbe based on current and projected caseload growth, current and projected provider rarates, testaffing s,starequirements ffin grequirements for eeligibility ligdetermination ib ilitydeterm ination and management of program requirements including data systems manmanagement, agement,staffing starequirements ffin grequirements for admadministration inistration of the program, contractual and grant obligations and any trantransfers sfers to other sstate taagencies, teagencies, and obligations for decategodecategorization rization or innovation pprojects. ro jects.

A portion of the sstate tamatch tematch for the federfederal al child care and development block grant shshall abe lbe provided as necessary to meet federal matching funfunds ds requirements through the sstate ta te general fund appropriappropriation ation made for child development grants and other programs for aat-risk t-rischildren kchildren in section 279.51.

If a uniform reduction ordered by the governor under section 8.31 or other operation of law, tratransfer, nor sfe ror federal funding reduction reduces the appropriation made in ththis is section for the fisfiscal c a year, the percentage reduction in the amount paid out to or on behalf of the famfamilies iliesparticipating p articip atin g in the sstate tachild techild care assistance program shshall abe llbe equal to or less than the percentage reduction made for any other purpose payable from the appropriation made in ththis issectionsection and the federal fundfunding ingrelating relatin g to iit. t .The percentage reduction to the other allo catio n smade in th issection sh all be the same as the uniform reduction ordered by the governor or the percentage change of the federal funding reduction, as applicable.

IfThe therepercentage isreduction anto unanticipatedthe increaseother allocations made in federalthis fundingsection providedshall Housebe Fthe ilesame 766,as p.the uniform reduction ordered by the governor or the percentage change of the federal funding reduction, as applicable.

36If forthere sis taan techildunanticipated careincrease servin ices,federal thefunding eprovided nHouse tireamountFile of766, thep. increase, except as necessary to meet fede ral requirements including q u alityse tasides, sh a llbe used for s ta tchild care assistance pa yments.

If36 the appropriations made for purposesstate ofchild the s ta techild care assistanceservices, program for the fisentire camount aof year are determined to be in su ffic ie n i tis the inincrease, tenexcept tas ofnecessary the general assembly to appropriatemeet sufederal fficrequirements inincluding tquality fundingset forasides, theshall fisbe cused afor yearstate inchild ordercare toassistance avoidpayments. establishm ent of waiting l i s t requi rements.

If the appropriations made for purposes of the state child care assistance program for the fiscal year are determined to be insufficient, it is the intent of the general assembly to appropriate sufficient funding for the fiscal year in order to avoid establishment of waiting list requirements.

Notwithstanding section 8.33, moneys advanced for purposes of the programs developed by early childhood IowIowa a areas, advanced for purposes of wrapwraparound around child care, or received from the federal approprappropriations iations made for the purposes of ththis issectsection ionthat th at remain unencumbered or unobligated aat tthethe close of the fisfiscal c a year shshall all not revert to any fund but shshall a ll remain available for expenditure for the purposes designated uuntil nthe tilthe close of the succeeding fisfiscal c a year.

There is appropriated from the general fund of the sstate tato teto the department of human services for the fisfiscal c a year beginning July 1, 2019, and ending June 30, 2020, the following amouamounts, nts, or so much thereof as is necessary, to be used for the purposes designated:

For operation of the sstate tatraining tetrainschool inat gschoolEldora a tEldora and for ssalaries, asupport, la rie ssupport, maintenance, and miscellaneous purpurposes, poses, and for not more than the following fufull-time ll-tim e equivalent positions:

•.................................................. • • • • • • • • • • • • • • • • • • • •• • • • • • • • • $ 13,920,757 • • • • • • • • • • .

•$ •13,920,757 •............................................... • • .

•FTEs • • • • • • • • • • FTEs• • • 207.00 b.

Of the funds appropriaappropriated ted in ththis issubsection,subsection, $91,000 shshall abe llbe used for ddistribution istrib u tio to licensed classroom teachers aat tththis is and other ininstitutions stituunder tio nunder the control of the depdepartment artment of human services based upon the average student yearly enrollment aat t each ininstitution sas titu tioas determined by the department.

The additional fufull-time ll-timequivalent eequivalent positions authorized in paragraph ·“a” ashall shinclude a llinclude 1.00 youth services technician, 1.00 cclinical linsupervisor, ic asuperviso r, and 1.00 registered nurse, or comparable adadditional, dfull-time itioequivalent nl,positions. fu ll-tim eequivalent p o sitio n s.