Struck = removed from the bill ·
added = the amendment's new text.
STATEHouse OFFile IOWA1038 KIMREYNOLDSH-1349 GOVERNORAmend Jne,025House TeHnoaleaulteFile Sceayofaeofoa1038 Saeaitlas DsMins,owa019follows: Darr.Srtr, Ieebyasi:
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r I11:1 11lI :91 I!Ji1 Itl!31 ll1 I1l l l 1 III 1 G.'1 Il1':"9 House File 1038 AN ACT RELATING TO THE OPIOID SETTLEMENT FUND, MAKING APPROPRIATIONS AND DISBURSEMENTS, AND INCLUDING EFFECTIVE DATE AND RETROACTIVE APPLICABILITY PROVISIONS.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
DIVISION I OPIOID SETTLEMENT FUND Section 1 .
"Administrative“Administrative services organizationorganization” - means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
1161, §l§1. .
Behavioral“Behavioral health districtdistrict” means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
1161, §1§1. .
C.c.
Department"“Department” means the department of health and human services.
"District“District behavioral health advisory councilcouncil” - means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
1.
The fund shall be separate Housefrom Filethe 1038,general pfund .of the state and the balance in the fund shall not be considered part of the balance of the general fund of the state.
2 from the general fund of the state and the balance in the fund shall not be considered part of the balance of the general fund of the state.
((1) 1) The state portion of any moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, shall be deposited in the fund.
(2) ((a) a) For each fiscal year for the period beginning July 1, 2025, and ending June 30, 2030, of the total amount of the state portion of the moneys paid to the state as described in HF 1038.2081 (2) 91 -1- lh/ko 1/8 paragraph 'b“b” -andand deposited in the fund, plus any interest and earnings on moneys in the fund, seventy-five percent is appropriated to the department and twenty-five percent is appropriated to the office of the attorney general for purposes of abating the opioid crisis in this state.
(b) Notwithstanding section 8.33, moneys appropriated under subparagraph division (a(a) ) that remain unencumbered and unobligated at the close of each fiscal year shall not revert but shall remain available for expenditure for the purposes designated until June 30, 2030.
(c) Notwithstanding section 12C.7, subsection 22, , the interest or earnings on moneys appropriated under subparagraph division (a) are appropriated to the entity receiving the appropriation to be used for the purposes designated.
(a) Review each administrative services organization'sorganization’s proposed uses of the appropriated moneys for crisis response, early intervention, and treatment for opioid addiction, and recovery from opioid addiction, for the behavioral health district for which the administrative services organization has been designated.
House(c) FileIdentify 1038,indicators pand .outcomes applicable to each disbursement to be used to determine if the services and activities that are funded achieve the intended outcomes, which may include prevention of opioid-related deaths, reduction of opioid misuse, and increased access to opioid use disorder medications and services.
3(d) c)Submit Identifyan indicatorsannual andreport outcomeson applicableor tobefore eachNovember disbursement1 to bethe usedgeneral toassembly determineand if the servicesgovernor and activities that arecontains fundedall achieveof the intendedfollowing outcomes,for whichthe mayimmediately includepreceding preventionfiscal ofyear: opioid-related deaths, reduction of opioid misuse, and increased access to opioid use disorder medications and services.
d)(i) SubmitInformation anrelated annualto reporteach ondisbursement orfrom before November 1 to the generalHF assembly1038.2081 and(2) the91 governor-2- thatlh/ko contains2/8 allfund, ofand if the followingintended foroutcomes theof immediatelyeach precedingdisbursement fiscalwere year:achieved.
() Information related to each disbursement from the fund, and if the intended outcomes of each disbursement were achieved.
(4) A recipient shall receive no more than one disbursement under paragraph 'b“b”, -, subparagraph (3), subparagraph division b(b). (5) The department and the office of the attorney general may, but are not required to, ensure that moneys appropriated under subparagraph (2 ) are distributed equally to the administrative services organizations.
(6)(5) The department and the office of the attorney general shallmay, usebut noare morenot thanrequired twoto, andensure one-halfthat percent of the moneys appropriated under subparagraph (2(2) )are fordistributed equally to the administrative costs.services organizations.
(6) The department and the office of the attorney general shall use no more than five percent of the moneys appropriated under subparagraph (2) for administrative costs.
2.
Moneys in the fund shall not be transferred, used, obligated, appropriated, or otherwise encumbered except Houseas Fileprovided 1038,in p.this section.
4 as provided in this section.
Moneys in the fund shall only be used pursuant to apprepriatiensappropriations fremfrom the fund by the general assembi-Yassembly for purposes of abating the opioid crisis in this state, which may include but are not limited to the purposes specified in section 135.190A for moneys in the opioid antagonist medication HF 1038.2081 (2) 91 -3- lh/ko 3/8 fund.
3.
DIVISION II OPIOID SETTLEMENT FUND ——— FY 2024-2025 Sec.
OPIOID SETTLEMENT FUND ——— DEPARTMENT OF HEALTH AND HUMAN SERVICES.
There is appropriated from the opioid settlement fund created in section 12.51 to the department of health and human services for the fiscal year beginning July 11, , 2024, and ending June 30, 2025, the following amount, or so much thereof is as necessary, for the purposes designated:
..................................................
Notwithstanding any provision of law to the contrary, of the moneys appropriated to the department of health and human services under subsection 11, , the department shall disburse to the following entities, the following amounts, for the purposes designated:
To a youth-serving nonprofit organization that has been in existence for atmore leastthan forty-fivefifty years that provides crisis stabilization, emergency shelter, and residential addiction treatment, and that is located in a central Iowa county with a population between ninety-eight thousand and ninety-nine thousand based on the 2020 federal decennial census, to support the development of a recovery-focused high school and workforce training center that integrates education, job training, and therapeutic support to empower youth in recovery from substance use disorder to successfully transition into the workforce upon graduation:
$.................................................. 3,000,000 House File 1038, p .
5$ 3,000,000 b.
To an opioid treatment program incorporated as a nonprofit organization in 1997, that operates fourteen HF 1038.2081 (2) 91 -4- lh/ko 4/8 locations and offers behavioral and medical health care to patients, and that is licensed in the state to provide medication-assisted treatment, mental health therapy, counseling, and primary health care, to expand access to medication-assisted treatment in rural and underserved areas of the state through co-located and mobile recovery units and to collaborate with jail-based screening, assessment, diagnosis, and treatment service providers to extend support to incarcerated individuals and individuals who are no longer incarcerated, and sustain established infrastructure for dispensing medications for opioid use disorder services in rural and underserved areas:
..................................................
..................................................
$.................................................. 2,000,000 e.
$ 2,000,000 HF 1038.2081 (2) 91 -5- lh/ko 5/8 e.
House1161, File§4, 1038,to pcontract .with local peer-recovery specialists in four rural locations in the state to provide post-overdose response services through emergency departments that connect individuals and families to post-overdose treatment and recovery support, and to train peer recovery coaches using the linkage to outreach referrals and engagement model:
6.................................................. 1161, §4 , to contract with local peer-recovery specialists in four rural locations in the state to provide post-overdose response services through emergency departments that connect individuals and families to post-overdose treatment and recovery support, and to train peer recovery coaches using the linkage to outreach referrals and engagement model:
..................................................
..................................................
..................................................
To provide a grant to a nonprofit organization headquartered in a city with a population between twenty-four thousand five hundred and twenty-five thousand based on the 2020 federal decennial census, that is a member of the Iowa HF 1038.2081 (2) 91 -6- lh/ko 6/8 substance use and problem gambling services integrated provider network and that specializes in treatment and prevention services, including outpatient, residential treatment, and detoxification for adolescents and adults who are experiencing mental health and substance use disorders:
$.................................................. 3,000,000 House File 1038, p .
7$ 3,000,000 j.
To provide a grant to a nonprofit organization headquartered in a countycity with a population between one hundred seventy-four thousand and one hundred seventy-five thousand based on the 2020 federal decennial census, that is a community mental health center under chapter 230A, and that maintains or conducts a program licensed under chapter 125 the primary purpose of which iis s the treatment and rehabilitation of persons with a substance use disorder, including outpatient care, residential care, habilitation homes, crisis stabilization residential services, assertive community treatment, multisystemic therapy, and integrated home health and supportive and affordable housing for adolescents and adults experiencing substance use or mental health disorders:
..................................................
A recipient shall utilize the indicators and outcomes identified by the department of health and human services and the office of the attorney general under section 12.51, subsection 22, , paragraph "b-,“b”, subparagraph (3), subparagraph division (c), to determine whether the services and activities HF 1038.2081 (2) 91 -7- lh/ko 7/8 that are funded by the disbursement achieve the intended outcomes, and shall report the recipient'srecipient’s findings to the department of health and human services and the office of the attorney general.
A recipient shall receive no more than one disbursement under subsections 2 and 33. .
HouseSec. File 1038, p.
8 Sec.
This division of this Act applies retroactively to July 11, ,2024.> 2024.2.
•Title 1.-page, PATby GRASSLEstriking AMYlines SINCWAIR1 Speakerthrough of3 theand Houseinserting President<An ofAct relating to the Senateopioid Isettlement herebyfund, certifymaking thatappropriations thisand billdisbursements, originatedand inincluding theeffective Housedate and isretroactive knownapplicability asprovisions.> House______________________________ FileMOHR 1038,of Ninety-firstScott GeneralHF Assembly.1038.2081 (2) 91 -8- lh/ko 8/8
Approved , 2025