Bill Summary – FastDemocracy

Senate File 2437 - Introduced
                                  SENATE FILE 2437
                                  BY COMMITTEE ON APPROPRIATIONS
                                  (SUCCESSOR TO SSB 3205)
                            A BILL FOR
An Act relating to and making appropriations for veterans
  and health and human services, including other related
  provisions and appropriations, and including effective date
  and retroactive applicability provisions.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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                            DIVISION I
          DEPARTMENT OF VETERANS AFFAIRS —— FY 2024-2025
    Section 1. DEPARTMENT OF VETERANS AFFAIRS. There is
 appropriated from the general fund of the state to the
 department of veterans affairs for the fiscal year beginning
 July 1, 2024, and ending June 30, 2025, the following amounts,
 or so much thereof as is necessary, to be used for the purposes
 designated:
    1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION
    For salaries, support, maintenance, and miscellaneous
 purposes, and for not more than the following full-time
 equivalent positions:
 .................................................. $ 1,369,205
 ............................................... FTEs       15.00
    2. IOWA VETERANS HOME
    For salaries, support, maintenance, and miscellaneous
 purposes:
 .................................................. $ 8,145,736
    a. The Iowa veterans home billings involving the department
 of health and human services shall be submitted to the
 department on at least a monthly basis.
    b. The Iowa veterans home expenditure report shall be
 submitted monthly to the general assembly.
    c. The Iowa veterans home shall continue to include in the
 annual discharge report applicant information to provide for
 the collection of demographic information including but not
 limited to the number of individuals applying for admission and
 admitted or denied admittance and the basis for the admission
 or denial; the age, gender, and race of such individuals;
 and the level of care for which such individuals applied for
 admission including residential or nursing level of care.
    3. HOME OWNERSHIP ASSISTANCE PROGRAM
    For transfer to the Iowa finance authority for the
 continuation of the home ownership assistance program for
 persons who are or were eligible members of the armed forces of
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 the United States, pursuant to section 16.54:
 .................................................. $ 2,200,000
    Sec. 2. LIMITATION OF COUNTY COMMISSIONS OF VETERAN AFFAIRS
 FUND STANDING APPROPRIATIONS. Notwithstanding the standing
 appropriation in section 35A.16 for the fiscal year beginning
 July 1, 2024, and ending June 30, 2025, the amount appropriated
 from the general fund of the state pursuant to that section
 for the following designated purposes shall not exceed the
 following amount:
    For the county commissions of veteran affairs fund under
 section 35A.16:
 .................................................. $     990,000
                            DIVISION II
           AGING AND DISABILITY SERVICES —— FY 2024-2025
    Sec. 3. DEPARTMENT OF HEALTH AND HUMAN SERVICES —— AGING
 AND DISABILITY SERVICES. There is appropriated from the
 general fund of the state to the department of health and human
 services for the fiscal year beginning July 1, 2024, and ending
 June 30, 2025, the following amount, or so much thereof as is
 necessary, to be used for the purposes designated:
    For aging programs for the department of health and human
 services and area agencies on aging to provide citizens of
 Iowa who are 60 years of age and older with case management;
 Iowa’s aging and disabilities resource centers; for the
 return to community program; for the purposes of chapter 231E,
 to administer the prevention of elder abuse, neglect, and
 exploitation program pursuant to section 231.56A, in accordance
 with the requirements of the federal Older Americans Act of
 1965, 42 U.S.C. §3001 et seq., as amended; for the reporting
 and evaluation of cases of dependant adult abuse pursuant to
 chapter 235B; and for other services which may include but are
 not limited to adult day, respite care, chore, information
 and assistance, and material aid, for information and options
 counseling for persons with disabilities, and for salaries,
 support, administration, maintenance, and miscellaneous
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 purposes:
 .................................................. $ 19,088,714
    1. Funds appropriated in this section may be used to
 supplement federal funds under federal regulations. To
 receive funds appropriated in this section, a local area
 agency on aging shall match the funds with moneys from other
 sources according to rules adopted by the department. Funds
 appropriated in this section may be used for services not
 specifically enumerated in this section only if approved by the
 department as part of an area agency on aging’s area plan.
    2. Of the funds appropriated in this section, $949,282
 shall be used for the family support center component of the
 comprehensive family support program under chapter 225C,
 subchapter V.
    3. Of the funds appropriated in this section, $33,632 shall
 be used to build community capacity through the coordination
 and provision of training opportunities in accordance with the
 consent decree of Conner v. Branstad, No. 4-86-CV-30871 (S.D.
 Iowa, July 14, 1994).
                           DIVISION III
                BEHAVIORAL HEALTH —— FY 2024-2025
    Sec. 4. DEPARTMENT OF HEALTH AND HUMAN SERVICES ——
 BEHAVIORAL HEALTH. There is appropriated from the general fund
 of the state to the department of health and human services for
 the fiscal year beginning July 1, 2024, and ending June 30,
 2025, the following amount, or so much thereof as is necessary,
 to be used for the purposes designated:
    For behavioral health prevention, treatment, and recovery
 efforts to reduce the prevalence of the use of, provide
 treatment for, and support recovery from tobacco and substance
 use and misuse pursuant to the applicable policy, purpose,
 and intent described in sections 125.1 and 142A.1, alcohol,
 problem gambling, and other addictive behaviors. Activities
 shall align with accepted best practice guidance standards for
 behavioral health including those published by the centers for
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 disease control and prevention and the substance abuse and
 mental health services administration of the United States
 department of health and human services for health promotion;
 universal, selective, and indicated prevention; treatment; and
 recovery services and supports; and shall include a 24-hour
 helpline, public information resources, professional training,
 youth prevention, program evaluation, and efforts at the state
 and local levels:
 .................................................. $ 24,400,114
    1. Of the funds appropriated in this section, $300,000 shall
 be used to support the work of the children’s behavioral health
 system including evidence-based behavioral health prevention,
 treatment, and recovery services and supports for children and
 their families pursuant to the intent specified in section
 225C.6B, subsection 1.
    2. Of the funds appropriated in this section, $950,000
 shall be used for an integrated substance use disorder managed
 care system. The department shall maintain the level of mental
 health and substance use disorder treatment services provided
 by the managed care contractors. The department shall take the
 steps necessary to continue the federal waivers as needed to
 maintain the level of services.
    Sec. 5. DEPARTMENT OF HEALTH AND HUMAN SERVICES —— SPORTS
 WAGERING RECEIPTS FUND. There is appropriated from the sports
 wagering receipts fund created in section 8.57, subsection 6,
 to the department of health and human services for the fiscal
 year beginning July 1, 2024, and ending June 30, 2025, the
 following amount, or so much thereof as is necessary, to be
 used for behavioral health prevention, treatment, and recovery
 efforts to reduce the prevalence of the use of, provide
 treatment for, and support recovery from tobacco and substance
 use and misuse pursuant to the applicable policy, purpose, and
 intent described in sections 125.1 and 142A.1, alcohol, problem
 gambling, and other addictive behaviors:
 .................................................. $ 1,750,000
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                            DIVISION IV
                   PUBLIC HEALTH —— FY 2024-2025
    Sec. 6. DEPARTMENT OF HEALTH AND HUMAN SERVICES —— PUBLIC
 HEALTH. There is appropriated from the general fund of the
 state to the department of health and human services for the
 fiscal year beginning July 1, 2024, and ending June 30, 2025,
 the following amount, or so much thereof as is necessary, to be
 used for the purposes designated:
    For programs that support health promotion, protect the
 health and safety of the public, conduct disease surveillance
 and investigation to reduce the incidence of morbidity and
 mortality, serve individuals with chronic conditions including
 but not limited to cancer, support the Iowa donor registry as
 specified in section 142C.18, and strengthen the health care
 delivery system and workforce to improve health outcomes for
 all Iowans:
 .................................................. $ 22,916,821
    1. Of the funds appropriated in this section, $1,055,000
 shall be used for the brain injury services program pursuant
 to section 135.22B, including $861,000 for contracting with an
 existing nationally affiliated and statewide organization whose
 purpose is to educate, serve, and support Iowans with brain
 injury and their families, for resource facilitator services
 in accordance with section 135.22B, subsection 9, and for
 contracting to enhance brain injury training and recruitment
 of service providers on a statewide basis. Of the amount
 allocated in this subsection, a sufficient amount shall be used
 to support 1.00 full-time equivalent position to serve as the
 state brain injury services program manager.
    2. Of the funds appropriated in this section, $144,000
 shall be used for the public purpose of continuing to contract
 with an existing nationally affiliated organization to provide
 education, client-centered programs, and client and family
 support for people living with epilepsy and their families.
 The amount allocated in this subsection in excess of $50,000
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 shall be matched dollar-for-dollar by the organization
 specified. Funds allocated under this subsection shall be
 distributed in their entirety for the purpose specified on July
 1, 2024.
    3. Of the funds appropriated in this section, $48,000 shall
 be used for a grant to a statewide association of psychologists
 that is affiliated with the American psychological association,
 to be used for continuation of a program to rotate intern
 psychologists in placements that serve urban and rural
 mental health professional shortage areas. Once an intern
 psychologist begins service, the intern psychologist may
 continue serving in the location of the intern psychologist’s
 placement, notwithstanding any change in the mental health
 professional shortage area designation of such location. The
 intern psychologist may also provide services via telehealth
 to underserved populations and to Medicaid members. For the
 purposes of this subsection, “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.
    4. Of the funds appropriated in this section, the following
 amounts are allocated to be used as follows to support the
 goals of increased access, health system integration, and
 engagement:
    a. $600,000 is allocated to the Iowa prescription
 drug corporation for continuation of the pharmaceutical
 infrastructure for safety net providers originally established
 as described in 2007 Iowa Acts, chapter 218, section 108, and
 for the prescription drug donation repository program created
 in chapter 135M. Funds allocated under this paragraph shall
 be distributed in their entirety for the purpose specified on
 July 1, 2024.
    b. $334,000 is allocated to free clinics and free clinics
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 of Iowa for necessary infrastructure, statewide coordination,
 provider recruitment, service delivery, and provision of
 assistance to patients in securing a medical home inclusive of
 oral health care. Funds allocated under this paragraph shall
 be distributed in their entirety for the purpose specified on
 July 1, 2024.
    c. $25,000 is allocated to the Iowa association of rural
 health clinics for necessary infrastructure and service
 delivery transformation. Funds allocated under this paragraph
 shall be distributed in their entirety for the purpose
 specified on July 1, 2024.
    d. $225,000 is allocated to the Polk county medical society
 for continuation of the safety net provider patients access
 to specialty care initiative as described in 2007 Iowa Acts,
 chapter 218, section 109. Funds allocated under this paragraph
 shall be distributed in their entirety for the purpose
 specified on July 1, 2024.
    5. Of the funds appropriated in this section, $2,100,000
 shall be deposited in the medical residency training account
 created in section 135.175, subsection 5, paragraph “a”, and is
 appropriated from the account to the department to be used for
 the purposes of the medical residency training state matching
 grants program as specified in section 135.176.
    6. Of the funds appropriated in this section, $250,000 shall
 be used for the public purpose of providing funding to Des
 Moines university to continue a provider education project that
 provides primary care physicians with the training and skills
 necessary to recognize the signs of mental illness in patients.
    7. Of the funds appropriated in this section, $800,000
 shall be used for rural psychiatric residencies to annually
 fund eight psychiatric residents who will provide mental health
 services in underserved areas of the state.
    8. Of the funds appropriated in this section, $150,000 shall
 be used for psychiatric training to increase access to mental
 health care services by expanding the mental health workforce
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 via training of additional physician assistants and nurse
 practitioners.
    9. Of the funds appropriated in this section, $425,000
 shall be used for the continuation of a centers of excellence
 program for the awarding of two grants to encourage innovation
 and collaboration among regional health care providers in a
 rural area based upon the results of a regional community
 needs assessment to transform health care delivery in order to
 provide quality, sustainable care that meets the needs of the
 local communities. An applicant for the grant shall specify
 how the grant will be expended to accomplish the goals of the
 program and shall provide a detailed five-year sustainability
 plan prior to being awarded any grant. Following receipt
 of the grant, a recipient shall submit periodic reports as
 specified by the department to the governor and the general
 assembly regarding the recipient’s expenditure of the grant and
 progress in accomplishing the program’s goals.
    10. Of the funds appropriated in this section, $560,000
 shall be deposited in the state-funded family medicine
 obstetrics fellowship program fund to be used for the
 state-funded family medicine obstetrics fellowship program, in
 accordance with section 135.193.
    11. The