House File 2698 - Enrolled
House File 2698
AN ACT
RELATING TO AND MAKING APPROPRIATIONS FOR VETERANS AND HEALTH
AND HUMAN SERVICES, INCLUDING OTHER RELATED PROVISIONS AND
APPROPRIATIONS INCLUDING BUT NOT LIMITED TO THE PERSONAL
NEEDS ALLOWANCE FOR CERTAIN PERSONS UNDER MEDICAID AND
THE STATE SUPPLEMENTARY ASSISTANCE PROGRAMS, REPLACEMENT
GENERATION TAX REVENUES, THE MEDICAID FRAUD AND HEALTH CARE
TRUST FUNDS, THE RETENTION OF CERTAIN REVENUES BY THE MENTAL
HEALTH INSTITUTES, THE RETENTION OF MEDICAID ELIGIBILITY
BY RESIDENTS OF MENTAL HEALTH INSTITUTES, THE SCOPE OF
SERVICES OF THE STATE RESOURCE CENTERS, THE APPROPRIATION
OF MONEYS IN THE JUVENILE DETENTION HOME FUND, THE FAMILY
INVESTMENT PROGRAM ACCOUNT AND DIVERSION PROGRAM, THE CHILD
SUPPORT COLLECTION SERVICES CENTER REFUND ACCOUNT, THE
QUALITY ASSURANCE ASSESSMENT PAYMENT PERIOD, THE CENTERS
OF EXCELLENCE GRANT PROGRAM, AN ASSISTED LIVING PROGRAM
REVISED PAYMENT MODEL STUDY, FUNDING FOR COUNTY COMMISSIONS
OF VETERAN AFFAIRS, FOSTER CARE PROVISIONS INCLUDING
THOSE RELATING TO A RELATIVE OR FICTIVE KIN, HEALTH CARE
EMPLOYMENT AGENCIES AND HEALTH CARE TECHNOLOGY PLATFORMS,
MEDICAL CANNABIDIOL PRACTITIONER REQUIREMENTS, NURSING
FACILITY OVERSIGHT, AND STATE-FUNDED PSYCHIATRY RESIDENCY
AND FELLOWSHIP POSITIONS, PROVIDING PENALTIES, AND INCLUDING
EFFECTIVE DATE AND RETROACTIVE APPLICABILITY PROVISIONS.
24 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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1 DIVISION I
2 DEPARTMENT OF VETERANS AFFAIRS —— FY 2024-2025
3 Section 1. DEPARTMENT OF VETERANS AFFAIRS. There is
4 appropriated from the general fund of the state to the
5 department of veterans affairs for the fiscal year beginning
6 July 1, 2024, and ending June 30, 2025, the following amounts,
7 or so much thereof as is necessary, to be used for the purposes
8 designated:
9 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION
10 For salaries, support, maintenance, and miscellaneous
11 purposes, and for not more than the following full-time
12 equivalent positions:
13 .................................................. $ 1,369,205
14 ............................................... FTEs 15.00
15 2. IOWA VETERANS HOME
16 For salaries, support, maintenance, and miscellaneous
17 purposes:
18 .................................................. $ 8,145,736
19 a. The Iowa veterans home billings involving the department
20 of health and human services shall be submitted to the
21 department on at least a monthly basis.
22 b. The Iowa veterans home expenditure report shall be
23 submitted monthly to the general assembly.
24 3. HOME OWNERSHIP ASSISTANCE PROGRAM
25 For transfer to the Iowa finance authority for the
26 continuation of the home ownership assistance program for
27 persons who are or were eligible members of the armed forces of
28 the United States, pursuant to section 16.54:
29 .................................................. $ 2,200,000
30 DIVISION II
31 AGING AND DISABILITY SERVICES —— FY 2024-2025
32 Sec. 2. DEPARTMENT OF HEALTH AND HUMAN SERVICES —— AGING
33 AND DISABILITY SERVICES. There is appropriated from the
34 general fund of the state to the department of health and human
35 services for the fiscal year beginning July 1, 2024, and ending
1 June 30, 2025, the following amount, or so much thereof as is
2 necessary, to be used for the purposes designated:
3 For aging programs for the department of health and human
4 services and area agencies on aging to provide citizens of
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5 Iowa who are 60 years of age and older with case management;
6 Iowa’s aging and disabilities resource centers; for the
7 return to community program; for the purposes of chapter 231E,
8 to administer the prevention of elder abuse, neglect, and
9 exploitation program pursuant to section 231.56A, in accordance
10 with the requirements of the federal Older Americans Act of
11 1965, 42 U.S.C. §3001 et seq., as amended; for the reporting
12 and evaluation of cases of dependant adult abuse pursuant to
13 chapter 235B; and for other services which may include but are
14 not limited to adult day, respite care, chore, information
15 and assistance, and material aid, for information and options
16 counseling for persons with disabilities, and for salaries,
17 support, administration, maintenance, and miscellaneous
18 purposes:
19 .................................................. $ 19,088,714
20 1. Funds appropriated in this section may be used to
21 supplement federal funds under federal regulations. To
22 receive funds appropriated in this section, a local area
23 agency on aging shall match the funds with moneys from other
24 sources according to rules adopted by the department. Funds
25 appropriated in this section may be used for services not
26 specifically enumerated in this section only if approved by the
27 department as part of an area agency on aging’s area plan.
28 2. Of the funds appropriated in this section, $949,282
29 shall be used for the family support center component of the
30 comprehensive family support program under chapter 225C,
31 subchapter V.
32 3. Of the funds appropriated in this section, $33,632 shall
33 be used to build community capacity through the coordination
34 and provision of training opportunities in accordance with the
35 consent decree of Conner v. Branstad, No. 4-86-CV-30871 (S.D.
1 Iowa, July 14, 1994).
2 DIVISION III
3 BEHAVIORAL HEALTH —— FY 2024-2025
4 Sec. 3. DEPARTMENT OF HEALTH AND HUMAN SERVICES ——
5 BEHAVIORAL HEALTH. There is appropriated from the general fund
6 of the state to the department of health and human services for
7 the fiscal year beginning July 1, 2024, and ending June 30,
8 2025, the following amount, or so much thereof as is necessary,
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9 to be used for the purposes designated:
10 For behavioral health prevention, treatment, and recovery
11 efforts to reduce the prevalence of the use of, provide
12 treatment for, and support recovery from tobacco and substance
13 use and misuse pursuant to the applicable policy, purpose,
14 and intent described in sections 125.1 and 142A.1, alcohol,
15 problem gambling, and other addictive behaviors. Activities
16 shall align with accepted best practice guidance standards for
17 behavioral health including those published by the centers for
18 disease control and prevention and the substance abuse and
19 mental health services administration of the United States
20 department of health and human services for health promotion;
21 universal, selective, and indicated prevention; treatment; and
22 recovery services and supports; and shall include a 24-hour
23 helpline, public information resources, professional training,
24 youth prevention, program evaluation, and efforts at the state
25 and local levels:
26 .................................................. $ 24,400,114
27 1. Of the funds appropriated in this section, $300,000 shall
28 be used to support the work of the children’s behavioral health
29 system including evidence-based behavioral health prevention,
30 treatment, and recovery services and supports for children and
31 their families pursuant to the intent specified in section
32 225C.6B, subsection 1.
33 2. Of the funds appropriated in this section, $950,000
34 shall be used for an integrated substance use disorder managed
35 care system. The department shall maintain the level of mental
1 health and substance use disorder treatment services provided
2 by the managed care contractors. The department shall take the
3 steps necessary to continue the federal waivers as needed to
4 maintain the level of services.
5 Sec. 4. DEPARTMENT OF HEALTH AND HUMAN SERVICES —— SPORTS
6 WAGERING RECEIPTS FUND. There is appropriated from the sports
7 wagering receipts fund created in section 8.57, subsection 6,
8 to the department of health and human services for the fiscal
9 year beginning July 1, 2024, and ending June 30, 2025, the
10 following amount, or so much thereof as is necessary, to be
11 used for behavioral health prevention, treatment, and recovery
12 efforts to reduce the prevalence of the use of, provide
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13 treatment for, and support recovery from tobacco and substance
14 use and misuse pursuant to the applicable policy, purpose, and
15 intent described in sections 125.1 and 142A.1, alcohol, problem
16 gambling, and other addictive behaviors:
17 .................................................. $ 1,750,000
18 DIVISION IV
19 PUBLIC HEALTH —— FY 2024-2025
20 Sec. 5. DEPARTMENT OF HEALTH AND HUMAN SERVICES —— PUBLIC
21 HEALTH. There is appropriated from the general fund of the
22 state to the department of health and human services for the
23 fiscal year beginning July 1, 2024, and ending June 30, 2025,
24 the following amount, or so much thereof as is necessary, to be
25 used for the purposes designated:
26 For programs that support health promotion, protect the
27 health and safety of the public, conduct disease surveillance
28 and investigation to reduce the incidence of morbidity and
29 mortality, serve individuals with chronic conditions including
30 but not limited to cancer, support the Iowa donor registry as
31 specified in section 142C.18, and strengthen the health care
32 delivery system and workforce to improve health outcomes for
33 all Iowans:
34 .................................................. $ 22,531,821
35 1. Of the funds appropriated in this section, $2,100,000
1 shall be deposited in the medical residency training account
2 created in section 135.175, subsection 5, paragraph “a”, and is
3 appropriated from the account to the department to be used for
4 the purposes of the medical residency training state matching
5 grants program as specified in section 135.176.
6 2. Of the funds appropriated in this section, the following
7 amounts are allocated to be used as follows to support the
8 goals of increased access, health system integration, and
9 engagement:
10 a. $600,000 is allocated to the Iowa prescription
11 drug corporation for continuation of the pharmaceutical
12 infrastructure for safety net providers originally established
13 as described in 2007 Iowa Acts, chapter 218, section 108, and
14 for the prescription drug donation repository program created
15 in chapter 135M. Funds allocated under this paragraph shall
16 be distributed in their entirety for the purpose specified on
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17 July 1, 2024.
18 b. $374,000 is allocated to free clinics and free clinics
19 of Iowa for necessary infrastructure, statewide coordination,
20 provider recruitment, service delivery, and provision of
21 assistance to patients in securing a medical home inclusive
22 of oral health care. Of the funds allocated, $40,000 shall
23 be used to cover fees associated with using an electronic
24 prescribing system. Funds allocated under this paragraph shall
25 be distributed in their entirety for the purpose specified on
26 July 1, 2024.
27 c. $25,000 is allocated to the Iowa association of rural
28 health clinics for necessary infrastructure and service
29 delivery transformation. Funds allocated under this paragraph
30 shall be distributed in their entirety for the purpose
31 specified on July 1, 2024.
32 d. $225,000 is allocated to the Polk county medical society
33 for continuation of the safety net provider patients access
34 to specialty care initiative as described in 2007 Iowa Acts,
35 chapter 218, section 109. Funds allocated under this paragraph
1 shall be distributed in their entirety for the purpose
2 specified on July 1, 2024.
3 3. Of the funds appropriated in this section, $800,000
4 shall be used for rural psychiatric residencies to annually
5 fund eight psychiatric residents who will provide mental health
6 services in underserved areas of the state.
7 4. Of the funds appropriated in this section, $560,000 shall
8 be deposited in the state-funded family medicine obstetrics
9 fellowship program fund to be used for the state-funded family
10 medicine obstetrics fellowship program, in accordance with
11 section 135.193.
12 5. The department shall work with the board established
13 in chapter 135D to develop plans for program enhancements
14 in the Iowa health information network for the purpose of
15 empowering Iowa patients to access and direct their health
16 information utilizing the Iowa health information network.
17 Program enhancements shall protect data privacy, facilitate the
18 interchange of health data for the purpose of improving public
19 health outcomes, and increase participation by health care
20 providers.
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21 6. The university of Iowa hospitals and clinics under
22 the control of the state board of regents shall not receive
23 indirect costs from the funds appropriated in this section.
24 The university of Iowa hospitals and clinics billings to the
25 department shall be on at least a quarterly basis.
26 DIVISION V
27 COMMUNITY ACCESS AND ELIGIBILITY —— FY 2024-2025
28 Sec. 6. DEPARTMENT OF HEALTH AND HUMAN SERVICES —— COMMUNITY
29 ACCESS AND ELIGIBILITY. There is appropriated from the
30 general fund of the state to the department of health and human
31 services for the fiscal year beginning July 1, 2024, and ending
32 June 30, 2025, the following amount, or so much thereof as is
33 necessary, to be used for the purposes designated:
34 To be used for salaries, support, maintenance, and
35 miscellaneous purposes and for family investment program (FIP)
1 assistance in accordance with chapter 239B, and for other costs
2 associated with providing needs-based benefits or assistance
3 including but not limited to maternal and child health, oral
4 health, obesity prevention, the promoting independence and
5 self-sufficiency through employment, job opportunities and
6 basic skills (PROMISE JOBS) program, supplemental nutrition
7 assistance program (SNAP) employment and training, the FIP
8 diversion program, family planning, rent reimbursement,
9 and eligibility determinations for medical assistance, food
10 assistance, and the children’s health insurance program:
11 .................................................. $ 68,043,944
12 1. Of the child support collections assigned under FIP,
13 the federal share of support collections shall be credited to
14 the child support services appropriation made in this division
15 of this Act. Of the remainder of the assigned child support
16 collections received by child support services, a portion
17 shall be credited to community access and eligibility, and
18 the remaining funds may be used to increase recoveries, to
19 sustain cash flow in the child support payments account, or for
20 technology needs. If child support collections assigned under
21 FIP are greater than estimated or are otherwise determined not
22 to be required for maintenance of effort, the state share of
23 either amount may be transferred to or retained in the child
24 support payments account.
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25 2. Of the funds appropriated in this section, $3,075,000
26 shall be used for continuation of the department’s initiative
27 to provide for adequate developmental surveillance and
28 screening during a child’s first five years. The funds shall
29 be used first to fully fund the current participating counties
30 to ensure that those counties are fully operational, with the
31 remaining funds to be used for expanding participation to
32 additional counties. The full implementation and expansion
33 shall include enhancing the scope of the initiative through
34 collaboration with the child health specialty clinics to
35 promote the use of developmental surveillance and screening to
1 support healthy child development through early identification
2 and response to both biomedical and social determinants of
3 healthy development by providing practitioner consultation
4 and continuous improvement through training and education,
5 particularly for children with behavioral conditions and
6 needs. The department shall also collaborate with the Medicaid
7 program and the child health specialty clinics to assist in
8 coordinating the activities of the first five initiative into
9 the establishment of patient-centered medical homes developed
10 to improve health quality and population health while reducing
11 health care costs. To the maximum extent possible, funding
12 allocated in this subsection shall be utilized as matching
13 funds for Medicaid program reimbursement.
14 3. Of the funds appropriated in this section, $1,145,102
15 is allocated to the Iowa commission on volunteer service for
16 programs and grants.
17 4. The university of Iowa hospitals and clinics under
18 the control of the state board of regents shall not receive
19 indirect costs from the funds appropriated