House File 891 - Enrolled
House File 891
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.
6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 DIVISION I
2 DEPARTMENT ON AGING —— FY 2021-2022
3 Section 1. DEPARTMENT ON AGING. There is appropriated from
4 the general fund of the state to the department on aging for
5 the fiscal year beginning July 1, 2021, and ending June 30,
6 2022, the following amount, or so much thereof as is necessary,
7 to be used for the purposes designated:
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8 For aging programs for the department on aging and area
9 agencies on aging to provide citizens of Iowa who are 60
10 years of age and older with case management, Iowa’s aging and
11 disabilities resource center, and other services which may
12 include but are not limited to adult day, respite care, chore,
13 information and assistance, and material aid, for information
14 and options counseling for persons with disabilities who
15 are 18 years of age or older, and for salaries, support,
16 administration, maintenance, and miscellaneous purposes, and
17 for not more than the following full-time equivalent positions:
18 .................................................. $ 11,304,082
19 ............................................... FTEs 27.00
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 elderly services
26 not specifically enumerated in this section only if approved
27 by an area agency on aging for provision of the service within
28 the area.
29 2. Of the funds appropriated in this section, $418,700 is
30 transferred to the economic development authority for the Iowa
31 commission on volunteer services to be used for the retired and
32 senior volunteer program.
33 3. a. The department on aging shall establish and enforce
34 procedures relating to expenditure of state and federal funds
35 by area agencies on aging that require compliance with both
1 state and federal laws, rules, and regulations, including but
2 not limited to all of the following:
3 (1) Requiring that expenditures are incurred only for goods
4 or services received or performed prior to the end of the
5 fiscal period designated for use of the funds.
6 (2) Prohibiting prepayment for goods or services not
7 received or performed prior to the end of the fiscal period
8 designated for use of the funds.
9 (3) Prohibiting prepayment for goods or services not
10 defined specifically by good or service, time period, or
11 recipient.
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12 (4) Prohibiting the establishment of accounts from which
13 future goods or services which are not defined specifically by
14 good or service, time period, or recipient, may be purchased.
15 b. The procedures shall provide that if any funds are
16 expended in a manner that is not in compliance with the
17 procedures and applicable federal and state laws, rules, and
18 regulations, and are subsequently subject to repayment, the
19 area agency on aging expending such funds in contravention of
20 such procedures, laws, rules and regulations, not the state,
21 shall be liable for such repayment.
22 4. Of the funds appropriated in this section, at least
23 $600,000 shall be used to fund home and community-based
24 services through the area agencies on aging that enable older
25 individuals to avoid more costly utilization of residential or
26 institutional services and remain in their own homes.
27 5. Of the funds appropriated in this section, $812,000 shall
28 be used for the purposes of chapter 231E and to administer
29 the prevention of elder abuse, neglect, and exploitation
30 program pursuant to section 231.56A, in accordance with the
31 requirements of the federal Older Americans Act of 1965, 42
32 U.S.C. §3001 et seq., as amended.
33 6. Of the funds appropriated in this section, $1,000,000
34 shall be used to fund continuation of the aging and disability
35 resource center lifelong links to provide individuals and
1 caregivers with information and services to plan for and
2 maintain independence.
3 7. Of the funds appropriated in this section, $250,000
4 shall be used by the department on aging, in collaboration with
5 the department of human services and affected stakeholders,
6 to continue to expand the pilot initiative to provide
7 long-term care options counseling utilizing support planning
8 protocols, to assist non-Medicaid eligible consumers who
9 indicate a preference to return to the community and are
10 deemed appropriate for discharge, to return to their community
11 following a nursing facility stay. The department on aging
12 shall submit a report regarding the outcomes of the pilot
13 initiative to the governor and the general assembly by December
14 15, 2021.
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15 DIVISION II
16 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2021-2022
17 Sec. 2. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is
18 appropriated from the general fund of the state to the office
19 of long-term care ombudsman for the fiscal year beginning July
20 1, 2021, and ending June 30, 2022, the following amount, or
21 so much thereof as is necessary, to be used for the purposes
22 designated:
23 For salaries, support, administration, maintenance, and
24 miscellaneous purposes, and for not more than the following
25 full-time equivalent positions:
26 .................................................. $ 1,149,821
27 ............................................... FTEs 16.00
28 DIVISION III
29 DEPARTMENT OF PUBLIC HEALTH —— FY 2021-2022
30 Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriated
31 from the general fund of the state to the department of public
32 health for the fiscal year beginning July 1, 2021, and ending
33 June 30, 2022, the following amounts, or so much thereof as is
34 necessary, to be used for the purposes designated:
35 1. ADDICTIVE DISORDERS
1 For reducing the prevalence of the use of tobacco, alcohol,
2 and other drugs, and treating individuals affected by addictive
3 behaviors, including gambling, and for not more than the
4 following full-time equivalent positions:
5 .................................................. $ 23,659,379
6 ............................................... FTEs 12.00
7 a. (1) Of the funds appropriated in this subsection,
8 $4,020,894 shall be used for the tobacco use prevention
9 and control initiative, including efforts at the state and
10 local levels, as provided in chapter 142A. The commission
11 on tobacco use prevention and control established pursuant
12 to section 142A.3 shall advise the director of public health
13 in prioritizing funding needs and the allocation of moneys
14 appropriated for the programs and initiatives. Activities
15 of the programs and initiatives shall be in alignment with
16 the United States centers for disease control and prevention
17 best practices for comprehensive tobacco control programs
18 that include the goals of preventing youth initiation of
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19 tobacco usage, reducing exposure to secondhand smoke, and
20 promotion of tobacco cessation. To maximize resources,
21 the department shall determine if third-party sources are
22 available to instead provide nicotine replacement products
23 to an applicant prior to provision of such products to an
24 applicant under the initiative. The department shall track and
25 report to the governor and the general assembly any reduction
26 in the provision of nicotine replacement products realized
27 by the initiative through implementation of the prerequisite
28 screening.
29 (2) (a) The department shall collaborate with the
30 alcoholic beverages division of the department of commerce for
31 enforcement of tobacco laws, regulations, and ordinances and to
32 engage in tobacco control activities approved by the division
33 of tobacco use prevention and control of the department of
34 public health as specified in the memorandum of understanding
35 entered into between the divisions.
1 (b) For the fiscal year beginning July 1, 2021, and ending
2 June 30, 2022, the terms of the memorandum of understanding,
3 entered into between the division of tobacco use prevention
4 and control of the department of public health and the
5 alcoholic beverages division of the department of commerce,
6 governing compliance checks conducted to ensure licensed retail
7 tobacco outlet conformity with tobacco laws, regulations, and
8 ordinances relating to persons under 21 years of age, shall
9 continue to restrict the number of such checks to one check per
10 retail outlet, and one additional check for any retail outlet
11 found to be in violation during the first check.
12 b. (1) Of the funds appropriated in this subsection,
13 $19,638,485 shall be used for problem gambling and
14 substance-related disorder prevention, treatment, and recovery
15 services, including a 24-hour helpline, public information
16 resources, professional training, youth prevention, and program
17 evaluation.
18 (2) Of the amount allocated under this paragraph, $306,000
19 shall be utilized by the department of public health, in
20 collaboration with the department of human services, to
21 maintain a single statewide 24-hour crisis hotline for the Iowa
22 children’s behavioral health system that incorporates warmline
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23 services which may be provided through expansion of existing
24 capabilities maintained by the department of public health as
25 required pursuant to 2018 Iowa Acts, chapter 1056, section 16.
26 c. The requirement of section 123.17, subsection 5, is met
27 by the appropriations and allocations made in this division of
28 this Act for purposes of substance-related disorder treatment
29 and addictive disorders for the fiscal year beginning July 1,
30 2021.
31 2. HEALTHY CHILDREN AND FAMILIES
32 For promoting the optimum health status for children and
33 adolescents from birth through 21 years of age, and families,
34 and for not more than the following full-time equivalent
35 positions:
1 .................................................. $ 5,816,681
2 ............................................... FTEs 14.00
3 a. Of the funds appropriated in this subsection, not more
4 than $734,000 shall be used for the healthy opportunities for
5 parents to experience success (HOPES)-healthy families Iowa
6 (HFI) program established pursuant to section 135.106.
7 b. In order to implement the legislative intent stated
8 in sections 135.106 and 256I.9, priority for home visitation
9 program funding shall be given to programs using evidence-based
10 or promising models for home visitation.
11 c. Of the funds appropriated in this subsection, $3,075,000
12 shall be used for continuation of the department’s initiative
13 to provide for adequate developmental surveillance and
14 screening during a child’s first five years. The funds shall
15 be used first to fully fund the current sites to ensure that
16 the sites are fully operational, with the remaining funds
17 to be used for expansion to additional sites. The full
18 implementation and expansion shall include enhancing the scope
19 of the initiative through collaboration with the child health
20 specialty clinics to promote healthy child development through
21 early identification and response to both biomedical and social
22 determinants of healthy development; by monitoring child
23 health metrics to inform practice, document long-term health
24 impacts and savings, and provide for continuous improvement
25 through training, education, and evaluation; and by providing
26 for practitioner consultation particularly for children with
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27 behavioral conditions and needs. The department of public
28 health shall also collaborate with the Iowa Medicaid enterprise
29 and the child health specialty clinics to integrate the
30 activities of the first five initiative into the establishment
31 of patient-centered medical homes, community utilities,
32 accountable care organizations, and other integrated care
33 models developed to improve health quality and population
34 health while reducing health care costs. To the maximum extent
35 possible, funding allocated in this paragraph shall be utilized
1 as matching funds for medical assistance program reimbursement.
2 d. Of the funds appropriated in this subsection, $64,000
3 shall be distributed to a statewide dental carrier to provide
4 funds to continue the donated dental services program patterned
5 after the projects developed by the dental lifeline network to
6 provide dental services to indigent individuals who are elderly
7 or with disabilities.
8 e. Of the funds appropriated in this subsection, $156,000
9 shall be used to provide audiological services and hearing aids
10 for children.
11 f. Of the funds appropriated in this subsection, $23,000 is
12 transferred to the university of Iowa college of dentistry for
13 provision of primary dental services to children. State funds
14 shall be matched on a dollar-for-dollar basis. The university
15 of Iowa college of dentistry shall coordinate efforts with the
16 department of public health, oral and health delivery system
17 bureau, to provide dental care to underserved populations
18 throughout the state.
19 g. Of the funds appropriated in this subsection, $50,000
20 shall be used to address youth suicide prevention.
21 h. Of the funds appropriated in this subsection, $40,000
22 shall be used to support the Iowa effort to address the survey
23 of children who experience adverse childhood experiences known
24 as ACEs.
25 i. Of the funds appropriated in this subsection, up to
26 $494,000 shall be used for childhood obesity prevention.
27 3. CHRONIC CONDITIONS
28 For serving individuals identified as having chronic
29 conditions or special health care needs, and for not more than
30 the following full-time equivalent positions:
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31 .................................................. $ 4,258,373
32 ............................................... FTEs 10.00
33 a. Of the funds appropriated in this subsection, $188,000
34 shall be used for grants to individual patients who have an
35 inherited metabolic disorder to assist with the costs of
1 medically necessary foods and formula.
2 b. Of the funds appropriated in this subsection, $1,055,000
3 shall be used for the brain injury services program pursuant
4 to section 135.22B, including $861,000 for contracting with an
5 existing nationally affiliated and statewide organization whose
6 purpose is to educate, serve, and support Iowans with brain
7 injury and their families, for resource facilitator services
8 in accordance with section 135.22B, subsection 9, and for
9 contracting to enhance brain injury training and recruitment
10 of service providers on a statewide basis. Of the amount
11 allocated in this paragraph, $95,000 shall be used to fund
12 1.00 full-time equivalent position to serve as the state brain
13 injury services program manager.
14 c. Of the funds appropriated in this subsection, $144,000
15 shall be used for the public purpose of continuing to contract
16 with an existing nationally affiliated organization to provide
17 education, client-centered programs, and client and family
18 support for people living with epilepsy and their families.
19 The amount allocated in this paragraph in excess of $50,000
20 shall be matched dollar-for-dollar by the organization
21 specified. Funds allocated under this paragraph shall be
22 distributed in their entirety for the purpose specified on July
23 1, 2021.
24 d. Of the funds appropriated in this subsection, $809,000
25 shall be used for child health specialty clinics.
26 e. Of the funds appropriated in this subsection, $384,000
27 shall be used by the regional autism assistance program
28 established pursuant to section 256.35, and administered by
29 the child health specialty clinic located at the university of
30 Iowa hospitals and clinics. The funds shall be used to enhance
31 interagency collaboration and coordination of educational,
32 medical, and other human services for persons with autism,
33 their families, and providers of services, including delivering
34 regionalized services of care coordination, family navigation,
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35 and integration of services through the statewide system of
1 regional child health specialty clinics