House Study Bill 243 - Introduced
SENATE/HOUSE FILE _____
BY (PROPOSED GOVERNOR BUDGET
BILL)
A BILL FOR
1 An Act appropriating federal moneys made available from federal
2 block grants and other nonstate sources following state
3 government realignment, allocating portions of federal
4 block grants, and providing procedures if federal moneys
5 or federal block grants are more or less than anticipated,
6 and including effective date and retroactive applicability
7 provisions.
8 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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1 DIVISION I
2 FFY 2023-2024 AND 2024-2025
3 Section 1. SUBSTANCE ABUSE APPROPRIATIONS.
4 1. a. There is appropriated from the fund created by
5 section 8.41 to the department of health and human services for
6 the following federal fiscal years beginning October 1, and
7 ending September 30, the following amounts:
8 FFY 2023-2024:.................................... $ 13,204,014
9 FFY 2024-2025:.................................... $ 13,204,014
10 b. The appropriations made in this subsection are in the
11 amounts anticipated to be received from the federal government
12 for the designated federal fiscal years under 42 U.S.C. ch.
13 6A, subch. XVII, part B, subpart ii, which provides for the
14 prevention and treatment of substance abuse block grant.
15 The department shall expend the moneys appropriated in this
16 subsection as provided in the federal law making the moneys
17 available and in conformance with chapter 17A.
18 c. Of the moneys appropriated for each federal fiscal year
19 in this subsection, an amount not exceeding 5 percent shall be
20 used by the department for administrative expenses.
21 d. (1) For the state fiscal year beginning July 1, 2023,
22 the department shall expend no less than an amount equal to
23 the amount expended for treatment services in the state fiscal
24 year beginning July 1, 2022, for pregnant women and women with
25 dependent children.
26 (2) For the state fiscal year beginning July 1, 2024, the
27 department shall expend no less than an amount equal to the
28 amount expended for treatment services in the state fiscal
29 year beginning July 1, 2023, for pregnant women and women with
30 dependent children.
31 2. At least 20 percent of the moneys remaining from the
32 appropriation made in subsection 1 for each federal fiscal year
33 shall be allocated for prevention programs.
34 3. In implementing the federal prevention and treatment
35 of substance abuse block grant under 42 U.S.C. ch. 6A, subch.
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1 XVII, and any other applicable provisions of the federal Public
2 Health Service Act under 42 U.S.C. ch. 6A, the department shall
3 apply the provisions of Pub. L. No. 106-310, §3305, as codified
4 in 42 U.S.C. §300x-65, relating to services under such federal
5 law being provided by religious and other nongovernmental
6 organizations.
7 Sec. 2. COMMUNITY MENTAL HEALTH SERVICES APPROPRIATIONS.
8 1. a. There is appropriated from the fund created by
9 section 8.41 to the department of health and human services for
10 the following federal fiscal years beginning October 1, and
11 ending September 30, the following amounts:
12 FFY 2023-2024:.................................... $ 5,641,385
13 FFY 2024-2025:.................................... $ 5,641,385
14 b. The appropriations made in this subsection are in the
15 amounts anticipated to be received from the federal government
16 for the designated federal fiscal years under 42 U.S.C. ch.
17 6A, subch. XVII, part B, subpart i, which provides for the
18 community mental health services block grant. The department
19 shall expend the moneys appropriated in this subsection as
20 provided in the federal law making the moneys available and in
21 conformance with chapter 17A.
22 c. The department shall allocate not less than 95 percent
23 of the amount of the block grant each federal fiscal year for
24 eligible community mental health services for carrying out
25 the plan submitted to and approved by the federal substance
26 abuse and mental health services administration or required
27 by the federal substance abuse and mental health services
28 administration for the fiscal year involved.
29 d. Of the amount allocated to eligible services providers
30 in paragraph “c”, 70 percent of the amount each federal
31 fiscal year shall be distributed to the state’s accredited
32 community mental health centers established in accordance with
33 chapter 230A or applicable administrative rule. The funding
34 distributed shall be used by recipients of the funding for
35 the purpose of staff training or services to adults with a
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1 serious mental illness and children with a serious emotional
2 disturbance. The distribution amounts shall be announced at
3 the beginning of the federal fiscal year and distributed on
4 a quarterly basis. Recipients of the funding shall submit
5 quarterly reports to the department of health and human
6 services containing data consistent with the performance
7 measures approved by the federal substance abuse and mental
8 health services administration.
9 2. An amount not exceeding 5 percent of the moneys
10 appropriated in subsection 1 for each federal fiscal year shall
11 be used by the department of health and human services for
12 administrative expenses. From the moneys set aside by this
13 subsection for administrative expenses, the department shall
14 pay to the auditor of state an amount sufficient to pay the
15 cost of auditing the use and administration of the state’s
16 portion of the moneys appropriated in subsection 1. The
17 auditor of state shall bill the department for the costs of the
18 audits.
19 Sec. 3. MATERNAL AND CHILD HEALTH SERVICES APPROPRIATIONS.
20 1. a. There is appropriated from the fund created by
21 section 8.41 to the department of health and human services for
22 the following federal fiscal years beginning October 1, and
23 ending September 30, the following amounts:
24 FFY 2023-2024:.................................... $ 6,611,198
25 FFY 2024-2025:.................................... $ 6,611,198
26 b. The appropriations made in this subsection are in the
27 amounts anticipated to be received from the federal government
28 for the designated federal fiscal years under 42 U.S.C. ch.
29 7, subch. V, which provides for the maternal and child health
30 services block grant. The department shall expend the moneys
31 appropriated in this subsection as provided in the federal law
32 making the moneys available and in conformance with chapter
33 17A.
34 c. Moneys appropriated in this subsection shall not be used
35 by the university of Iowa hospitals and clinics for indirect
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1 costs.
2 2. An amount not exceeding 10 percent of the moneys
3 appropriated in subsection 1 for each federal fiscal year shall
4 be used by the department of health and human services for
5 administrative expenses.
6 3. The department of health and human services, department
7 of education, and the university of Iowa’s mobile and regional
8 child health specialty clinics shall continue to pursue to the
9 maximum extent feasible the coordination and integration of
10 services to women and children.
11 4. a. Sixty-three percent of the amount remaining after the
12 allocation made in subsection 2 for each federal fiscal year
13 shall be allocated to supplement appropriations for maternal
14 and child health programs within the department of health and
15 human services. Of these moneys, the following amounts shall
16 be set aside for the statewide perinatal care program for the
17 following federal fiscal years:
18 FFY 2023-2024:.................................... $ 300,291
19 FFY 2024-2025:.................................... $ 300,291
20 b. Thirty-seven percent of the amount remaining after
21 the allocation made in subsection 2 for each federal fiscal
22 year shall be allocated to the university of Iowa hospitals
23 and clinics under the control of the state board of regents
24 for mobile and regional child health specialty clinics. The
25 university of Iowa hospitals and clinics shall not receive an
26 allocation for indirect costs from the moneys for this program.
27 Priority shall be given to establishment and maintenance of a
28 statewide system of mobile and regional child health specialty
29 clinics.
30 5. The department of health and human services shall
31 administer the statewide maternal and child health program
32 and the disabled children’s program by conducting mobile and
33 regional child health specialty clinics and conducting other
34 activities to improve the health of low-income women and
35 children and to promote the welfare of children with actual
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1 or potential handicapping conditions and chronic illnesses
2 in accordance with the requirements of Tit. V of the federal
3 Social Security Act.
4 Sec. 4. PREVENTIVE HEALTH AND HEALTH SERVICES
5 APPROPRIATIONS.
6 1. a. There is appropriated from the fund created by
7 section 8.41 to the department of health and human services for
8 the following federal fiscal years beginning October 1, and
9 ending September 30, the following amounts:
10 FFY 2023-2024:.................................... $ 1,697,468
11 FFY 2024-2025:.................................... $ 1,697,468
12 b. The appropriations made in this subsection are in the
13 amounts anticipated to be received from the federal government
14 for the designated federal fiscal years under 42 U.S.C. ch. 6A,
15 subch. XVII, part A, which provides for the preventive health
16 and health services block grant. The department shall expend
17 the moneys appropriated in this subsection as provided in the
18 federal law making the moneys available and in conformance with
19 chapter 17A.
20 2. Of the moneys appropriated in subsection 1 for each
21 federal fiscal year, an amount not exceeding 10 percent shall
22 be used by the department for administrative expenses.
23 3. Of the moneys appropriated in subsection 1 for each
24 federal fiscal year, the specific amount of moneys stipulated
25 by the notice of the block grant award shall be allocated
26 for services to victims of sex offenses and for sex offense
27 prevention.
28 4. After deducting the moneys allocated in subsections 2 and
29 3, the remaining moneys appropriated in subsection 1 for each
30 federal fiscal year may be used by the department for healthy
31 people 2030 and Iowa’s health improvement plan 2023-2027
32 program objectives, preventive health advisory committee, and
33 risk reduction services, including nutrition programs, health
34 incentive programs, chronic disease services, emergency medical
35 services, monitoring of the fluoridation program and start-up
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1 fluoridation grants, and acquired immune deficiency syndrome
2 services. The moneys specified in this subsection shall not be
3 used by the university of Iowa hospitals and clinics or by the
4 state hygienic laboratory for the funding of indirect costs.
5 Sec. 5. RESIDENTIAL SUBSTANCE ABUSE TREATMENT FOR STATE
6 PRISONERS FORMULA GRANT PROGRAM APPROPRIATIONS. There is
7 appropriated from the fund created by section 8.41 to the
8 office of drug control policy of the department of public
9 safety for the following federal fiscal years beginning October
10 1, and ending September 30, the following amounts:
11 FFY 2023-2024:.................................... $ 291,874
12 FFY 2024-2025:.................................... $ 364,122
13 The appropriations made in this section are the amounts
14 anticipated to be received from the federal government for the
15 designated federal fiscal years under 42 U.S.C. ch. 46, subch.
16 XII-G, which provides grants for substance abuse treatment
17 programs in state and local correctional facilities. The drug
18 policy coordinator shall expend the moneys appropriated in
19 this section as provided in the federal law making the moneys
20 available and in conformance with chapter 17A.
21 Sec. 6. EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT
22 PROGRAM APPROPRIATIONS. There is appropriated from the fund
23 created by section 8.41 to the office of drug control policy
24 of the department of public safety for the following federal
25 fiscal years beginning October 1, and ending September 30, the
26 following amounts:
27 FFY 2023-2024:.................................... $ 1,944,870
28 FFY 2024-2025:.................................... $ 1,964,093
29 The appropriations made in this section are in the amounts
30 anticipated to be received from the federal government for the
31 designated fiscal years under 42 U.S.C. ch. 46, subch. V, which
32 provides for the Edward Byrne memorial justice assistance grant
33 program. The drug policy coordinator shall expend the moneys
34 appropriated in this section as provided in the federal law
35 making the moneys available and in conformance with chapter
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1 17A.
2 Sec. 7. COMMUNITY SERVICES APPROPRIATIONS.
3 1. a. There is appropriated from the fund created by
4 section 8.41 to the division of community action agencies of
5 the department of health and human services for the following
6 federal fiscal years beginning October 1, and ending September
7 30, the following amounts:
8 FFY 2023-2024:.................................... $ 7,979,245
9 FFY 2024-2025:.................................... $ 7,979,245
10 b. The appropriations made in this subsection are in the
11 amounts anticipated to be received from the federal government
12 for the designated federal fiscal years under 42 U.S.C. ch.
13 106, which provides for the community services block grant.
14 The division of community action agencies of the department of
15 health and human services shall expend the moneys appropriated
16 in this subsection as provided in the federal law making the
17 moneys available and in conformance with chapter 17A.
18 c. Each federal fiscal year, the administrator of the
19 division of community action agencies of the department of
20 health and human services shall allocate not less than 96
21 percent of the amount of the block grants to eligible community
22 action agencies for programs benefiting low-income persons.
23 Each eligible agency shall receive a minimum allocation of not
24 less than $100,000. The minimum allocation shall be achieved
25 by redistributing increased moneys from agencies experiencing
26 a greater share of available moneys. The moneys shall be
27 distributed on the basis of the poverty-level population in the
28 area represented by the community action areas compared to the
29 size of the poverty-level population in the state.
30 2. An amount not exceeding 4 percent of the moneys
31 appropriated in subsection 1 for each federal fiscal year shall
32 be used by the division of community action agencies of the
33 department of health and human services for administrative
34 expenses. From the moneys set aside by this subsection for
35 administrative expenses, the division of community action
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1 agencies of the department of health and human services shall
2 pay to the auditor of state an amount sufficient to pay the
3 cost of auditing the use and administration of the state’s
4 portion of the moneys appropriated in subsection 1. The
5 auditor of state shall bill the division of community action
6 agencies for the costs of the audits.
7 Sec. 8. COMMUNITY DEVELOPMENT APPROPRIATIONS.
8 1. a. There is appropriated from the fund created by
9 section 8.41 to the economic development authority for the
10 following federal fiscal years beginning October 1, and ending
11 September 30, the following amounts:
12 FFY 2023-2024:.................................... $ 26,500,000
13 FFY 2024-2025:.................................... $ 26,500,000
14 b. The appropriations made in this subsection are in the
15 amounts anticipated to be received from the federal government
16 for the designated federal fiscal years under 42 U.S.C. ch.
17 69, which provides for co