Bill Summary – FastDemocracy

Senate File 561 - Enrolled
                                                      Senate File 561
                                  AN ACT
     RELATING TO APPROPRIATIONS FOR VETERANS AND HEALTH AND HUMAN
        SERVICES AND INCLUDING OTHER RELATED PROVISIONS AND
        APPROPRIATIONS INCLUDING HEALTH POLICY OVERSIGHT, PUBLIC
        ASSISTANCE PROGRAM PROVISIONS AND A PUBLIC ASSISTANCE
        MODERNIZATION FUND, SPRINKLER SYSTEMS FOR HOME AND
        COMMUNITY-BASED SERVICES WAIVER RECIPIENT RESIDENCES, A
        STATE-FUNDED FAMILY MEDICINE OBSTETRICS FELLOWSHIP PROGRAM
        AND FUND, ADOPTION SUBSIDY PROGRAM NONRECURRING ADOPTION
        EXPENSES, REAL ESTATE TRANSACTIONS INVOLVING DEPARTMENTAL
        INSTITUTIONS, PROVIDING PENALTIES, AND INCLUDING EFFECTIVE
        DATE AND OTHER APPLICABILITY DATE PROVISIONS.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
                            DIVISION I
          DEPARTMENT OF VETERANS AFFAIRS —— FY 2023-2024
    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, 2023, and ending June 30, 2024, the following amounts,
 or so much thereof as is necessary, to be used for the purposes
 designated:
                                                Senate File 561, p. 2
    1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION
    For salaries, support, maintenance, and miscellaneous
 purposes, and for not more than the following full-time
 equivalent positions:
 .................................................. $ 1,033,289
 ............................................... FTEs        15.00
    2. IOWA VETERANS HOME
    For salaries, support, maintenance, and miscellaneous
 purposes:
 .................................................. $ 7,115,335
    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
 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, 2023, and ending June 30, 2024, 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
                                                Senate File 561, p. 3
                            DIVISION II
      DEPARTMENT OF HEALTH AND HUMAN SERVICES —— AGING —— FY
                             2023-2024
    Sec. 3. DEPARTMENT OF HEALTH AND HUMAN SERVICES ——
 AGING. 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, 2023, and ending June 30, 2024,
 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 center, and 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 who are 18 years of age or older,
 and for salaries, support, administration, maintenance, and
 miscellaneous purposes, and for not more than the following
 full-time equivalent positions:
 .................................................. $ 11,799,361
 ............................................... FTEs        31.00
    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 elderly services
 not specifically enumerated in this section only if approved
 by an area agency on aging for provision of the service within
 the area.
    2. Of the funds appropriated in this section, $418,700 is
 transferred to the Iowa commission on volunteer service to be
 used for the retired and senior volunteer program.
    3. a. The department of health and human services shall
 establish and enforce procedures relating to expenditure
 of state and federal funds by area agencies on aging that
 require compliance with both state and federal laws, rules, and
 regulations, including but not limited to all of the following:
                                               Senate File 561, p. 4
    (1) Requiring that expenditures are incurred only for goods
 or services received or performed prior to the end of the
 fiscal period designated for use of the funds.
    (2) Prohibiting prepayment for goods or services not
 received or performed prior to the end of the fiscal period
 designated for use of the funds.
    (3) Prohibiting prepayment for goods or services not
 defined specifically by good or service, time period, or
 recipient.
    (4) Prohibiting the establishment of accounts from which
 future goods or services which are not defined specifically by
 good or service, time period, or recipient, may be purchased.
    b. The procedures shall provide that if any funds are
 expended in a manner that is not in compliance with the
 procedures and applicable federal and state laws, rules, and
 regulations, and are subsequently subject to repayment, the
 area agency on aging expending such funds in contravention of
 such procedures, laws, rules and regulations, not the state,
 shall be liable for such repayment.
    4. Of the funds appropriated in this section, $1,312,000
 shall be used for the purposes of chapter 231E and 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.
    5. Of the funds appropriated in this section, $1,000,000
 shall be used to fund continuation of the aging and disability
 resource center lifelong links to provide individuals and
 caregivers with information and services to plan for and
 maintain independence.
    6. Of the funds appropriated in this section, $850,000
 shall be used by the department of health and human services,
 in collaboration with affected stakeholders, to continue to
 expand the pilot initiative to provide long-term care options
 counseling utilizing support planning protocols, to assist
 non-Medicaid eligible consumers who indicate a preference
 to return to the community and are deemed appropriate for
 discharge, to return to their community following a nursing
 facility stay; and shall be used by the department to fund home
                                                Senate File 561, p. 5
 and community-based services to enable older individuals to
 avoid more costly utilization of residential or institutional
 services and remain in their homes. The department shall
 submit a report regarding the outcomes of the pilot initiative
 to the governor and the general assembly by December 15, 2023.
                           DIVISION III
        OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2023-2024
    Sec. 4. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is
 appropriated from the general fund of the state to the office
 of long-term care ombudsman for the fiscal year beginning July
 1, 2023, and ending June 30, 2024, the following amount, or
 so much thereof as is necessary, to be used for the purposes
 designated:
    For salaries, support, administration, maintenance, and
 miscellaneous purposes, and for not more than the following
 full-time equivalent positions:
 .................................................. $ 1,148,959
 ............................................... FTEs        12.00
                            DIVISION IV
  DEPARTMENT OF HEALTH AND HUMAN SERVICES —— PUBLIC HEALTH —— FY
                             2023-2024
    Sec. 5. 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, 2023, and ending June 30, 2024,
 the following amounts, or so much thereof as is necessary, to
 be used for the purposes designated:
    1. ADDICTIVE DISORDERS
    For reducing the prevalence of the use of tobacco, alcohol,
 and other drugs, and treating individuals affected by addictive
 behaviors, including gambling, and for not more than the
 following full-time equivalent positions:
 .................................................. $ 23,656,992
 ............................................... FTEs        12.00
    a. (1) Of the funds appropriated in this subsection,
 $4,020,894 shall be used for the tobacco use prevention and
 control initiative, including efforts at the state and local
 levels, as provided in chapter 142A. The commission on tobacco
 use prevention and control established pursuant to section
                                               Senate File 561, p. 6
 142A.3 shall advise the director of health and human services
 in prioritizing funding needs and the allocation of moneys
 appropriated for the programs and initiatives. Activities
 of the programs and initiatives shall be in alignment with
 the United States centers for disease control and prevention
 best practices for comprehensive tobacco control programs
 that include the goals of preventing youth initiation of
 tobacco usage, reducing exposure to secondhand smoke, and
 promotion of tobacco cessation. To maximize resources,
 the department shall determine if third-party sources are
 available to instead provide nicotine replacement products
 to an applicant prior to provision of such products to an
 applicant under the initiative. The department shall track and
 report to the governor and the general assembly any reduction
 in the provision of nicotine replacement products realized
 by the initiative through implementation of the prerequisite
 screening.
    (2) (a) The department shall collaborate with the
 department of revenue for enforcement of tobacco laws,
 regulations, and ordinances and to engage in tobacco control
 activities approved by the departments as specified in
 the memorandum of understanding entered into between the
 departments.
    (b) For the fiscal year beginning July 1, 2023, and ending
 June 30, 2024, the terms of the memorandum of understanding,
 entered into between the department of revenue and the
 department, governing compliance checks conducted to ensure
 licensed retail tobacco outlet conformity with tobacco laws,
 regulations, and ordinances relating to persons under 21 years
 of age, shall continue to restrict the number of such checks to
 one check per retail outlet, and one additional check for any
 retail outlet found to be in violation during the first check.
    b. (1) Of the funds appropriated in this subsection,
 $19,638,485 shall be used for problem gambling and substance
 use disorder prevention, treatment, and recovery services,
 including a 24-hour helpline, public information resources,
 professional training, youth prevention, and program
 evaluation.
    (2) Of the amount allocated under this paragraph,
                                                Senate File 561, p. 7
 $306,000 shall be utilized by the department to maintain
 a single statewide 24-hour crisis hotline for the Iowa
 children’s behavioral health system that incorporates warmline
 services which may be provided through expansion of existing
 capabilities as required pursuant to 2018 Iowa Acts, chapter
 1056, section 16.
    c. The requirement of section 123.17, subsection 5, is met
 by the appropriations and allocations made in this division of
 this Act for purposes of substance use disorder treatment and
 addictive disorders for the fiscal year beginning July 1, 2023.
    2. HEALTHY CHILDREN AND FAMILIES
    For promoting the optimum health status for children and
 adolescents from birth through 21 years of age, and families,
 and for not more than the following full-time equivalent
 positions:
 .................................................. $ 5,815,491
 ............................................... FTEs        14.00
    a. Of the funds appropriated in this subsection, not more
 than $734,000 shall be used for the healthy opportunities for
 parents to experience success (HOPES)-healthy families Iowa
 (HFI) program established pursuant to section 135.106.
    b. In order to implement the legislative intent stated
 in sections 135.106 and 256I.9, priority for home visitation
 program funding shall be given to programs using evidence-based
 or promising models for home visitation.
    c. Of the funds appropriated in this subsection, $3,075,000
 shall be used for continuation of the department’s initiative
 to provide for adequate developmental surveillance and
 screening during a child’s first five years. The funds shall
 be used first to fully fund the current sites to ensure that
 the sites are fully operational, with the remaining funds
 to be used for expansion to additional sites. The full
 implementation and expansion shall include enhancing the scope
 of the initiative through collaboration with the child health
 specialty clinics to promote healthy child development through
 early identification and response to both biomedical and social
 determinants of healthy development; by monitoring child
 health metrics to inform practice, document long-term health
 impacts and savings, and provide for continuous improvement
                                               Senate File 561, p. 8
 through training, education, and evaluation; and by providing
 for practitioner consultation particularly for children with
 behavioral conditions and needs. The department shall also
 collaborate with the Medicaid program and the child health
 specialty clinics to integrate the activities of the first five
 initiative into the establishment of patient-centered medical
 homes, community utilities, accountable care organizations,
 and other integrated care models developed to improve health
 quality and population health while reducing health care costs.
 To the maximum extent possible, funding allocated in this
 paragraph shall be utilized as matching funds for Medicaid
 program reimbursement.
    d. Of the funds appropriated in this subsection, $64,000
 shall be distributed to a statewide dental carrier to provide
 funds to continue the donated dental services program patterned
 after the projects developed by the dental lifeline network to
 provide dental services to indigent individuals who are elderly
 or with disabilities.
    e. Of the funds appropriated in this subsection, $156,000
 shall be used to provide audiological services and hearing aids
 for children.
    f. Of the funds appropriated in this subsection, $23,000 is
 transferred to the university of Iowa college of dentistry for
 provision of primary dental services to children. State funds
 shall be matched on a dollar-for-dollar basis. The university
 of Iowa college of dentistry shall coordinate efforts with the
 department to provide dental care to underserved populations
 throughout the state.
    g. Of the funds appropriated in this subsection, $50,000
 shall be used to address youth suicide prevention.
    h. Of the funds appropriated in this subsection, $40,000
 shall be used to support the Iowa effort to address the survey
 of children who experience adverse childhood experiences known
 as ACEs.
    i. Of the funds appropriated in this subsection, up to
 $494,000 shall be used for childhood obesity prevention.
    3. CHRONIC CONDITIONS
    For serving individuals identifie