Bill > SF649

This bill appropriates funds for the Department of Veterans Affairs and the Department of Health and Human Services for the fiscal years beginning July 1, 2025, and ending June 30, 2026. * **Department of Veterans Affairs:** * Administration: $1,369,205 (General Fund) * Iowa Veterans Home: $8,145,736 (General Fund) * Home Ownership Assistance Program: $2,700,000 (General Fund) for transfer to the Iowa Finance Authority. * **Department of Health and Human Services (HHS):** * Aging and Disability Services: $19,208,180 (General Fund) for various aging and disability programs, including elder abuse prevention and dependent adult abuse services. * Behavioral Health: $24,442,121 (General Fund) for prevention, treatment, and recovery efforts for substance use, problem gambling, and other addictive behaviors. * Behavioral Health (Sports Wagering Receipts Fund): $1,750,000 (Sports Wagering Receipts Fund) for behavioral health prevention, treatment, and recovery. * Public Health: $22,413,369 (General Fund) for health promotion, disease surveillance, chronic condition support, and strengthening the healthcare system. This includes allocations for a drug donation repository, free clinics, rural health clinics, and rural psychiatric residencies. * Community Access and Eligibility: $68,542,456 (General Fund) for family investment programs, needs-based benefits, employment programs, and eligibility determinations for medical assistance and food assistance. This includes funding for developmental surveillance and screening for children and grants for the Iowa Commission on Volunteer Service. * Child Support Services: $15,644,114 (General Fund) for child support services. * Medical Assistance Program, State Supplementary Assistance, and Healthy and Well Kids in Iowa (Hawki) Program: $1,900,804,677 (General Fund). This is the largest appropriation and covers medical assistance reimbursement, state supplementary assistance, and the Hawki program. It includes specific allocations for nursing facility renovations, family planning services, and community-based services. * Health Program Operations: $39,672,433 (General Fund) for general health program operations and the autism support program. * Pharmaceutical Settlement Account: $234,193 (Pharmaceutical Settlement Account) to supplement health program operations under the medical assistance program. * Quality Assurance Trust Fund: $111,216,205 (Quality Assurance Trust Fund) to supplement medical assistance appropriations. * Hospital Health Care Access Trust Fund: $33,920,554 (Hospital Health Care Access Trust Fund) to supplement medical assistance appropriations. * State-Operated Specialty Care: $102,337,130 (General Fund) for institutions under the jurisdiction of HHS, including mental health institutes and resource centers. * Administration and Compliance: $21,904,214 (General Fund) for accountability, compliance, and program integrity, including foster care review and the office of the long-term care ombudsman. The bill also authorizes up to 4,148.00 full-time equivalent positions for HHS. The bill also includes provisions for transfers between funds, cash flow management, nonreversion of certain funds, emergency rulemaking authority, and specific requirements for nursing facility reimbursement methodologies and forecasting formulas. It also prohibits the use of appropriated funds for sex reassignment surgery or treatment related to gender dysphoria.