Bill > HF1049

This bill appropriates funds for the fiscal year beginning July 1, 2025, and ending June 30, 2026, to the Department of Veterans Affairs and the Department of Health and Human Services for various programs and services. * **Department of Veterans Affairs:** * Administration: $1,369,205 (General Fund) for salaries, support, and maintenance, with 15.00 FTEs. * Iowa Veterans Home: $8,145,736 (General Fund) for salaries, support, and maintenance. * Home Ownership Assistance Program: $2,200,000 (General Fund) transferred to the Iowa Finance Authority. * **Department of Health and Human Services - Aging and Disability Services:** * Aging Programs: $19,208,180 (General Fund) for case management, resource centers, elder abuse prevention, dependent adult abuse services, and other related services, with 88.00 FTEs. This includes $949,282 for the family support center component. * **Department of Health and Human Services - Behavioral Health:** * Behavioral Health Efforts: $24,442,121 (General Fund) for prevention, treatment, and recovery services for substance use, problem gambling, and other addictive behaviors, with 71.00 FTEs. This includes $300,000 for children's behavioral health and $950,000 for an integrated substance use disorder managed care system. * Behavioral Health Efforts (Sports Wagering Receipts Fund): $1,750,000 (Sports Wagering Receipts Fund) for behavioral health prevention, treatment, and recovery. * **Department of Health and Human Services - Public Health:** * Public Health Programs: $22,433,369 (General Fund) for health promotion, disease surveillance, chronic condition support, and strengthening the healthcare system, with 348.60 FTEs. This includes allocations for a drug donation repository, free clinics, rural health clinics, and safety net provider access to specialty care. * **Department of Health and Human Services - Community Access and Eligibility:** * Community Access and Eligibility Services: $68,542,456 (General Fund) for family investment program assistance, maternal and child health, SNAP employment and training, and eligibility determinations, with 870.40 FTEs. This includes $3,075,000 for developmental surveillance and screening and $1,145,102 for the Iowa Commission on Volunteer Service. * **Department of Health and Human Services - Child Support Services:** * Child Support Services: $15,644,114 (General Fund) for child support services, with 464.00 FTEs. * **Department of Health and Human Services - Temporary Assistance for Needy Families (TANF) Block Grant:** * Community Access and Eligibility: $12,988,627 (TANF Block Grant). * Pregnancy Prevention Grants: $1,913,203 (TANF Block Grant), with conditions on family planning funding and emphasis on abstinence. * Modernizing TANF Program: $25,000,000 (TANF Block Grant) for economic mobility, self-sufficiency, and healthy families. * Early Intervention and Child Abuse Prevention: $3,013,980 (TANF Block Grant) for child abuse prevention and the family development and self-sufficiency (FaDSS) program. * Accountability and Compliance: $3,533,647 (TANF Block Grant) for federal and state reporting and case management. * State Child Care Assistance: $47,166,826 (TANF Block Grant). * Child Protective Services: $65,364,100 (TANF Block Grant). * **Department of Health and Human Services - Medical Assistance Program, State Supplementary Assistance, HAWKI, and Other Health-Related Programs:** * Medical Assistance, State Supplementary Assistance, HAWKI, and Health Programs: $1,903,550,706 (General Fund). This includes $1,837,804,073 for medical assistance, $4,479,762 for state supplementary assistance, and $61,266,871 for the HAWKI program. Funds for abortions are restricted unless otherwise authorized. * **Department of Health and Human Services - Health Program Operations:** * Health Program Operations: $39,672,433 (General Fund) for health program operations and the autism support program, with 82.00 FTEs. This includes funding for a poison control center and for rural psychiatric residencies. * **Department of Health and Human Services - Pharmaceutical Settlement Account:** * Supplement to Health Program Operations: $234,193 (Pharmaceutical Settlement Account) to supplement the general fund appropriation for health program operations under the medical assistance program. * **Department of Health and Human Services - Quality Assurance Trust Fund:** * Supplement to Medical Assistance: $111,216,205 (Quality Assurance Trust Fund) to supplement the general fund appropriation for medical assistance. * **Department of Health and Human Services - Hospital Health Care Access Trust Fund:** * Supplement to Medical Assistance: $33,920,554 (Hospital Health Care Access Trust Fund) to supplement the general fund appropriation for medical assistance. * **Sex Reassignment Surgeries or Associated Procedures:** * Reimbursement for sex reassignment surgeries or associated procedures is prohibited for funds appropriated from the general fund for the medical assistance program. * **Reimbursement Rates:** * Reimbursement rates for medical assistance, state supplementary assistance, and social service providers will generally remain at the June 30, 2025, levels, with specific increases for nursing facilities, dentists, maternal health providers, prosthetics, and home health agencies. * **State Child Care Assistance:** * State Child Care Assistance: $34,983,000 (General Fund) for state child care assistance, with 53.00 FTEs. * **Early Intervention and Supports:** * Early Intervention and Supports: $35,301,904 (General Fund) for children and adolescents from birth through 21 years of age, with 29.00 FTEs. This includes funding for the HOPES-healthy families Iowa program and the FaDSS grant program. * **Child Protective Services:** * Child Protective Services: $165,558,031 (General Fund) for child, family, and adoption services, with 977.00 FTEs. This includes funding for foster care, adoption subsidies, and child protection centers. * **State-Operated Specialty Care:** * State-Operated Specialty Care: $102,343,507 (General Fund) for institutions under the department's jurisdiction, including mental health institutes and resource centers, with 756.00 FTEs. * **Administration and Compliance:** * Accountability, Compliance, and Program Integrity: $21,904,214 (General Fund) for these functions, with 409.00 FTEs. This includes funds for the Iowa ABLE savings plan trust and foster care review. * **Nonreversions:** * Certain funds appropriated for FaDSS, medical assistance, state-operated specialty care, the Iowa Commission on Volunteer Service, rural psychiatric residencies, adoption subsidies, and child protective services are authorized to not revert at the end of the fiscal year and remain available for subsequent fiscal years. * **Beer and Liquor Control Fund and Behavioral Health Fund:** * A portion of the beer and liquor control fund will be transferred to the behavioral health fund. * **Hospital Directed Payment Program:** * The bill authorizes the department to establish a hospital directed payment program, which may include imposing assessments on hospitals to fund the nonfederal share of payments, subject to federal approval.