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Senate
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2483
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Introduced
SENATE
FILE
2483
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
SSB
3192)
A
BILL
FOR
An
Act
relating
to
and
making
appropriations
to
the
department
1
of
veterans
affairs
and
the
department
of
health
and
2
human
services,
including
aging
and
disability
services,
3
behavioral
health,
public
health,
and
community
access
4
and
eligibility;
the
medical
assistance
program,
state
5
supplementary
assistance,
Hawki,
and
other
health-related
6
programs;
family
well-being
and
protection;
state-operated
7
specialty
care;
administration
and
compliance;
prior
8
appropriations;
child
welfare
and
juvenile
justice
9
decategorization;
commitment
or
hospitalization
of
certain
10
persons
with
mental
illness
or
substance
abuse
disorders;
11
child
abuse
prevention;
creation
of
a
comprehensive
family
12
support
program;
and
repeal
of
expenditure
projections
for
13
state
child
care
assistance
and
adoption
subsidy
programs;
14
and
including
effective
date
and
retroactive
applicability
15
provisions.
16
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
17
TLSB
5013SV
(1)
91
ak/ko
S.F.
2483
DIVISION
I
1
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2026-2027
2
Section
1.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
3
appropriated
from
the
general
fund
of
the
state
to
the
4
department
of
veterans
affairs
for
the
fiscal
year
beginning
5
July
1,
2026,
and
ending
June
30,
2027,
the
following
amounts,
6
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
7
designated:
8
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
9
For
salaries,
support,
maintenance,
and
miscellaneous
10
purposes:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,369,205
12
2.
IOWA
VETERANS
HOME
13
For
salaries,
support,
maintenance,
and
miscellaneous
14
purposes:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,145,736
16
a.
The
Iowa
veterans
home
billings
involving
the
department
17
of
health
and
human
services
shall
be
submitted
to
the
18
department
on
at
least
a
monthly
basis.
19
b.
The
Iowa
veterans
home
expenditure
report
shall
be
20
submitted
monthly
to
the
general
assembly.
21
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
22
For
transfer
to
the
Iowa
finance
authority
for
the
23
continuation
of
the
home
ownership
assistance
program
for
24
persons
who
are
or
were
eligible
members
of
the
armed
forces
25
of
the
United
States
or
eligible
service
members
pursuant
to
26
section
16.54:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,200,000
28
DIVISION
II
29
AGING
AND
DISABILITY
SERVICES
——
FY
2026-2027
30
Sec.
2.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
AGING
31
AND
DISABILITY
SERVICES.
There
is
appropriated
from
the
32
general
fund
of
the
state
to
the
department
of
health
and
human
33
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
34
June
30,
2027,
the
following
amount,
or
so
much
thereof
as
is
35
-1-
LSB
5013SV
(1)
91
ak/ko
1/
37
S.F.
2483
necessary,
to
be
used
for
the
purposes
designated:
1
For
aging
programs
for
the
department
of
health
and
human
2
services
and
area
agencies
on
aging
to
provide
citizens
of
3
Iowa
who
are
60
years
of
age
and
older
with
case
management;
4
for
Iowa’s
aging
and
disabilities
resource
centers;
for
the
5
return
to
community
program;
for
the
purposes
of
chapter
231E;
6
to
administer
the
prevention
of
elder
abuse,
neglect,
and
7
exploitation
program
pursuant
to
section
231.56A,
in
accordance
8
with
the
requirements
of
the
federal
Older
Americans
Act
of
9
1965,
42
U.S.C.
§3001
et
seq.,
as
amended;
for
the
operation
10
of
the
dependent
adult
abuse
services
program
pursuant
to
11
chapter
235B;
for
matching
funding
for
programs
to
enable
12
persons
with
severe
physical
or
mental
disabilities
to
function
13
more
independently;
for
costs
associated
with
centers
for
14
independent
living;
and
for
other
services
which
may
include
15
but
are
not
limited
to
adult
day
care,
respite
care,
chore,
16
information
and
assistance,
and
material
aid;
for
information
17
and
options
counseling
for
persons
with
disabilities;
and
18
for
salaries,
support,
administration,
maintenance,
and
19
miscellaneous
purposes:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,379,531
21
1.
Moneys
appropriated
in
this
section
may
be
used
to
22
supplement
federal
moneys
received
under
federal
regulations.
23
To
receive
moneys
appropriated
in
this
section,
a
local
area
24
agency
on
aging
shall
match
the
moneys
with
moneys
from
other
25
sources
according
to
rules
adopted
by
the
department.
Moneys
26
appropriated
in
this
section
may
be
used
for
services
not
27
specifically
enumerated
in
this
section
only
if
approved
by
the
28
department
as
part
of
an
area
agency
on
aging’s
area
plan.
29
2.
Of
the
moneys
appropriated
in
this
section,
$949,282
30
is
allocated
to
be
used
for
the
comprehensive
family
support
31
program
created
in
section
231.80
as
enacted
under
this
Act.
32
3.
Of
the
moneys
appropriated
in
this
section,
$33,632
33
is
allocated
to
be
used
to
build
community
capacity
through
34
the
coordination
and
provision
of
training
opportunities
in
35
-2-
LSB
5013SV
(1)
91
ak/ko
2/
37
S.F.
2483
accordance
with
the
consent
decree
of
Conner
v.
Branstad,
No.
1
4-86-CV-30871
(S.D.
Iowa,
July
15,
1994).
2
DIVISION
III
3
BEHAVIORAL
HEALTH
——
FY
2026-2027
4
Sec.
3.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
5
BEHAVIORAL
HEALTH.
There
is
appropriated
from
the
general
fund
6
of
the
state
to
the
department
of
health
and
human
services
for
7
the
fiscal
year
beginning
July
1,
2026,
and
ending
June
30,
8
2027,
the
following
amount,
or
so
much
thereof
as
is
necessary,
9
to
be
used
for
the
purposes
designated:
10
For
behavioral
health
prevention,
education,
early
11
intervention,
treatment,
recovery
support,
and
crisis
12
services
in
order
to
support
statewide
access
to
treatment
for
13
behavioral
health
conditions;
stabilization
and
mitigation
of
14
behavioral
health
crises;
and
recovery
for
individuals
and
15
families
impacted
by
behavioral
health
conditions.
Activities
16
shall
align
with
accepted
best
practice
guidance
standards
for
17
behavioral
health
including
those
published
by
the
centers
for
18
disease
control
and
prevention
of
the
United
States
department
19
of
health
and
human
services,
and
the
substance
abuse
and
20
mental
health
services
administration
of
the
United
States
21
department
of
health
and
human
services,
for
health
promotion;
22
universal,
selective,
and
indicated
prevention;
treatment;
and
23
recovery
services
and
supports;
and
shall
include
a
24-hour
24
helpline,
public
information
resources,
professional
training,
25
youth
prevention,
program
evaluation,
and
efforts
at
the
state
26
and
local
levels:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,127,121
28
1.
Of
the
moneys
appropriated
in
this
section,
$300,000
29
is
allocated
to
support
the
work
of
the
children’s
behavioral
30
health
system
including
evidence-based
behavioral
health
31
prevention,
treatment,
and
recovery
services
and
supports
for
32
children
and
their
families.
33
2.
Of
the
moneys
appropriated
in
this
section,
$950,000
34
is
allocated
for
an
integrated
substance
use
disorder
managed
35
-3-
LSB
5013SV
(1)
91
ak/ko
3/
37
S.F.
2483
care
system.
The
department
shall
maintain
the
level
of
mental
1
health
and
substance
use
disorder
treatment
services
provided
2
by
the
managed
care
contractors,
and
shall
take
the
steps
3
necessary
to
continue
the
federal
waivers
as
needed
to
maintain
4
the
level
of
services.
5
Sec.
4.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
SPORTS
6
WAGERING
RECEIPTS
FUND.
There
is
appropriated
from
the
7
sports
wagering
receipts
fund
created
in
section
8.57I,
to
the
8
department
of
health
and
human
services
for
the
fiscal
year
9
beginning
July
1,
2026,
and
ending
June
30,
2027,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
11
behavioral
health
prevention,
education,
early
intervention,
12
treatment,
recovery
support,
and
crisis
services
in
order
to
13
support
statewide
access
to
treatment
for
behavioral
health
14
conditions;
stabilization
and
mitigation
of
behavioral
health
15
crises;
and
recovery
for
individuals
and
families
impacted
by
16
behavioral
health
conditions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,750,000
18
DIVISION
IV
19
PUBLIC
HEALTH
——
FY
2026-2027
20
Sec.
5.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
PUBLIC
21
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
health
and
human
services
for
the
23
fiscal
year
beginning
July
1,
2026,
and
ending
June
30,
2027,
24
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
25
used
for
the
purposes
designated:
26
For
programs
that
support
health
promotion,
protect
the
27
health
and
safety
of
the
public,
conduct
disease
surveillance
28
and
investigation
to
reduce
the
incidence
of
morbidity
and
29
mortality,
serve
individuals
with
chronic
conditions
including
30
but
not
limited
to
cancer,
support
the
Iowa
donor
registry
as
31
specified
in
section
142C.18,
and
strengthen
the
health
care
32
delivery
system
and
workforce
to
improve
health
outcomes
for
33
all
Iowans:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,833,369
35
-4-
LSB
5013SV
(1)
91
ak/ko
4/
37
S.F.
2483
1.
Of
the
moneys
appropriated
in
this
section,
the
following
1
amounts
are
allocated
to
the
department
of
health
and
human
2
services
to
be
used
as
follows
to
support
the
goals
of
3
increased
access,
health
system
integration,
and
engagement:
4
a.
$600,000
for
distribution
to
a
nonprofit
organization
5
that
established
the
first
statewide
drug
donation
repository
6
for
continuation
of
the
pharmaceutical
infrastructure
for
7
safety
net
providers
established
as
described
in
2007
Iowa
8
Acts,
chapter
218,
section
108,
and
for
the
prescription
drug
9
donation
repository
program
established
in
chapter
135M.
10
Moneys
under
this
paragraph
shall
be
distributed
in
their
11
entirety
on
July
1,
2026,
for
the
purpose
specified.
12
b.
$374,000
for
distribution
to
free
clinics,
as
defined
in
13
section
135.24,
and
a
nonprofit
organization
that
facilitates
14
the
initiation,
operation,
and
collaboration
of
free
clinics
15
for
necessary
infrastructure,
statewide
coordination,
provider
16
recruitment,
service
delivery,
and
provision
of
assistance
to
17
patients
in
securing
a
medical
home
inclusive
of
oral
health
18
care.
Of
the
moneys
allocated,
$40,000
shall
be
used
to
lower
19
fees
associated
with
using
an
electronic
prescribing
system.
20
Moneys
under
this
paragraph
shall
be
distributed
in
their
21
entirety
on
July
1,
2026,
for
the
purpose
specified.
22
c.
$25,000
for
distribution
to
an
organization
that
raises
23
awareness
about
issues
related
to
rural
health
clinics
for
24
necessary
infrastructure
and
service
delivery
transformation.
25
Moneys
under
this
paragraph
shall
be
distributed
in
their
26
entirety
on
July
1,
2026,
for
the
purpose
specified.
27
2.
Of
the
moneys
appropriated
in
this
section,
$400,000
28
is
allocated
for
rural
psychiatric
residencies
for
residents
29
selected
on
or
before
June
30,
2026.
30
3.
Of
the
moneys
appropriated
in
this
section,
$20,000
is
31
allocated
to
make
radon
test
kits
available,
free
of
charge,
32
to
homeowners
and
renters
in
the
state.
The
department
shall
33
provide
a
link
on
the
department’s
internet
site
for
homeowners
34
and
renters
in
the
state
to
order
radon
test
kits.
35
-5-
LSB
5013SV
(1)
91
ak/ko
5/
37
S.F.
2483
4.
Of
the
moneys
appropriated
in
this
section,
$2,500,000
1
is
allocated
for
Medicaid
graduate
medical
education
efforts
2
and
consistent
with
the
purpose
of
the
department’s
request
for
3
approval
to
the
centers
of
Medicare
and
Medicaid
services
of
4
the
United
States
department
of
health
and
human
services
for
5
a
Medicaid
supplemental
enhanced
payment
for
the
purposes
of
6
maximizing
federal
funding
opportunities
for
graduate
medical
7
education
as
described
in
2025
Iowa
Acts,
chapter
120,
section
8
13.
9
5.
The
university
of
Iowa
hospitals
and
clinics
under
10
the
control
of
the
state
board
of
regents
shall
not
receive
11
indirect
costs
from
the
moneys
appropriated
in
this
section.
12
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
13
department
shall
be,
at
a
minimum,
on
a
quarterly
basis.
14
DIVISION
V
15
COMMUNITY
ACCESS
AND
ELIGIBILITY
——
CHILD
SUPPORT
SERVICES
——
16
TANF
——
FY
2026-2027
17
Sec.
6.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
COMMUNITY
18
ACCESS
AND
ELIGIBILITY.
There
is
appropriated
from
the
19
general
fund
of
the
state
to
the
department
of
health
and
human
20
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
21
June
30,
2027,
the
following
amount,
or
so
much
thereof
as
is
22
necessary,
to
be
used
for
the
purposes
designated:
23
To
be
used
for
salaries,
support,
maintenance,
and
24
miscellaneous
purposes
and
for
family
investment
program
(FIP)
25
assistance
in
accordance
with
chapter
239B,
and
for
other
costs
26
associated
with
providing
needs-based
benefits
or
assistance
27
including
but
not
limited
to
maternal
and
child
health,
oral
28
health,
obesity
prevention,
the
promoting
independence
and
29
self-sufficiency
through
employment,
job
opportunities
and
the
30
basic
skills
(PROMISE
JOBS)
program,
supplemental
nutrition
31
assistance
program
(SNAP)
employment
and
training,
the
FIP
32
diversion
program,
family
planning,
rent
reimbursement,
33
and
eligibility
determinations
for
medical
assistance,
food
34
assistance,
and
the
children’s
health
insurance
program:
35
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37
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2483
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
76,312,642
1
1.
Of
the
child
support
collections
assigned
under
FIP,
2
the
federal
share
of
the
child
support
collections
shall
be
3
credited
to
the
child
support
services
appropriation
made
in
4
this
division
of
this
Act.
Of
the
remainder
of
the
child
5
support
collections
assigned
under
FIP,
a
portion
shall
be
6
credited
to
community
access
and
eligibility,
and
the
remaining
7
moneys
may
be
used
to
increase
recoveries,
to
sustain
cash
flow
8
in
the
collection
services
center
refund
account
as
provided
in
9
section
252B.13A,
or
for
technology
needs.
If
child
support
10
collections
assigned
under
FIP
are
greater
than
estimated
or
11
are
otherwise
determined
not
to
be
required
for
maintenance
of
12
efforts,
the
state
share
of
either
amount
is
appropriated
to
13
the
department
for
child
support
services
as
described
in
this
14
division
of
this
Act,
or
may
be
transferred
to
or
retained
in
15
the
collection
services
center
refund
account.
16
2.
Of
the
moneys
appropriated
in
this
section,
$3,075,000
is
17
allocated
for
continuation
of
the
department’s
initiative
to
18
provide
for
adequate
developmental
surveillance
and
screening
19
during
a
child’s
first
five
years.
The
moneys
shall
first
be
20
used
to
fully
fund
the
current
participating
counties
to
ensure
21
that
those
counties
are
fully
operational,
with
the
remaining
22
moneys
to
be
used
for
expanding
participation
to
additional
23
counties.
Full
implementation
and
expansion
shall
include
24
enhancing
the
scope
of
the
initiative
through
collaboration
25
with
child
health
specialty
clinics
to
promote
the
use
of
26
developmental
surveillance
and
screening
to
support
healthy
27
child
development
through
early
identification
and
response
to
28
biomedical
and
social
determinants
of
healthy
development
by
29
providing
practitioner
consultation
and
continuous
improvement
30
through
training
and
education,
particularly
for
children
31
with
behavioral
conditions
and
needs.
The
department
shall
32
also
collaborate
with
the
Medicaid
program
and
child
health
33
specialty
clinics
to
assist
in
coordinating
the
activities
34
of
the
first
five
initiative
into
the
establishment
of
35
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2483
patient-centered
medical
homes
developed
to
improve
health
1
quality
and
population
health
while
reducing
health
care
costs.
2
To
the
maximum
extent
possible,
moneys
allocated
in
this
3
subsection
shall
be
utilized
as
matching
moneys
for
Medicaid
4
program
reimbursement.
5
3.
Of
the
moneys
appropriated
in
this
section,
$1,145,102
is
6
allocated
to
the
Iowa
commission
on
volunteer
service
created
7
in
section
15H.2
for
programs
and
grants.
8
4.
The
university
of
Iowa
hospitals
and
clinics
under
9
the
control
of
the
state
board
of
regents
shall
not
receive
10
indirect
costs
from
the
moneys
appropriated
in
this
section.
11
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
12
department
shall
be,
at
a
minimum,
on
a
quarterly
basis.
13
Sec.
7.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
CHILD
14
SUPPORT
SERVICES.
There
is
appropriated
from
the
general
fund
15
of
the
state
to
the
department
of
health
and
human
services
for
16
the
fiscal
year
beginning
July
1,
2026,
and
ending
June
30,
17
2027,
the
following
amount,
or
so
much
thereof
as
is
necessary,
18
to
be
used
for
the
purposes
designated:
19
For
child
support
services,
including
salaries,
support,
20
maintenance,
and
miscellaneous
purposes:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,644,114
22
1.
Federal
access
and
visitation
grant
moneys
shall
be
used
23
for
services
designed
to
increase
compliance
with
the
child
24
access
provisions
of
court
orders,
including
but
not
limited
to
25
neutral
visitation
sites
and
mediation
services.
26
2.
Moneys
appropriated
in
this
section
may
be
used
27
throughout
the
fiscal
year
in
the
manner
necessary
for
28
cash
flow
management.
For
cash
flow
management
under
this
29
subsection,
the
department
may
temporarily
draw
more
than
the
30
amount
appropriated
provided
the
amount
appropriated
is
not
31
exceeded
at
the
close
of
the
fiscal
year.
32
Sec.
8.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
33
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT.
There
is
34
appropriated
from
the
special
fund
created
in
section
8.41
to
35
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37
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2483
the
department
of
health
and
human
services
for
the
fiscal
year
1
beginning
July
1,
2026,
and
ending
June
30,
2027,
from
moneys
2
received
under
the
federal
temporary
assistance
for
needy
3
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
4
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
5
Pub.
L.
No.
104-193,
and
successor
legislation,
including
TANF
6
block
grant
moneys
received
in
any
prior
fiscal
year
that
7
were
deposited
in
the
special
fund
and
remain
unencumbered
8
or
unobligated
on
June
30,
2026,
the
following
amounts,
or
9
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
10
designated:
11
1.
For
community
access
and
eligibility:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,566,312
13
2.
For
community
access
and
eligibility
to
provide
14
pregnancy
prevention
grants
on
the
condition
that
family
15
planning
services
are
funded:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
17
Pregnancy
prevention
grants
shall
be
awarded
to
programs
18
in
existence
on
or
before
July
1,
2026,
if
the
programs
have
19
demonstrated
positive
outcomes.
Grants
shall
be
awarded
20
to
pregnancy
prevention
programs
developed
after
July
1,
21
2026,
if
the
programs
are
based
on
existing
models
that
have
22
demonstrated
positive
outcomes.
Grants
must
comply
with
the
23
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
section
24
14,
subsections
1
and
2,
including
the
requirement
that
a
25
program
awarded
a
grant
must
emphasize
sexual
abstinence.
26
Priority
in
awarding
grants
shall
be
given
to
programs
27
that
serve
areas
of
the
state
which
demonstrate
the
highest
28
percentage
of
unplanned
pregnancies
of
females
of
childbearing
29
age
within
the
geographic
area
to
be
served
by
the
grant.
30
3.
To
meet
one
of
the
four
purposes
of
TANF
as
specified
31
in
45
C.F.R.
§260.20,
including
by
modernizing
the
program
32
to
promote
economic
mobility
and
self-sufficiency,
ensuring
33
that
families
are
able
to
overcome
benefit
cliffs,
encouraging
34
healthy
families,
and
streamlining
service
delivery
to
reduce
35
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duplication:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000,000
2
4.
For
early
intervention
and
supports
for
child
abuse
3
prevention
and
the
family
development
and
self-sufficiency
4
(FaDSS)
grant
program
in
accordance
with
section
216A.107:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,013,980
6
5.
For
accountability,
compliance,
program
integrity,
7
technology
needs,
and
other
resources
necessary
to
meet
8
federal
and
state
reporting,
tracking,
and
case
management
9
requirements,
and
other
departmental
needs:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,533,647
11
6.
For
state
child
care
assistance:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,281,826
13
7.
For
child
protective
services:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,249,100
15
a.
Of
the
moneys
appropriated
in
this
subsection,
16
$1,658,000
shall
be
allocated
for
child
protection
centers
17
located
in
Iowa
pursuant
to
the
child
protection
center
grant
18
program
under
section
135.118.
The
grant
amounts
under
the
19
program
shall
be
equalized
so
that
each
center
receives
a
20
uniform
base
amount
of
$245,000,
and
the
remaining
moneys
21
are
awarded
through
a
funding
formula
based
upon
the
volume
22
of
children
served
by
a
center.
To
increase
access
to
child
23
protection
center
services
for
children
in
rural
areas,
the
24
funding
formula
for
awarding
the
remaining
moneys
shall
provide
25
for
awarding
an
enhanced
amount
to
eligible
grantees
to
develop
26
and
maintain
satellite
centers
in
underserved
regions
of
the
27
state.
28
b.
Of
the
moneys
appropriated
in
this
subsection,
up
to
29
$227,000
shall
be
used
for
the
public
purpose
of
continuing
a
30
grant
to
a
nonprofit
human
services
organization
that
provides
31
services
to
individuals
and
families
in
multiple
locations
in
32
southwest
Iowa
and
Nebraska,
for
support
of
a
project
providing
33
immediate,
sensitive
support
and
forensic
interviews,
medical
34
exams,
needs
assessments,
and
referrals
for
victims
of
child
35
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abuse
and
their
nonoffending
family
members.
1
DIVISION
VI
2
MEDICAL
ASSISTANCE
PROGRAM
——
STATE
SUPPLEMENTARY
ASSISTANCE
——
3
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
AND
OTHER
HEALTH-RELATED
4
PROGRAMS
——
FY
2026-2027
5
Sec.
9.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
MEDICAL
6
ASSISTANCE
PROGRAM,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
HEALTHY
7
AND
WELL
KIDS
IN
IOWA
PROGRAM.
There
is
appropriated
from
the
8
general
fund
of
the
state
to
the
department
of
health
and
human
9
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
10
June
30,
2027,
the
following
amount,
or
so
much
thereof
as
is
11
necessary,
to
be
used
for
the
purposes
designated:
12
For
medical
assistance
program
reimbursement
and
associated
13
costs
as
specifically
provided
in
the
reimbursement
14
methodologies
in
effect
on
June
30,
2026,
except
as
otherwise
15
expressly
authorized
by
law,
consistent
with
options
under
16
federal
law
and
regulations,
and
contingent
upon
receipt
of
17
approval
from
the
office
of
the
governor
of
reimbursement
for
18
each
abortion
performed
under
the
medical
assistance
program;
19
for
the
state
supplementary
assistance
program;
for
the
health
20
insurance
premium
payment
program;
and
for
maintenance
of
21
the
healthy
and
well
kids
in
Iowa
(Hawki)
program
pursuant
22
to
chapter
514I,
including
supplemental
dental
services,
23
for
receipt
of
federal
financial
participation
under
Tit.
24
XXI
of
the
federal
Social
Security
Act,
which
creates
the
25
children’s
health
insurance
program;
and
for
other
specified
26
health-related
programs:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,992,550,706
28
1.
Of
the
moneys
appropriated
in
this
section,
$3,383,880
29
shall
be
used
for
program
administration,
outreach,
and
30
enrollment
activities
of
the
state
family
planning
services
31
program
pursuant
to
section
217.41B,
and
of
this
amount,
the
32
department
may
use
up
to
$200,000
for
administrative
expenses.
33
2.
Iowans
support
reducing
the
number
of
abortions
34
performed
in
this
state.
Moneys
appropriated
under
this
35
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2483
section
shall
not
be
used
for
abortions,
unless
otherwise
1
authorized
under
this
section.
2
3.
The
provisions
of
this
section
relating
to
abortions
also
3
apply
to
the
Iowa
health
and
wellness
plan
established
pursuant
4
to
chapter
249N.
5
Sec.
10.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HEALTH
6
PROGRAM
OPERATIONS.
There
is
appropriated
from
the
general
7
fund
of
the
state
to
the
department
of
health
and
human
8
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
9
June
30,
2027,
the
following
amount,
or
so
much
thereof
as
is
10
necessary,
to
be
used
for
the
purposes
designated:
11
For
health
program
operations
and
the
autism
support
program
12
under
section
225D.2:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,672,433
14
1.
The
department
of
inspections,
appeals,
and
licensing
15
shall
provide
all
state
matching
moneys
for
survey
and
16
certification
activities
performed
by
the
department
of
17
inspections,
appeals,
and
licensing.
The
department
of
health
18
and
human
services
shall
be
solely
responsible
for
distributing
19
the
federal
matching
moneys
for
such
activities.
20
2.
Of
the
moneys
appropriated
in
this
section,
a
sufficient
21
amount
is
allocated
for
the
administration
of
the
health
22
insurance
premium
payment
program,
including
salaries,
support,
23
maintenance,
and
miscellaneous
purposes.
24
3.
Of
the
moneys
appropriated
in
this
section,
$750,000
is
25
allocated
for
a
nonprofit
organization
that
provides
access
26
to
emergency
poison
information
and
treatment.
Pursuant
to
27
the
directive
under
2014
Iowa
Acts,
chapter
1140,
section
28
102,
the
federal
matching
moneys
available
to
the
nonprofit
29
organization
from
the
department
under
the
federal
Children’s
30
Health
Insurance
Program
Reauthorization
Act
of
2009
shall
be
31
subject
to
the
federal
administrative
cap
rule
of
10
percent
32
applicable
to
moneys
provided
under
Tit.
XXI
of
the
federal
33
Social
Security
Act,
and
shall
be
included
in
the
department’s
34
calculations
of
the
cap.
35
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5013SV
(1)
91
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12/
37
S.F.
2483
4.
Unless
otherwise
provided
by
law,
if
a
contract
for
1
services
provided
under
this
section
initially
entered
into
2
during
the
fiscal
year
beginning
July
1,
2026,
and
ending
3
June
30,
2027,
provides
for
an
annual
increase
of
the
cost
of
4
services
provided
under
the
contract,
the
annual
increase
shall
5
not
exceed
the
amount
by
which
the
consumer
price
index
for
6
all
urban
consumers
increased
during
the
immediately
preceding
7
calendar
year.
This
subsection
does
not
affect
a
contract
8
entered
into
on
or
before
June
30,
2026,
that
is
for
a
term
of
9
more
than
one
year.
10
Sec.
11.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
11
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
Notwithstanding
section
12
249A.33,
subsection
2,
there
is
appropriated
from
the
13
pharmaceutical
settlement
account
created
in
section
249A.33
14
any
moneys
remaining
in
the
account
for
the
fiscal
year
15
beginning
July
1,
2026,
and
ending
June
30,
2027,
to
the
16
department
of
health
and
human
services
to
supplement
the
17
appropriation
made
in
this
Act
from
the
general
fund
of
the
18
state
for
the
medical
assistance
program
for
the
same
fiscal
19
year.
20
Sec.
12.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
21
QUALITY
ASSURANCE
TRUST
FUND.
Notwithstanding
section
249L.4,
22
subsection
2,
there
is
appropriated
from
the
quality
assurance
23
trust
fund
created
in
section
249L.4
any
moneys
remaining
in
24
the
fund
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
25
June
30,
2027,
to
the
department
of
health
and
human
services
26
to
supplement
the
appropriation
made
in
this
Act
from
the
27
general
fund
of
the
state
for
the
medical
assistance
program
28
for
the
same
fiscal
year.
29
Sec.
13.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HOSPITAL
30
HEALTH
CARE
ACCESS
TRUST
FUND.
Notwithstanding
section
249M.4,
31
subsection
2,
there
is
appropriated
from
the
hospital
health
32
care
access
trust
fund
created
in
section
249M.4
any
moneys
33
remaining
in
the
fund
for
the
fiscal
year
beginning
July
1,
34
2026,
and
ending
June
30,
2027,
to
the
department
of
health
and
35
-13-
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5013SV
(1)
91
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13/
37
S.F.
2483
human
services
to
supplement
the
appropriation
made
in
this
Act
1
from
the
general
fund
of
the
state
for
the
medical
assistance
2
program
for
the
same
fiscal
year.
3
Sec.
14.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
4
BEHAVIORAL
HEALTH
FUND.
Notwithstanding
section
225A.7,
5
subsection
2,
and
subject
to
the
availability
of
moneys,
there
6
is
appropriated
from
the
behavioral
health
fund
established
in
7
section
225A.7,
to
the
department
of
health
and
human
services
8
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
June
30,
9
2027,
the
following
amount,
or
so
much
thereof
as
is
necessary,
10
for
the
purposes
designated:
11
To
supplement
the
appropriation
made
in
this
Act
from
the
12
general
fund
of
the
state
to
the
department
of
health
and
human
13
services
for
medical
assistance
for
the
fiscal
year
beginning
14
July
1,
2026,
and
ending
June
30,
2027:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,053,449
16
Sec.
15.
REIMBURSEMENT
RATES.
17
1.
Reimbursement
for
medical
assistance,
state
18
supplementary
assistance,
and
social
service
providers
and
19
services
reimbursed
under
the
purview
of
the
department
of
20
health
and
human
services
shall
remain
at
the
reimbursement
21
rate
in
effect
on
June
30,
2026,
or
shall
be
determined
22
pursuant
to
the
reimbursement
methodology
in
effect
on
June
30,
23
2026,
with
the
exception
of
the
following:
24
a.
If
reimbursement
is
otherwise
negotiated
by
contract
or
25
pursuant
to
an
updated
fee
schedule.
26
b.
As
otherwise
provided
in
this
section.
27
2.
a.
(1)
Notwithstanding
any
provision
of
law
to
the
28
contrary,
for
the
fiscal
year
beginning
July
1,
2026,
and
29
ending
June
30,
2027,
the
department
of
health
and
human
30
services
shall
base
case-mix
nursing
facility
rates
on
the
31
case-mix
nursing
facility
rates
annually
in
effect
on
June
30,
32
2026.
33
(2)
The
department
of
health
and
human
services
shall
34
calculate
each
nursing
facility’s
case-mix
index
for
the
period
35
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(1)
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14/
37
S.F.
2483
beginning
July
1,
2025.
1
b.
For
the
fiscal
year
beginning
July
1,
2026,
$1,167,867
2
shall
be
used
to
increase
to
the
extent
possible
reimbursement
3
rates
for
ambulatory
surgical
centers
compared
to
rates
in
4
effect
on
June
30,
2026.
5
DIVISION
VII
6
FAMILY
WELL-BEING
AND
PROTECTION
——
FY
2026-2027
7
Sec.
16.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
STATE
8
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
the
general
9
fund
of
the
state
to
the
department
of
health
and
human
10
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
11
June
30,
2027,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purposes
designated:
13
For
state
child
care
assistance
in
accordance
with
sections
14
237A.13
and
237A.14:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,983,000
16
1.
If
the
appropriation
made
for
purposes
of
the
state
child
17
care
assistance
program
for
the
fiscal
year
is
determined
to
18
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
19
appropriate
sufficient
moneys
for
the
fiscal
year
to
avoid
20
application
of
waiting
list
requirements.
21
2.
A
portion
of
the
state
match
for
the
federal
child
care
22
and
development
block
grant
shall
be
provided
as
necessary
to
23
meet
federal
matching
moneys
requirements
through
the
state
24
general
fund
appropriation
made
for
child
development
grants
25
and
other
programs
for
at-risk
children
in
section
279.51.
26
Sec.
17.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
EARLY
27
INTERVENTION
AND
SUPPORTS.
There
is
appropriated
from
the
28
general
fund
of
the
state
to
the
department
of
health
and
human
29
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
30
June
30,
2027,
the
following
amount,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purposes
designated:
32
For
promotion
of
optimum
health
status
for
children
and
33
adolescents
from
birth
through
21
years
of
age,
and
for
34
families:
35
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(1)
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37
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2483
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,695,203
1
1.
Of
the
moneys
appropriated
in
this
section,
not
more
than
2
$734,000
is
allocated
for
the
healthy
opportunities
for
parents
3
to
experience
success
(HOPES)
–
healthy
families
Iowa
(HFI)
4
program
established
pursuant
to
section
135.106.
5
2.
Of
the
moneys
appropriated
in
this
section,
$4,313,854
6
is
allocated
for
the
FaDSS
grant
program,
and
not
more
7
than
5
percent
of
the
allocated
moneys
shall
be
used
for
8
administration
of
the
grant
program.
9
3.
Of
the
moneys
appropriated
in
this
section,
$29,256,799
10
shall
be
deposited
in
the
early
childhood
Iowa
fund
created
in
11
section
256I.11.
12
Sec.
18.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
CHILD
13
PROTECTIVE
SERVICES.
There
is
appropriated
from
the
general
14
fund
of
the
state
to
the
department
of
health
and
human
15
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
16
June
30,
2027,
the
following
amount,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purposes
designated:
18
For
child,
family,
and
adoption
services,
and
for
salaries,
19
support,
maintenance,
and
miscellaneous
purposes:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$164,052,467
21
1.
Based
on
client
need,
a
portion
of
the
moneys
22
appropriated
in
this
section
may
be
used
to
provide
other
23
resources
required
to
support
family
preservation,
emergency
24
client
need,
or
family
reunification
efforts.
25
2.
Of
the
moneys
appropriated
in
this
section,
a
sufficient
26
amount
is
allocated
for
foster
family
care,
group
foster
care
27
maintenance
and
services,
shelter
care,
child
welfare
emergency
28
services,
qualified
residential
treatment
programs,
supervised
29
apartment
living
contracts,
and
for
medical
assistance
program
30
reimbursement
and
associated
costs.
31
3.
Federal
moneys
received
by
the
state
during
the
fiscal
32
year
beginning
July
1,
2026,
as
the
result
of
the
expenditure
33
of
state
moneys
appropriated
during
a
previous
state
fiscal
34
year
for
a
service
or
activity
funded
under
this
section,
35
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5013SV
(1)
91
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16/
37
S.F.
2483
are
appropriated
to
the
department
to
be
used
as
additional
1
moneys
for
services
and
purposes
provided
under
this
section.
2
Notwithstanding
section
8.33,
moneys
appropriated
under
this
3
subsection
that
remain
unencumbered
or
unobligated
at
the
close
4
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
5
for
the
purposes
designated
until
the
close
of
the
succeeding
6
fiscal
year.
7
4.
a.
Of
the
moneys
appropriated
in
this
section,
$748,000
8
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
9
services
provided
to
children
who
are
under
the
supervision
10
of
the
department,
which
expenses
are
a
charge
upon
the
state
11
pursuant
to
section
232.141,
subsection
4.
12
b.
Notwithstanding
chapter
232
or
any
other
provision
of
13
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
14
order
any
service
which
is
a
charge
upon
the
state
pursuant
to
15
section
232.141,
subsection
4,
if
the
moneys
allocated
under
16
paragraph
“a”
for
court-ordered
services
are
insufficient
to
17
pay
for
the
service.
18
5.
Of
the
moneys
appropriated
in
this
section,
$4,359,500
19
is
allocated
for
the
preparation
for
adult
living
program
20
established
pursuant
to
section
234.46.
21
6.
Of
the
moneys
appropriated
in
this
section,
a
portion
may
22
be
used
for
family-centered
services
for
purposes
of
complying
23
with
the
federal
Family
First
Prevention
Services
Act
of
2018,
24
Pub.
L.
No.
115-123,
and
successor
legislation.
25
7.
a.
Of
the
moneys
appropriated
in
this
section,
26
$39,823,955
is
allocated
for
adoption
subsidy
payments
and
27
related
costs.
28
b.
Any
moneys
remaining
after
the
allocation
under
29
paragraph
“a”
is
designated
and
allocated
as
state
savings
30
resulting
from
implementation
of
the
federal
Fostering
31
Connections
to
Success
and
Increasing
Adoptions
Act
of
2008,
32
Pub.
L.
No.
110-351,
and
successor
legislation,
as
determined
33
in
accordance
with
42
U.S.C.
§673(a)(8),
and
shall
be
used
for
34
post-adoption
services
and
for
other
purposes
allowed
under
35
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37
S.F.
2483
those
federal
Acts
and
regulations,
and
Tit.
IV-B
or
Tit.
IV-E
1
of
the
federal
Social
Security
Act.
2
8.
Of
the
moneys
appropriated
in
this
section,
a
sufficient
3
amount
is
allocated
to
support
training
needs
for
child
welfare
4
providers
and
to
address
disproportionality
within
the
child
5
welfare
system.
6
9.
If
a
separate
funding
source
is
available
that
reduces
7
the
need
for
state
moneys
within
an
allocation
under
this
8
section,
the
allocated
state
moneys
may
be
redistributed
to
9
other
allocations
under
this
section
for
the
same
fiscal
year.
10
DIVISION
VIII
11
STATE-OPERATED
SPECIALTY
CARE
——
FY
2026-2027
12
Sec.
19.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
13
STATE-OPERATED
SPECIALTY
CARE.
There
is
appropriated
from
the
14
general
fund
of
the
state
to
the
department
of
health
and
human
15
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
16
June
30,
2027,
the
following
amount,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purposes
designated:
18
For
salaries,
support,
maintenance,
and
miscellaneous
19
purposes
at
institutions
under
the
jurisdiction
of
the
20
department
of
health
and
human
services:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$100,225,768
22
1.
The
department
shall
utilize
the
moneys
appropriated
in
23
this
section
as
necessary
to
maximize
bed
capacity
and
to
most
24
effectively
meet
the
needs
of
the
individuals
served.
25
2.
Of
the
moneys
appropriated
in
this
section,
the
following
26
amounts
are
allocated
to
each
institution
as
follows:
27
a.
For
the
state
mental
health
institute
at
Cherokee:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,878,962
29
b.
For
the
state
mental
health
institute
at
Independence:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,760,205
31
c.
For
the
civil
commitment
unit
for
sexual
offenders
at
32
Cherokee:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,272,111
34
d.
For
the
state
resource
center
at
Woodward:
35
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,567,092
1
e.
For
the
state
training
school
at
Eldora:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,805,171
3
f.
For
outstanding
obligations
related
to
workers’
4
compensation,
the
sick
leave
insurance
program,
unemployment,
5
and
other
costs
related
to
the
closure
of
the
state
resource
6
center
at
Glenwood:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
942,227
8
DIVISION
IX
9
ADMINISTRATION
AND
COMPLIANCE
——
FY
2026-2027
10
Sec.
20.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
11
ACCOUNTABILITY,
COMPLIANCE,
AND
PROGRAM
INTEGRITY.
There
12
is
appropriated
from
the
general
fund
of
the
state
to
the
13
department
of
health
and
human
services
for
the
fiscal
year
14
beginning
July
1,
2026,
and
ending
June
30,
2027,
the
following
15
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
16
purposes
designated:
17
For
accountability,
compliance,
and
program
integrity,
18
including
salaries,
support,
maintenance,
and
miscellaneous
19
purposes:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,087,834
21
1.
Of
the
moneys
appropriated
in
this
section,
$2,602,312
22
is
allocated
for
foster
care
review
and
the
court
appointed
23
special
advocate
program,
including
for
salaries,
support,
24
maintenance,
and
miscellaneous
purposes.
25
2.
Of
the
moneys
appropriated
in
this
section,
$1,148,959
26
is
allocated
for
the
office
of
long-term
care
ombudsman
27
for
salaries,
support,
administration,
maintenance,
and
28
miscellaneous
purposes.
29
DIVISION
X
30
TRANSFERS,
CASH
FLOW,
AND
NONREVERSIONS
——
FY
2026-2027
31
Sec.
21.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
32
TRANSFERS
AND
CASH
FLOW.
33
1.
Notwithstanding
any
provision
of
law
to
the
contrary,
34
the
department
of
health
and
human
services
may
transfer
moneys
35
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2483
appropriated
in
this
Act
to
support
continuing
alignment
1
efforts,
to
maximize
federal
support
in
accordance
with
the
2
department’s
federal
costs
allocation
plan,
and
to
secure
3
resources
necessary
to
implement
and
administer
the
services
4
for
which
moneys
are
appropriated.
The
department
shall
report
5
any
transfers
made
pursuant
to
this
subsection
to
the
general
6
assembly.
7
2.
If,
due
to
ongoing
cost
management
efforts,
8
appropriations
under
this
Act
for
the
Medicaid
program
9
exceed
the
associated
costs
for
the
Medicaid
program
for
the
10
fiscal
year,
the
department
may
transfer
any
savings
to
the
11
appropriations
made
in
this
Act
for
health
program
operations,
12
or
for
accountability,
compliance,
and
program
integrity,
13
to
defray
the
costs
associated
with
ongoing
cost
management
14
efforts.
15
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
16
the
department
may
transfer
moneys
appropriated
under
this
Act
17
for
child
protective
services
to
pay
the
nonfederal
share
costs
18
of
services
reimbursed
under
the
medical
assistance
program,
19
state
child
care
assistance
program,
or
family
investment
20
program
which
are
provided
to
children
who
would
otherwise
21
receive
services
paid
by
the
appropriation
for
child
protective
22
services.
23
4.
The
department
may
transfer
moneys
from
the
temporary
24
assistance
for
needy
families
block
grant
to
the
federal
social
25
services
block
grant
appropriation,
and
to
the
child
care
and
26
development
block
grant
appropriation,
in
accordance
with
27
federal
law.
28
5.
To
the
extent
the
department
determines
that
moneys
29
appropriated
under
this
Act,
or
allocated
for
a
specific
30
purpose
under
this
Act,
will
remain
unencumbered
or
unobligated
31
at
the
close
of
the
fiscal
year,
such
unencumbered
or
32
unobligated
moneys
may
be
used
in
the
same
fiscal
year
for
any
33
other
purpose
for
which
the
appropriated
moneys
may
be
used,
or
34
for
any
other
allocation
within
the
same
appropriation.
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Sec.
22.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
1
NONREVERSIONS.
2
1.
Notwithstanding
section
8.33,
moneys
appropriated
under
3
this
Act
from
the
general
fund
of
the
state
and
the
temporary
4
assistance
for
needy
families
block
grant
to
the
department
of
5
health
and
human
services
for
the
fiscal
year
beginning
July
6
1,
2026,
and
ending
June
30,
2027,
for
the
purposes
of
the
7
FaDSS
grant
program,
that
remain
unencumbered
or
unobligated
at
8
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
9
available
for
expenditure
for
the
purposes
designated
until
the
10
close
of
the
succeeding
fiscal
year.
11
2.
Notwithstanding
section
8.33,
of
the
moneys
appropriated
12
under
this
Act
from
the
general
fund
of
the
state,
the
quality
13
assurance
trust
fund,
and
the
hospital
health
care
access
trust
14
fund
to
the
department
of
health
and
human
services
for
the
15
fiscal
year
beginning
July
1,
2026,
and
ending
June
30,
2027,
16
for
the
purposes
of
the
medical
assistance
program,
the
amount
17
in
excess
of
actual
expenditures
for
the
medical
assistance
18
program
that
remains
unencumbered
or
unobligated
at
the
close
19
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
20
for
expenditure
for
the
medical
assistance
program
until
the
21
close
of
the
succeeding
fiscal
year.
22
3.
Notwithstanding
section
8.33,
and
notwithstanding
the
23
nonreversion
amount
limitation
specified
for
state
resource
24
centers
in
section
222.92,
subsection
4,
moneys
appropriated
25
under
this
Act
from
the
general
fund
of
the
state
to
the
26
department
of
health
and
human
services
for
the
fiscal
year
27
beginning
July
1,
2026,
and
ending
June
30,
2027,
for
the
28
purposes
of
state-operated
specialty
care,
that
remain
29
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
30
shall
not
revert
but
shall
remain
available
for
expenditure
for
31
the
purposes
designated
for
subsequent
fiscal
years.
32
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
33
this
Act
from
the
general
fund
of
the
state
to
the
department
34
of
health
and
human
services
for
the
fiscal
year
beginning
July
35
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2483
1,
2026,
and
ending
June
30,
2027,
for
the
Iowa
commission
1
on
volunteer
service
for
programs
and
grants,
that
remain
2
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
3
shall
not
revert
but
shall
remain
available
for
expenditure
for
4
the
purposes
designated
for
subsequent
fiscal
years.
5
5.
Notwithstanding
section
8.33,
moneys
appropriated
under
6
this
Act
from
the
general
fund
of
the
state
to
the
department
7
of
health
and
human
services
for
the
fiscal
year
beginning
8
July
1,
2026,
and
ending
June
30,
2027,
and
allocated
for
9
rural
psychiatric
residencies,
that
remain
unencumbered
or
10
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
11
but
shall
remain
available
for
expenditure
for
the
purposes
12
designated
until
the
close
of
the
succeeding
fiscal
year.
13
6.
Notwithstanding
section
8.33,
moneys
appropriated
14
under
this
Act
from
the
general
fund
of
the
state
to
the
15
department
of
health
and
human
services
for
the
fiscal
16
year
beginning
July
1,
2026,
and
ending
June
30,
2027,
and
17
allocated
for
adoption
subsidy
payments
and
related
costs,
or
18
for
post-adoption
services
and
allowable
related
purposes,
19
that
remain
unencumbered
or
unobligated
at
the
close
of
the
20
fiscal
year
shall
not
revert
but
shall
remain
available
for
21
expenditure
for
the
purposes
designated
until
the
close
of
the
22
succeeding
fiscal
year.
23
7.
Notwithstanding
section
8.33,
moneys
appropriated
under
24
this
Act
from
the
general
fund
of
the
state
to
the
department
25
of
health
and
human
services
for
the
fiscal
year
beginning
July
26
1,
2026,
and
ending
June
30,
2027,
and
allocated
for
child
27
protective
services,
that
remain
unencumbered
or
unobligated
at
28
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
29
available
for
expenditure
for
the
purposes
designated
until
the
30
close
of
the
succeeding
fiscal
year.
31
DIVISION
XI
32
REPORT
ON
NONREVERSION
OF
MONEYS
33
Sec.
23.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
REPORT
34
ON
NONREVERSION
OF
MONEYS.
The
department
of
health
and
35
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2483
human
services
shall
report
the
expenditure
of
any
moneys
for
1
which
nonreversion
authorization
was
provided
for
the
fiscal
2
year
beginning
July
1,
2025,
and
ending
June
30,
2026,
to
the
3
general
assembly
on
a
quarterly
basis
beginning
October
1,
4
2026.
5
DIVISION
XII
6
EMERGENCY
RULES
7
Sec.
24.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
8
EMERGENCY
RULES.
9
1.
If
necessary
to
comply
with
federal
requirements,
10
including
time
frames,
the
department
of
health
and
human
11
services
shall
adopt
administrative
rules
under
section
17A.4,
12
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
13
to
implement
the
applicable
provisions
of
this
Act.
The
rules
14
shall
be
effective
immediately
upon
filing
unless
a
later
date
15
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
16
with
this
section
shall
also
be
published
as
a
notice
of
17
intended
action
as
provided
in
section
17A.4.
18
2.
If
the
department
of
health
and
human
services
adopts
19
emergency
rules
in
accordance
with
this
section,
or
as
20
otherwise
directed
or
authorized
by
state
law,
and
the
rules
21
will
result
in
an
increase
in
expenditures
beyond
the
amount
22
anticipated
in
the
budget
for
the
fiscal
year,
or
if
the
23
expenditures
were
not
addressed
in
the
budget
for
the
fiscal
24
year,
the
department
shall
notify
the
general
assembly
and
the
25
department
of
management
concerning
the
rules
and
the
increase
26
in
expenditures.
The
notification
shall
be
provided
at
least
27
thirty
calendar
days
prior
to
the
date
notice
of
the
rules
28
is
submitted
to
the
administrative
rules
coordinator
and
the
29
administrative
code
editor.
30
DIVISION
XIII
31
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
PROGRAM
APPROPRIATION
32
NONREVERSION
33
Sec.
25.
2025
Iowa
Acts,
chapter
169,
section
27
,
is
amended
34
by
adding
the
following
new
subsection:
35
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2483
NEW
SUBSECTION
.
8.
Notwithstanding
section
8.33,
moneys
1
appropriated
from
the
general
fund
of
the
state
to
the
2
department
of
health
and
human
services
for
the
fiscal
year
3
beginning
July
1,
2025,
and
ending
June
30,
2026,
for
the
more
4
options
for
maternal
support
program
created
in
section
217.41C
5
that
remain
unencumbered
or
unobligated
at
the
close
of
the
6
fiscal
year
shall
not
revert
but
shall
remain
available
for
7
expenditure
for
the
purposes
designated
until
the
close
of
the
8
succeeding
fiscal
year.
9
Sec.
26.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
10
deemed
of
immediate
importance,
takes
effect
upon
enactment.
11
Sec.
27.
RETROACTIVE
APPLICABILITY.
This
division
of
this
12
Act
applies
retroactively
to
July
1,
2025.
13
DIVISION
XIV
14
CHILD
WELFARE
AND
JUVENILE
JUSTICE
DECATEGORIZATION
15
Sec.
28.
Section
235.7,
subsection
2,
Code
2026,
is
amended
16
to
read
as
follows:
17
2.
Membership.
The
department
may
authorize
the
governance
18
boards
of
decategorization
of
child
welfare
and
juvenile
19
justice
funding
projects
established
under
section
232.188
to
20
appoint
the
transition
committee
membership
and
may
utilize
21
the
boundaries
of
decategorization
projects
to
establish
22
the
service
areas
for
transition
committees.
The
committee
23
A
committee’s
membership
may
include
but
is
not
limited
to
24
department
staff
involved
with
foster
care,
child
welfare,
25
and
adult
services,
juvenile
court
services
staff,
staff
26
involved
with
county
general
assistance
or
emergency
relief
27
under
chapter
251
or
252
,
school
district
and
area
education
28
agency
staff
involved
with
special
education,
and
a
child’s
29
court
appointed
special
advocate,
guardian
ad
litem,
service
30
providers,
and
other
persons
knowledgeable
about
the
child.
31
Sec.
29.
Section
237A.1,
subsection
2,
paragraph
j,
32
subparagraph
(2),
Code
2026,
is
amended
by
striking
the
33
subparagraph.
34
Sec.
30.
Section
249A.26,
subsection
5,
Code
2026,
is
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amended
by
striking
the
subsection.
1
Sec.
31.
Section
256I.4,
subsection
6,
Code
2026,
is
amended
2
by
striking
the
subsection.
3
Sec.
32.
REPEAL.
Section
232.188,
Code
2026,
is
repealed.
4
Sec.
33.
DECATEGORIZATION
CARRYOVER
FUNDING.
5
1.
For
purposes
of
this
section,
unless
the
context
6
otherwise
requires:
7
a.
“Carryover
funding”
means
unobligated
or
unencumbered
8
moneys
described
in
section
232.188,
subsection
5,
paragraph
9
“b”,
Code
2026,
at
the
close
of
the
fiscal
year
beginning
July
10
1,
2025.
11
b.
“Decategorization
project”
means
the
same
as
defined
in
12
section
232.188,
Code
2026.
13
c.
“Funding
pool”
means
the
same
as
defined
in
section
14
232.188,
Code
2026.
15
d.
“Governance
board”
means
the
same
as
defined
in
section
16
232.188,
Code
2026.
17
2.
Carryover
funding
that
remains
in
a
funding
pool
at
the
18
close
of
the
fiscal
year
beginning
Ju1y
1,
2025,
which
has
been
19
encumbered
or
obligated
by
the
governance
board
for
a
multiyear
20
service
decategorization
project
for
that
fiscal
year,
shall
21
remain
available
for
expenditure
to
ensure
continuation
of
22
such
service
or
activity
until
the
close
of
the
fiscal
year
23
beginning
July
1,
2028,
or
until
the
close
of
the
fiscal
year
24
in
which
the
service
or
activity
is
completed,
whichever
is
25
earlier.
26
3.
Carryover
funding
that
remains
in
a
funding
pool
at
the
27
end
of
the
fiscal
year
beginning
July
1,
2025,
which
remains
28
unencumbered
or
unobligated
by
the
governance
board
for
a
29
multiyear
service
decategorization
project
for
that
fiscal
30
year,
shall
be
appropriated
to
the
department
of
health
and
31
human
services
and
juvenile
court
services
proportionately
32
based
on
the
percentage
of
moneys
appropriated
to
each
entity
33
by
the
general
assembly
for
decategorization
projects.
34
Sec.
34.
EFFECTIVE
DATE.
The
section
of
this
division
of
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this
Act
related
to
decategorization
carryover
funding,
being
1
deemed
of
immediate
importance,
takes
effect
upon
enactment.
2
Sec.
35.
RETROACTIVE
APPLICABILITY.
The
section
of
this
3
division
of
this
Act
related
to
decategorization
carryover
4
funding
applies
retroactively
to
July
1,
2025.
5
DIVISION
XV
6
COMMITMENT
OR
HOSPITALIZATION
OF
CERTAIN
PERSONS
WITH
SUBSTANCE
7
USE
DISORDERS
OR
MENTAL
ILLNESS
8
Sec.
36.
Section
125.81,
subsection
1,
Code
2026,
is
amended
9
to
read
as
follows:
10
1.
a.
If
a
person
filing
an
application
requests
that
a
11
respondent
be
taken
into
immediate
custody,
and
the
court
upon
12
reviewing
the
application
and
accompanying
documentation,
finds
13
probable
cause
to
believe
that
the
respondent
is
a
person
with
14
a
substance
use
disorder
who
is
likely
to
injure
the
person
or
15
other
persons
if
allowed
to
remain
at
liberty,
the
court
may
16
enter
a
written
order
directing
that
the
respondent
be
taken
17
into
immediate
custody
by
the
sheriff,
and
be
detained
until
18
the
commitment
hearing,
which
shall
be
held
no
more
than
five
19
days
after
the
date
of
the
order,
except
that
if
the
fifth
20
day
after
the
date
of
the
order
is
a
Saturday,
Sunday,
or
a
21
holiday,
the
hearing
may
be
held
on
the
next
business
day.
The
22
court
may
order
the
respondent
detained
for
the
period
of
time
23
until
the
hearing
is
held,
and
no
longer
except
as
provided
in
24
section
125.88
,
in
accordance
with
subsection
2
,
paragraph
“a”
,
25
if
possible,
and
if
not,
then
in
accordance
with
subsection
2
,
26
paragraph
“b”
,
or,
only
if
neither
of
these
alternatives
is
27
available
in
accordance
with
subsection
2
,
paragraph
“c”
.
28
b.
The
county
in
which
a
respondent
is
taken
into
immediate
29
custody
by
the
sheriff
pursuant
to
paragraph
“a”
shall
30
compensate
the
sheriff,
as
determined
by
the
county
board
of
31
supervisors
of
that
county
and
consistent
with
section
331.655,
32
subsection
1,
paragraph
“l”
,
for
conveyance
of
the
respondent
33
to
a
detention
location.
34
Sec.
37.
Section
229.2,
subsection
1,
paragraph
b,
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subparagraph
(3),
Code
2026,
is
amended
to
read
as
follows:
1
(3)
As
soon
as
is
practicable
after
the
filing
of
a
2
petition
for
juvenile
court
approval
of
the
admission
of
the
3
minor,
the
juvenile
court
shall
determine
whether
the
minor
4
has
an
attorney
to
represent
the
minor
in
the
hospitalization
5
proceeding,
and
if
not,
the
court
shall
assign
to
appoint
the
6
minor
an
attorney
pursuant
to
section
815.10
.
If
the
minor
is
7
financially
unable
to
pay
for
an
attorney,
the
attorney
shall
8
be
compensated
by
an
administrative
services
organization
at
an
9
hourly
rate
to
be
established
by
the
administrative
services
10
organization
in
substantially
the
same
manner
as
provided
in
11
section
815.7
.
12
Sec.
38.
Section
229.8,
subsection
1,
Code
2026,
is
amended
13
to
read
as
follows:
14
1.
Determine
whether
the
respondent
has
an
attorney
15
who
is
able
and
willing
to
represent
the
respondent
in
the
16
hospitalization
proceeding,
and
if
not,
whether
the
respondent
17
is
financially
able
to
employ
an
attorney
and
capable
of
18
meaningfully
assisting
in
selecting
one.
In
accordance
with
19
those
determinations,
the
court
shall
if
necessary
allow
20
the
respondent
to
select,
or
pursuant
to
section
815.10
21
shall
assign
to
appoint
the
respondent,
an
attorney.
If
the
22
respondent
is
financially
unable
to
pay
an
attorney,
the
23
attorney
shall
be
compensated
by
an
administrative
services
24
organization
at
an
hourly
rate
to
be
established
by
the
25
administrative
services
organization
in
substantially
the
same
26
manner
as
provided
in
section
815.7
.
27
Sec.
39.
Section
229.10,
subsection
1,
paragraph
a,
Code
28
2026,
is
amended
to
read
as
follows:
29
a.
An
examination
of
the
respondent
shall
be
conducted
by
30
one
or
more
licensed
physicians
or
mental
health
professionals,
31
as
required
by
the
court’s
order,
within
a
reasonable
time.
32
If
the
respondent
is
detained
pursuant
to
section
229.11,
33
subsection
1
,
paragraph
“b”
“a”
,
subparagraph
(2)
,
the
34
examination
shall
be
conducted
within
twenty-four
hours.
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If
the
respondent
is
detained
pursuant
to
section
229.11,
1
subsection
1
,
paragraph
“a”
or
“c”
,
subparagraph
(1)
or
(3)
,
the
2
examination
shall
be
conducted
within
forty-eight
hours.
If
3
the
respondent
so
desires,
the
respondent
shall
be
entitled
to
4
a
separate
examination
by
a
licensed
physician
or
mental
health
5
professional
of
the
respondent’s
own
choice.
The
reasonable
6
cost
of
the
examinations
shall,
if
the
respondent
lacks
7
sufficient
funds
to
pay
the
cost,
be
paid
by
an
administrative
8
services
organization
upon
order
of
the
court.
9
Sec.
40.
Section
229.11,
subsections
1
and
3,
Code
2026,
are
10
amended
to
read
as
follows:
11
1.
a.
If
the
applicant
requests
that
the
respondent
be
12
taken
into
immediate
custody
and
the
judge,
upon
reviewing
the
13
application
and
accompanying
documentation,
finds
probable
14
cause
to
believe
that
the
respondent
has
a
serious
mental
15
impairment
and
is
likely
to
injure
the
respondent
or
other
16
persons
if
allowed
to
remain
at
liberty,
the
judge
may
enter
17
a
written
order
directing
that
the
respondent
be
taken
into
18
immediate
custody
by
the
sheriff
or
the
sheriff’s
deputy
19
and
be
detained
until
the
hospitalization
hearing.
The
20
hospitalization
hearing
shall
be
held
no
more
than
five
days
21
after
the
date
of
the
order,
except
that
if
the
fifth
day
after
22
the
date
of
the
order
is
a
Saturday,
Sunday,
or
a
holiday,
the
23
hearing
may
be
held
on
the
next
succeeding
business
day.
If
24
the
expenses
of
a
respondent
are
payable
in
whole
or
in
part
25
by
an
administrative
services
organization,
for
a
placement
26
in
accordance
with
paragraph
“a”
,
the
judge
shall
give
notice
27
of
the
placement
to
an
administrative
services
organization,
28
and
for
a
placement
in
accordance
with
paragraph
“b”
or
“c”
,
29
the
judge
shall
order
the
placement
in
a
hospital
or
facility
30
designated
by
an
administrative
services
organization.
The
31
judge
may
order
the
respondent
detained
for
the
period
of
time
32
until
the
hearing
is
held,
and
no
longer,
in
accordance
with
33
paragraph
“a”
subparagraph
(1)
,
if
possible,
and
if
not
then
34
in
accordance
with
paragraph
“b”
subparagraph
(2)
,
or,
only
if
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neither
of
these
alternatives
is
available,
in
accordance
with
1
paragraph
“c”
subparagraph
(3)
.
Detention
may
be
in
any
of
the
2
following:
3
a.
(1)
In
the
custody
of
a
relative,
friend,
or
other
4
suitable
person
who
is
willing
to
accept
responsibility
for
5
supervision
of
the
respondent,
and
the
respondent
may
be
placed
6
under
such
reasonable
restrictions
as
the
judge
may
order
7
including
but
not
limited
to
restrictions
on
or
a
prohibition
8
of
any
expenditure,
encumbrance,
or
disposition
of
the
9
respondent’s
funds
or
property.
10
b.
(2)
In
a
suitable
hospital
the
chief
medical
officer
of
11
which
shall
be
informed
of
the
reasons
why
immediate
custody
12
has
been
ordered
and
may
provide
treatment
which
is
necessary
13
to
preserve
the
respondent’s
life,
or
to
appropriately
control
14
behavior
by
the
respondent
which
is
likely
to
result
in
15
physical
injury
to
the
respondent
or
to
others
if
allowed
16
to
continue,
but
may
not
otherwise
provide
treatment
to
the
17
respondent
without
the
respondent’s
consent.
18
c.
(3)
In
the
nearest
facility
in
the
community
which
is
19
licensed
to
care
for
persons
with
mental
illness
or
substance
20
use
disorder,
provided
that
detention
in
a
jail
or
other
21
facility
intended
for
confinement
of
those
accused
or
convicted
22
of
crime
shall
not
be
ordered.
23
b.
The
county
in
which
a
respondent
is
taken
into
immediate
24
custody
by
the
sheriff
pursuant
to
paragraph
“a”
shall
25
compensate
the
sheriff,
as
determined
by
the
county
board
of
26
supervisors
of
that
county
and
consistent
with
section
331.655,
27
subsection
1,
paragraph
“l”
,
for
conveyance
of
the
respondent
28
to
a
detention
location.
29
3.
If
a
respondent
is
detained
pursuant
to
subsection
1
,
30
paragraph
“b”
or
“c”
“a”
,
subparagraph
(2)
or
(3)
,
the
sheriff
31
or
the
sheriff’s
deputy
that
took
the
respondent
into
immediate
32
custody
may
inform
the
hospital
or
facility
that
an
arrest
33
warrant
has
been
issued
for
or
charges
are
pending
against
the
34
respondent
and
may
request
the
hospital
or
facility
to
notify
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the
sheriff
or
the
sheriff’s
deputy
about
the
discharge
of
the
1
respondent
prior
to
discharge.
2
Sec.
41.
Section
229.22,
subsection
2,
paragraph
a,
3
subparagraph
(1),
Code
2026,
is
amended
to
read
as
follows:
4
(1)
In
the
circumstances
described
in
subsection
1
,
any
5
peace
officer
who
has
reasonable
grounds
to
believe
that
6
a
person
is
mentally
ill,
and
because
of
that
illness
is
7
likely
to
physically
injure
the
person’s
self
or
others
if
8
not
immediately
detained,
may
without
a
warrant
take
or
cause
9
that
person
to
be
taken
to
the
nearest
available
facility
or
10
hospital
as
defined
described
in
section
229.11,
subsection
1
,
11
paragraphs
“b”
paragraph
“a”
,
subparagraphs
(2)
and
“c”
(3)
.
A
12
person
believed
mentally
ill,
and
likely
to
injure
the
person’s
13
self
or
others
if
not
immediately
detained,
may
be
delivered
to
14
a
facility
or
hospital
by
someone
other
than
a
peace
officer.
15
Sec.
42.
Section
815.9,
subsection
1,
unnumbered
paragraph
16
1,
Code
2026,
is
amended
to
read
as
follows:
17
For
purposes
of
this
chapter
,
chapters
13B
,
125,
229,
229A
,
18
232
,
665
,
812
,
814
,
and
822
,
and
section
811.1A
,
and
the
rules
19
of
criminal
procedure,
a
person
is
indigent
if
the
person
is
20
entitled
to
an
attorney
appointed
by
the
court
as
follows:
21
DIVISION
XVI
22
CHILD
ABUSE
PREVENTION
23
Sec.
43.
Section
144.13A,
subsection
5,
paragraph
a,
Code
24
2026,
is
amended
to
read
as
follows:
25
a.
Ten
dollars
of
each
registration
fee
is
appropriated
and
26
shall
be
used
for
primary
and
secondary
child
abuse
prevention
27
programs
pursuant
to
section
235A.1
,
and
ten
dollars
of
each
28
registration
fee
is
appropriated
and
shall
be
used
for
the
29
congenital
and
inherited
disorders
central
registry
established
30
pursuant
to
section
136A.6
.
Notwithstanding
section
8.33
,
31
moneys
appropriated
in
this
paragraph
that
remain
unencumbered
32
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
33
but
shall
remain
available
for
expenditure
for
the
purposes
34
designated
until
the
close
of
the
succeeding
fiscal
year,
and
35
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shall
not
be
transferred,
used,
obligated,
appropriated,
or
1
otherwise
encumbered
except
as
provided
in
this
paragraph.
2
Sec.
44.
Section
422.12K,
Code
2026,
is
amended
to
read
as
3
follows:
4
422.12K
Income
tax
checkoff
for
child
abuse
prevention
5
program
fund
.
6
1.
A
person
who
files
an
individual
or
a
joint
income
tax
7
return
with
the
department
of
revenue
under
section
422.13
may
8
designate
one
dollar
or
more
to
be
paid
to
the
child
abuse
9
prevention
program
early
childhood
and
family
services
system
10
fund
created
in
section
235A.2
234A.6,
to
be
used
for
the
11
purpose
of
child
abuse
prevention
.
If
the
refund
due
on
the
12
return
or
the
payment
remitted
with
the
return
is
insufficient
13
to
pay
the
additional
amount
designated
by
the
taxpayer
to
14
the
child
abuse
prevention
program
early
childhood
and
family
15
services
system
fund,
the
amount
designated
shall
be
reduced
to
16
the
remaining
amount
remitted
with
the
return.
The
designation
17
of
a
contribution
to
the
child
abuse
prevention
program
early
18
childhood
and
family
services
system
fund
under
this
section
19
is
irrevocable.
20
2.
The
director
of
revenue
shall
draft
the
income
tax
form
21
to
allow
the
designation
of
contributions
to
the
child
abuse
22
prevention
program
early
childhood
and
family
services
system
23
fund
on
the
tax
return.
The
department
of
revenue,
on
or
24
before
January
31,
shall
transfer
the
total
amount
designated
25
on
the
tax
return
forms
due
in
the
preceding
calendar
year
to
26
the
child
abuse
prevention
program
early
childhood
and
family
27
services
system
fund.
However,
before
a
checkoff
pursuant
28
to
this
section
shall
be
permitted,
all
liabilities
on
the
29
books
of
the
department
and
accounts
identified
as
owing
under
30
section
421.65
shall
be
satisfied.
31
3.
The
department
of
health
and
human
services
may
authorize
32
payment
of
moneys
from
the
child
abuse
prevention
program
early
33
childhood
and
family
services
system
fund
for
the
purpose
34
of
child
abuse
prevention
in
accordance
with
section
235A.2
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234A.6
.
1
4.
The
department
of
revenue
shall
adopt
rules
to
administer
2
this
section
.
3
5.
This
section
is
subject
to
repeal
under
section
422.12E
.
4
Sec.
45.
REPEAL.
Sections
235A.1,
235A.2,
and
235A.3,
Code
5
2026,
are
repealed.
6
Sec.
46.
CHILD
ABUSE
PREVENTION
PROGRAM
FUND
——
TRANSFER
7
OF
MONEYS.
Any
unencumbered
or
unobligated
moneys
remaining
8
in
the
child
abuse
prevention
program
fund
created
in
section
9
235A.2,
on
June
30,
2026,
shall
be
transferred
to
the
early
10
childhood
and
family
services
system
fund
created
in
section
11
234A.6,
if
created
by
enactment
of
2026
Iowa
Acts,
House
File
12
2712
or
Senate
File
2462,
or
successor
legislation.
If
no
such
13
fund
is
enacted,
the
moneys
shall
be
transferred
to
the
early
14
intervention
and
supports
appropriation
in
this
Act.
15
Sec.
47.
CONTINGENT
EFFECTIVE
DATE.
This
division
of
this
16
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
17
enactment
if
2026
Iowa
Acts,
House
File
2712
or
Senate
File
18
2462,
or
successor
legislation,
is
enacted.
19
DIVISION
XVII
20
COMPREHENSIVE
FAMILY
SUPPORT
PROGRAM
21
Sec.
48.
NEW
SECTION
.
231.80
Comprehensive
family
support
22
program.
23
1.
For
the
purposes
of
this
section,
unless
the
context
24
otherwise
requires:
25
a.
“Comprehensive
family
support”
means
services
and
26
supports
that
assist
families
caring
for
an
individual
with
27
a
disability
who
is
a
member
of
the
family,
including
but
28
not
limited
to
programs,
services,
parent-to-parent
support,
29
assistive
devices,
and
various
adaptations
that
allow
an
30
individual
with
a
disability
to
participate
more
fully
in
31
family
and
community
life.
32
b.
(1)
“Family”
means
a
group
of
interdependent
persons
33
living
in
the
same
household.
A
family
consists
of
an
34
individual
with
a
disability
and
any
of
the
following:
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(a)
The
individual’s
parent.
1
(b)
The
individual’s
sibling.
2
(c)
The
individual’s
grandparent,
aunt,
or
uncle.
3
(d)
The
individual’s
legal
custodian.
4
(e)
A
person
providing
short-term
foster
care
to
the
5
individual
with
a
disability
subject
to
a
case
permanency
plan
6
that
provides
for
reunification
between
the
individual
and
the
7
individual’s
parent.
8
(2)
“Family”
does
not
include
a
person
who
is
employed
9
to
provide
services
to
an
individual
with
a
disability
in
an
10
out-of-home
setting,
including
but
not
limited
to
a
hospital,
11
nursing
facility,
personal
care
home,
board
and
care
home,
12
group
foster
care
home,
or
other
institutional
setting.
13
c.
“Individual
with
a
disability”
means
an
individual
who
is
14
less
than
twenty-two
years
of
age
and
meets
the
definition
of
15
developmental
disability
in
42
U.S.C.
§15002.
16
d.
“Services
and
support”
means
assistance
intended
17
to
enable
an
individual
with
a
disability
to
control
18
the
individual’s
environment,
to
remain
living
with
the
19
individual’s
family,
to
function
more
independently,
and
20
to
increase
the
integration
of
the
individual
into
the
21
individual’s
community
including
but
not
limited
to
funding
22
for
purchase
of
equipment,
respite
care,
supplies,
assistive
23
technology,
and
payment
of
other
costs
attributable
to
24
the
individual’s
disability
which
are
identified
by
the
25
individual’s
family.
26
2.
A
comprehensive
family
support
program
is
created
under
27
the
purview
of
the
department
to
provide
a
statewide
system
of
28
services
and
support
to
eligible
families.
The
program
shall
29
be
implemented
in
a
manner
that
enables
a
family
member
of
an
30
individual
with
a
disability
to
identify
the
needed
services
31
and
support.
32
3.
Eligibility
for
the
program
is
limited
to
families
who
33
meet
all
of
the
following
criteria:
34
a.
The
family
resides
in
the
state
of
Iowa.
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b.
The
family
intends
for
the
family
member
who
is
an
1
individual
with
a
disability
to
remain
living
in
the
family’s
2
home.
3
c.
The
family’s
taxable
income
is
less
than
sixty
thousand
4
dollars
for
the
most
recently
completed
tax
year.
5
4.
A
family
may
apply
to
the
department
or
to
a
family
6
support
center
for
assistance
under
the
comprehensive
family
7
support
program.
The
department
or
family
support
center
shall
8
determine
eligibility
for
the
comprehensive
family
support
9
program
in
accordance
with
subsection
3.
10
5.
The
department
shall
adopt
rules
pursuant
to
chapter
11
17A
to
implement
the
comprehensive
family
support
program.
12
The
comprehensive
family
support
program
must
do
all
of
the
13
following:
14
a.
To
the
extent
possible,
incorporate
in
the
application
15
process
the
eligibility
determination
processes
that
the
16
department
uses
for
other
disability
services
programs.
17
b.
Ensure
the
ability
of
families
to
maintain
control
of
18
decisions
which
affect
an
individual
with
a
disability
who
is
a
19
member
of
a
family.
20
c.
Utilize
existing
local
agencies
to
provide
facilities
and
21
a
single
entry
point
for
program
applicants.
22
d.
Ensure
services
and
support
are
provided
in
a
timely
23
manner
and
emergency
access
to
needed
services
and
support
is
24
provided.
25
e.
Ensure
technical
assistance
is
provided
to
providers
and
26
users
of
services
and
support.
27
f.
Utilize
state,
regional,
and
local
media
to
publicize
the
28
program.
29
g.
Incorporate
a
process
to
appeal
the
department’s
or
30
family
support
center’s
denial
of
services
and
support
to
a
31
family
under
the
program,
including
reasonable
efforts
by
the
32
department
to
utilize
telecommunications
in
the
appeal
process.
33
h.
Identify
the
services
and
support,
and
service
provider
34
components,
included
in
the
program.
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i.
Upon
request
by
a
family
member,
provide
a
family
with
1
assistance
in
locating
a
service
provider.
2
j.
Make
payment
for
services
and
support
directly
to
3
families
by
voucher
or
other
appropriate
means.
4
k.
Utilize
a
voucher
system
for
payment
for
the
family
5
support
center
component
of
the
program
under
subsection
7.
6
6.
Services
and
support
provided
under
the
comprehensive
7
family
support
program
shall
not
be
used
to
supplant
other
8
services
and
support
available
to
a
family
of
an
individual
9
with
a
disability
but
shall
be
used
to
meet
family
needs
that
10
will
not
be
met
without
the
program.
11
7.
The
comprehensive
family
support
program
shall
include
a
12
family
support
center
component.
Under
the
component,
a
family
13
member
of
an
individual
with
a
disability
shall
be
assisted
14
by
a
family
support
center
in
identifying
the
services
and
15
support
to
be
provided
to
the
family
under
the
family
support
16
subsidy
program
or
the
comprehensive
family
support
program.
17
The
identification
of
services
and
support
must
be
based
upon
18
the
specific
needs
of
the
individual
with
a
disability
and
19
the
individual’s
family
which
are
not
met
by
other
service
20
programs
available
to
the
individual
with
a
disability
and
the
21
individual’s
family.
22
8.
The
comprehensive
family
support
program
shall
be
funded
23
by
appropriations
made
by
the
general
assembly
for
purposes
of
24
the
program.
Notwithstanding
section
8.33,
moneys
appropriated
25
for
the
comprehensive
family
support
program
under
this
section
26
that
remain
unobligated
or
unexpended
at
the
close
of
each
27
fiscal
year
shall
not
revert
but
shall
remain
available
for
28
expenditure
for
the
purposes
designated
until
the
close
of
the
29
immediately
succeeding
fiscal
year.
30
Sec.
49.
CODE
EDITOR
DIRECTIVE.
The
Code
editor
is
directed
31
to
designate
section
231.80,
as
enacted
in
this
division
32
of
this
Act,
as
subchapter
VIII
of
chapter
231
entitled
33
“Comprehensive
Family
Support
Program”.
34
Sec.
50.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
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deemed
of
immediate
importance,
takes
effect
upon
enactment.
1
Sec.
51.
RETROACTIVE
APPLICABILITY.
This
division
of
this
2
Act
applies
retroactively
to
July
1,
2025.
3
DIVISION
XVIII
4
CHILD
CARE
ASSISTANCE
AND
ADOPTION
SUBSIDY
EXPENDITURE
5
PROJECTIONS
6
Sec.
52.
REPEAL.
Section
234.47,
Code
2026,
is
repealed.
7
EXPLANATION
8
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
9
the
explanation’s
substance
by
the
members
of
the
general
assembly.
10
This
bill
makes
appropriations
from
the
general
fund
of
11
the
state
to
the
department
of
veterans
affairs
and
to
the
12
department
of
health
and
human
services
(HHS)
for
FY
2026-2027.
13
The
appropriations
from
the
general
fund
of
the
state
to
the
14
department
of
veterans
affairs
include
appropriations
for
15
administration,
the
Iowa
veterans
home,
and
the
home
ownership
16
assistance
program.
The
appropriations
from
the
general
17
fund
of
the
state
to
HHS
include
appropriations
for
aging
18
and
disability
services;
behavioral
health;
public
health;
19
community
access
and
eligibility
including
for
child
support
20
services;
the
medical
assistance
program,
state
supplementary
21
assistance,
the
healthy
and
well
kids
in
Iowa
(Hawki)
program,
22
and
other
specified
health-related
programs
including
health
23
program
operations;
reimbursement
rates;
family
well-being
24
and
protection
including
state
child
care
assistance,
early
25
intervention
and
supports,
and
child
protective
services;
26
state-operated
specialty
care;
and
administration
and
27
compliance.
28
The
bill
also
makes
appropriations
to
HHS
from
the
sports
29
wagering
receipts
fund,
the
pharmaceutical
settlement
account,
30
the
quality
assurance
trust
fund,
the
hospital
health
care
31
access
trust
fund,
and
behavioral
health
fund.
In
addition,
32
the
bill
appropriates
to
HHS
the
moneys
received
by
the
state
33
under
the
federal
temporary
assistance
for
needy
families
block
34
grant.
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The
bill
includes
transfer,
cash
flow,
and
nonreversion
1
provisions,
emergency
rulemaking
authority,
and
reporting
2
requirements.
3
The
bill
eliminates
child
welfare
and
juvenile
justice
4
decategorization
initiative
projects
and
appropriates
carryover
5
funding
to
HHS
and
juvenile
court
services.
6
The
bill
requires
the
county
to
pay
the
cost
of
transport
to
7
a
detention
location
by
the
sheriff
for
certain
persons
with
8
substance
abuse
disorders
prior
to
a
commitment
hearing.
9
The
bill
eliminates
the
child
abuse
prevention
program,
10
fund,
and
advisory
committee.
A
taxpayer
may
still
receive
11
a
nonrefundable
reduction
in
the
taxpayer’s
income
taxes
for
12
contributing
to
child
abuse
prevention,
but
the
moneys
received
13
will
be
administered
through
the
early
childhood
and
family
14
services
(ECFS)
system
instead
of
the
child
abuse
prevention
15
program
fund.
Moneys
in
the
child
abuse
prevention
program
16
fund
are
transferred
to
the
ECFS
fund,
if
created
by
enactment
17
of
2026
Iowa
Acts,
House
File
2712
or
Senate
File
2462.
18
The
bill
creates
a
comprehensive
family
support
program.
19
The
bill
repeals
the
expenditure
projections
for
the
state
20
child
care
assistance
and
adoption
subsidy
programs.
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