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IDPH Legislative Update - May 19, 2005

19 May 2015 6:41 PM | Lara Marsh (Administrator)

In this issue:

·         Comparison of the Governor’s Recommendations vs. the Senate and House Chambers’ Budget Proposals for IDPH

·         Status of the IDPH Budget Priorities

Appropriations

·         SF 505 (Formerly SSB 1288) Health and Human Resources Appropriations Bill. The Department of Public Health’s General Fund appropriations are provided for in this bill. Not surprisingly, the House and Senate Chambers have different proposals. The bill was started in the Senate Chamber and was debated on the floor on May 6. It passed out of the chamber by a vote of 26-22. It traveled over to the House where it was significantly changed by a strike-after amendment. This means that the House amendment completely removed all of the Senate’s language and replaced it with their own proposals. The House Chamber debated their version of the bill on the floor on May 13. It passed the chamber by a vote of 56-40. The Senate refused the House amendment on the following day and by May 14, a Conference Committee had been established. Senate members of the Conference Committee include, Senators Amanda Ragan, Joe Bolkcom, Bob Dvorsky, David Johnson, and Mark Segebart. House members include Representatives Dave Heaton, Linda Miller, Joel Fry, Lisa Heddens, and John Forbes.

Conference committees were once a scarcity however as the Statehouse has become more and more divided on budgeting principles they have become a more familiar part of the appropriations process. The legislators appointed to the committees work on behalf of their chambers and their caucuses to find the middle ground necessary to come to an agreement. Legislative leadership from both chambers will first work out joint targets for each committee to abide by. In other words, the compromises that comprise their Conference Committee Reports must abide by these budgetary parameters. There are other rules that govern these committees, too. For example, the committees can only consider the proposals that have already been introduced in the bill. This means that any ideas that were not included in the Senate version of SF 505 or the House amendment to SF 505 cannot be considered moving forward. This is important because it narrows the topics for discussion. Once the committees come to a compromise they will release their Conference Committee Report to the public. The public is not privy to the negotiations that take place before the report is released. The final step is to vote on the committee’s report. There is an up or down vote in each chamber and amendments are not allowed to be offered.

The following table illustrates the differences between the Governor’s Recommendations and the House and Senate’s proposals for IDPH Programs (unless otherwise stated as pass-through funding to other entities): 

Program

Governor’s Rec.

Senate Budget

House Budget

 

1st Five Program

 

Status quo funding of $1,627,887.

 

Increase of $3,285,000 for a total of $4,912,887. The increase is directed for statewide expansion of the program from 49 counties to all 99.

 

Status quo funding of $1,627,887.

 

Board of Respiratory Care and Polysomnography (New legislative directive for FY 2016. HF 203 was signed into law on April 24, 2015.)

 

This was a 2016 legislative directive. The Governor did not make a budget recommendation for this bill.

 

Currently, the IDPH- requested $36,000 is provided for in the Senate’s RIIF bill, HF 650, from the Technology Reinvestment Fund (TRF). The House has not appropriated any funding from the TRF to date.

 

Added a directive in SF 505, that the Board repay any General Fund allocation received. No General Funds have been appropriated for this purpose to date.

 

Center for Congenital and Inherited Disorders

 

 

Status quo funding of $526,695.

 

Increase of $150,169 for a total of $676,864. The increase is directed to stillbirth surveillance activities.

 

Status quo funding of $526,695.

 

Direct Care Workers –

Mouth Care Matters Training Program (New program for FY 2016. Pass-through to the Iowa Caregivers Association)

 

No recommendation for this program.

 

Increase of $30,000 to the current allocation to the Iowa Caregivers Association for educational conferences, training, or outreach activities for a total of $105,000.

 

Funding was removed for this program in the House proposal.

 

Direct Care Workers Advisory Council

 

Status quo funding of $213,400.

 

Status quo funding of $213,400.

 

Elimination of the funding.

 

Direct Care Workers Association

(Pass-through funding to the Iowa Caregivers Association)

 

Status quo funding of $216,375.

 

Status quo funding of $216,375.

 

Elimination of the funding.

 

Direct Care Worker Scholarships

(Pass-through funding to the Iowa Caregivers Association)

 

 

Status quo funding of $75,000.

 

Status quo funding of $75,000.

 

Elimination of the funding.

 

Director’s Wellness Initiative

 

 

Status quo funding of $25,000.

 

Status quo funding of $25,000.

 

Elimination of the funding.

 

Family Planning Waiver

 

Continuation of the current Family Planning Waiver.

 

Continuation of the current Family Planning Waiver.

 

Elimination of the federally-supported Family Planning Waiver. Authorization of a state funded program with new guidelines.

 

Fulfilling Iowa’s Need for Dentists (FIND) Dental Education Loan Repayment Program

(Pass-through funding to Delta Dental of Iowa)

 

Status quo funding of $50,000.

 

Increase of $50,000 for a total of $100,000.

 

Status quo funding of $50,000.

 

hawk-I Outreach

(DHS subcontracts with IDPH for this work)

 

Recommendation of $42,800 in state funds. Federal support of the program fluctuates based on the annual Federal Medical Assistance Percentage (FMAP). The total funding for the program is status quo compared to FY 2015.

 

Allocation of $42,800 in state funds. Federal support of the program fluctuates based on the annual Federal Medical Assistance Percentage (FMAP). The total funding for the program is status quo compared to FY 2015.

 

Elimination of the requested state funding of $42,800 which will result in the loss of the federal funding and therefore the entire contract.

 

Iowa Donor Registry

(Pass-through to the Iowa Donor Network)

 

Status quo funding of $250,000.

 

 

Status quo funding of $250,000.

 

 

Reduction of $100,000 for a total of $150,000.

 

Office of Health Care Transformation. The House refers to it as the “Medical Home Residency Advisory Council”

 

 

Status quo funding of $215,263.

 

Status quo funding of $215,263.

 

Elimination of the funding.

 

Medical Residency Program

 

Increase of $1.0 million for a total of $3.0 million.

 

Status quo funding of $2.0 million.

 

Status quo funding of $2.0 million.

 

Prevent Blindness Iowa (Pass-through)

 

Status quo funding of $100,000.

 

Status quo funding of $100,000.

 

Elimination of the funding in the amount of $100,000.

 

Iowa Read Out and Read Program (Pass-through)

 

Status quo funding of $50,000.

 

Elimination of the funding.

 

Elimination of the funding.

 

Safety Net Provider Network administered by the Iowa Primary Care Association (IPCA) (Pass-through):

 

The Governor provided for language in his budget bill, SSB 1280,that consolidated the number of allocation paragraphs for this program in an effort to increase the flexibility of the funding stream. He recommended status quo funding for a total of $2,737,184.

 

 

The Senate also consolidated the number of allocation paragraphs for this program in an effort to increase the flexibility of the funding stream. The language they used is slightly different than the Governor’s. The Senate also recommended status quo funding for a total of $2,737,184.

 

 

The House used the language from the FY 2015 HHS appropriations bill and eliminated funding for the programs named in the leftmost column of this table.

  • ·          Collaborative   Administration Allocation

Elimination of the funding: $145,785.

  • ·          FQHC Medical Homes

Elimination of the funding: $75,000.

  • ·          Local Boards of Health for Medical Homes Pilots

Elimination of the funding: $77,153.

  • ·          Child and Maternal Health Pilot Projects

Elimination of the funding: $141,544.

  • ·          Rural Health Clinics

Elimination of the funding: $141,544.

  • ·          Iowa Primary Care Association Collaborative Safety Net Integrated Network

Elimination of the funding: $1,158,150.

 

Tobacco Use Prevention and Control

 

Status quo funding of $5,248,361.

 

Status quo funding of $5,248,361.

 

General reduction of $675,000.

 

IDPH Budget Priorities

  • General Fund (SF 505):
    • Reallocation request of $200,000 from the Cervical Cancer Screening Program to the Bureau of EMS and Trauma Systems.
      • This has appeared in each Chamber’s HHS budget proposal.
    • Increase of $1.0 million for the Medical Residency Program.
      • This has not appeared in either Chamber’s HHS budget proposal.
  • Technology Reinvestment Fund (TRF):
    • $500,000 to study the 98 database systems in IDPH for long and short term planning of replacement and consolidation strategies.
    • $500,000 in FY 2016 and FY 2017 for the Bureaus of Family Health and OHDS’ data integration project.
      • HF 650, as introduced by the House, did not make any appropriations from the TRF. The Senate amended the bill and included the IDPH priorities as part of their allocations from the TRF with the exception of the $500,000 for FY 2017 for the BRF and OHDS data integration project. This is in line with the philosophical difference between the Governor and the Senate Chamber of the necessity of a biennial budget.

Other Information

  • The Iowa General Assembly website is a great source of legislative information. The address is www.legis.iowa.gov. Take a few minutes to check out the wealth of resources available.

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