IDPH Legislative Update – Budget Edition – April 20, 2016

20 Apr 2016 7:06 AM | Lara Marsh (Administrator)

In this issue: 

Health and Human Services Appropriations Bill

IDPH’s General Fund appropriations are provided for in the Health and Human Services Appropriations Bill (HF2460). The bill started in the House and was passed with amendments by a vote of 56 to 42. In the version of the bill that is headed to the Senate, the department has an overall appropriation of $59.5 million and 185.0 FTE positions. This is a net decrease of $196,000 and an increase of 3.0 FTE positions compared to estimated FY 2016.

The following information is a review of the budget unit highlighting any significant changes compared to FY 2016 and unless otherwise stipulated programs have received status quo funding.

Addictive Disorders

Summary: The current bill includes a reallocation of $275,000 from the gambling treatment and prevention program, as requested by IDPH and recommended by the Governor, and no change in FTE positions.

Program

Governor’s Rec

House Bill

Explanation

Tobacco Use, Prevention and Control

Status quo funding of $5,248,361.

Status quo funding of $5,248,361.

N/A

Alcoholic Beverages Division (ABD) Collaboration

Status quo

Removes specified funding.

DPH and ABD have historically collaborated on a number of initiatives. Removing the specified allocation the agencies to work together to determine funding needs.

Problem Gambling and Substance Abuse Treatment and Prevention

Decrease of $275,000.

Decrease of $275,000 and addition of youth prevention to the language. Allocation paragraphs were also removed.

This change is due to historical reversions for the problem gambling, treatment and recovery services program. The funding is reallocated to other programs in the department. The removal of allocation paragraphs allows for more flexibility in funding prevention programs.

Substance-Related Disorder Block Grant

Status quo

Strikes outdated language.

Several years ago, there was an attempt to use expenditures for substance abuse treatment of inmates as Maintenance-of-Effort for the grant. This did not work, making the language unnecessary.

Healthy Children and Families

Summary: The current bill includes an increase of $976,231 for the 1st Five Program and no change in FTE positions.

Program

Governor’s Rec

House Bill

Explanation

1st Five Program

Status quo funding of $2,198,828

Increase of $976,231.

This will fund full implementation in 65 counties and allow for Community Planning for at least one new area that would cover two counties. The new counties will be selected via a request for proposals (RFP) process.

Child Burial Assistance Program

No new funding, but permission to continue to utilize initial funding. 

No new funding, but permission to continue to utilize initial funding.

From the initial allocation of $100,000, there is approximately $50,000 remaining.

Chronic Conditions

Summary: The current bill includes a reallocation of $25,000 from the Cervical and Cancer Screening Program, as requested IDPH and recommended by the Governor, and no change in FTEs.

Program

Governor’s Rec

House Bill

Explanation

Cervical and Colon Cancer Screening

Decrease of $25,000.

Decrease of $25,000.

The number of people seeking these screenings is decreasing as more people enroll in new public and private health plans. The funding is reallocated to other programs in the department.

Community Capacity

Summary: The current bill has a net decrease of $1,082,199 and 2.00 addition FTE positions. These include:

  • A decrease of $1,672,199 to reflect the Governor's item veto of funding for the Iowa Collaborative Safety Net Provider Network in FY 2016. 
  • A decrease of $105,448 to eliminate funding for the Mental Health Professional Workforce Shortage Area Program allocation as requested by IDPH and recommended by the Governor.
  • An increase of $74,059 to the PRIMECARRE Loan Repayment Program as requested by IDPH and recommended by the Governor.
  • An increase of $47,000 and 0.50 FTE position to the Child Vision Screening Program as requested by IDPH and recommended by the Governor.
  • An increase of $74,389 and 0.50 FTE position to fund the Office on Minority and Multicultural Health as requested by IDPH and recommended by the Governor.
  • An increase of $500,000 for the Medical Residency Program.
  • An increase of 1.00 FTE position for a general increase to better manage workforce contracts and workforce strategies.

Program

Governor’s Rec

House Bill

Explanation

Mental Health Professional Shortage Area Program

Decrease of $105,000. 

Decrease of $105,448.

This eliminates the allocation for this program. The funding is reallocated to other programs in the department.

Medical Residency Training Program

N/A

Increase of $500,000.

The increase is directed toward prioritizing an award for funding the residency of an internal medicine residency.

Healthy Aging

Summary: Status quo funding of $7,297,142.

Infectious Disease

Summary: Status quo funding of $1,335,155 and a FTE cap of 4.00.

Public Protection

Summary: The current bill has an increase of $60,000 and 1.00 FTE position. The increase provides additional resources to the Certificate of Need Program as requested by IDPH and recommended by the Governor.

Resource Management

Summary: The current bill has an increase of $150,000 and no change in FTE positions as requested by IDPH and recommended by the Governor. The increase will fund service charges from the Office of the Chief Information Officer due the enterprise-wide strategy of centralizing executive branch IT Infrastructure support.

Reporting directives are included under this budget unit as follows:

  • ·         Requires additional information from selected entities that receive state funds through IDPH pass through contracting. IDPH is required to make recommendations to the Governor and the General Assembly on aligning, bundling, or otherwise redistributing the funding based on the information provided.
  • ·         Requires IDPH to create a healthcare workforce strategy and to work with the Governor’s STEM initiative in the Department of Education to encourage elementary and secondary education students to pursue careers in the fields of health and health care.

Additional Policy Provisions:

  • Changes to the Autism Behavior Analyst and Assistant Behavior Analyst Grant Program related to eligible programs, practicing in Iowa after graduation, award maximums and required reports.
  • Elimination of the sunset date for the Nursing Residency State Matching Grants Program and Iowa Needs Nurses Now Program.
  • Grandfathers in Level 2 Trauma Care Service Categorizations achieved before July 1, 2015, as long as the hospital continues to meet the requirements existing at that time. The grandfathering provision lasts until December 31, 2018.
  • Amends SF 2218 to permit, rather than require, the DPH to adopt rules to administer the Opioid Antagonist Authorization Act and removes a burdensome regulatory structure.
  • Requires the Department of Human Services (DHS) to discontinue the Medicaid Family Planning Network Waiver effective July 1, 2016, and create a new state Family Planning Program.
  • Directs the DHS, in cooperation with IDPH and the Department of Education (DE) to establish an RFP process for the purpose of contracting for two planning grants for the development and implementation of children’s mental health crisis services.

 

IDPH Budget Priorities Summary

The following are General Fund budget priorities that IDPH outlined at the beginning of session. All currently appear in the House Health and Human Services Appropriations Bill.

  • Increase of $74,059 to the PRIMECARRE Program.
  • Increase of $60,000 for the Certificate of Need (CON) Program.
  • New allocation of $47,000 to the Child Vision Screening Program.
  • New allocation of $150,000 to fund the Office of the Chief Information Officer (OCIO) service charges (utility billings).
  • New allocation of $74,389 for the Office of Minority and Multicultural Health (OMMH).
  • Reallocation of $275,000 from the Gambling Treatment and Prevention Program.
  • Reallocation of $25,000 from the Cervical and Colorectal Cancer Screening Program.
  • Reallocation of $105,448 from the Mental Health Workforce Stipend Program.

IDPH’s request from the Technology Reinvestment Fund, explained below, has also been honored in SF 2324, the Rebuild Iowa Infrastructure Fund Appropriations Bill. This bill passed the Senate with amendments on April 20 by a vote of 27 to 23.

  • $500,000 for the second year of requested funding for the Maternal and Child Health database integration project.  
    • Project goals:
      • Integrate 5 program data collection systems across 8 programs in the Bureaus of Family Health and Oral and Health Delivery Systems.
      • To better support our stakeholders and to improve the outcomes of the families they work with.
      • All 8 programs impacted operate in all 99 counties and serve all children and pregnant women enrolled in Medicaid as well as low-income and uninsured or underinsured Iowans.
      • Currently the 5 systems function independently of each other, are not web-based, and cannot share data among users or with the public. The systems are aging and are costly to repair and present data security issues.
      • Features of the new system will include case management, referral management, risk assessment, billing, and client and population-level reporting.

Bills Signed by the Governor

SF 2144 Behavioral Health Information Disclosure. This bill was signed into law by the Governor on Wednesday, April 6.

SF 2258 Child Welfare/Human Trafficking/Department of Human Services Bill. This bill was signed into law by the Governor on Wednesday, April 6.

SF 2191 Department of Public Safety Office Human Trafficking. The bill was signed into law by the Governor on Thursday, April 7.

SF 2219 Carbon Monoxide Alarms. The bill was signed into law by the Governor on Thursday, April 14.

SF 2102 Prescription Drug Monitoring Program/Board of Pharmacy Bill.  The bill was signed into law by the Governor on Wednesday, April 6.

SF 2116 Controlled Substances Scheduling/Board of Pharmacy Bill. The bill was signed into law by the Governor on Wednesday, April 13.

HF 2146 Self-Dispensing Lottery Tickets. The bill was signed into law by the Governor on Wednesday, March 30.

HF 2377 Rural Iowa Primary Care. It was signed into law by the Governor on March 30.

HF 2387 Dental Board Exams. It was signed into law by the Governor on Wednesday, March 20.

HF 2380 Naloxone/Narcan Overdose Emergency Drug. It was signed into law by the Governor on Wednesday, April 6.

Other Information

  • To review any report filed with the General Assembly by executive branch agencies, including IDPH, please click here.
  • The Iowa General Assembly website is a great source of legislative information. Take a few minutes to check out the wealth of resources available.
  • The Legislative Update is also posted on the IDPH website.
  • To subscribe to the IDPH Legislative Update, please send a blank email to join-IDPHLEGUPDATE@lists.ia.gov.