Last Action: Health And Human Services House Floor Appropriations Bill .

Transcription

Health and Human ServicesAppropriations BillHouse File 766Last Action:House FloorApril 11, 2019An Act relating to appropriations for health and human services and veterans andincluding other related provisions and appropriations, providing penalties, andincluding effective date and retroactive and other applicability date provisions.Fiscal Services DivisionLegislative Services AgencyNOTES ON BILLS AND AMENDMENTS (NOBA)1044117Available online at riationBillAnalysisLSA Staff Contacts: Jess R. Benson (515.281.4611) Kent Ohms (515.725.2200)

EXECUTIVE SUMMARYHOUSE FILE 766HEALTH AND HUMAN SERVICES APPROPRIATIONS BILLFUNDING SUMMARYGeneral Fund FY 2020: Appropriates a total of 1,941.9 million from the General Fund and 4,604.5full-time equivalent (FTE) positions to the Department on Aging (IDA); the Department of Public Health(DPH); the Department of Human Services (DHS); the Department of Veterans Affairs (IVA); and the IowaVeterans Home (IVH). This is a decrease of 30.2 million and an increase of 253.9 FTE positions comparedto estimated net FY 2019.General Fund Supplemental Appropriation for FY 2019: Provides a supplemental appropriation of 150.3 million for the Medicaid Program in FY 2019.Other Funds FY 2020: Appropriates a total of 431.8 million from other funds. This is an increase of 18.7 million compared to net estimated net FY 2019.Other Funds Supplemental Appropriations for FY 2019: Provides a net increase of 251,000 in otherfund appropriations for FY 2019. The changes include various adjustments to the Temporary Assistance forNeedy Families (TANF) appropriations.Standing Appropriations FY 2020: In addition to the appropriations in this Bill, the attached trackingincludes the following standing appropriations that are automatically appropriated in statute: 224,000 to the DPH for the Center for Congenital and Inherited Disorders Central Registry. 233,000 to the DHS for Child Abuse Prevention. 1,400 to the DHS for the Commission of Inquiry. 143,000 to the DHS for Nonresident Mental Illness Commitment.NEW PROGRAMS, SERVICES, OR ACTIVITIESDepartment of Public HealthChildren's Behavioral Health Hotline: Allocates a total of 338,000 and directs the DPH, in collaborationwith the DHS, to expand the Your Life Iowa information referral service to include information on the IowaChildren's Behavioral Health System.Page 5, Line 18Psychiatric Residences: Allocates 400,000 to create and train four psychiatric residents per year to providemental health services in underserved areas of the state.Page 13, Line 1

EXECUTIVE SUMMARYHOUSE FILE 766HEALTH AND HUMAN SERVICES APPROPRIATIONS BILLPsychiatric Training: Allocates 150,000 for psychiatric training for physician assistants and nursepractitioners.Page 13, Line 6Department on AgingPre-Medicaid Pilot Project: Allocates 250,000 to continue and expand a Pre-Medicaid Pilot Project thataims to keep individuals in the community and out of long-term care facilities following a nursing facilitystay.Page 3, Line 4MAJOR INCREASES/DECREASES/TRANSFERS OF EXISTING PROGRAMSDepartment on Aging: Appropriates a total of 11.2 million from the General Fund and 27.0 FTE positions.This is a net increase of 149,000 and 9.0 FTE positions compared to estimated net FY 2019.Page 1, Line 1Office of Long-Term Care Ombudsman: Appropriates a total of 1.1 million from the General Fund and16.0 FTE positions. This is no change in funding and an increase of 5.0 FTE positions compared toestimated net FY 2019.Page 3, Line 15Department of Public Health: Appropriates a total of 55.4 million from the General Fund and 196.0 FTEpositions. This is a net increase of 542,000 and 0.5 FTE position compared to estimated net FY 2019. Thesignificant changes include:An increase of 306,000 for the Addictive Disorders appropriation.A decrease of 4,000 for the Healthy Children and Families appropriation.A decrease of 305,000 for the Chronic Conditions appropriation.An increase of 547,000 for the Community Capacity appropriation.A decrease of 2,000 for the Public Protection appropriation.Page 3, Line 28Department of Veterans Affairs: Appropriates a total of 11.4 million from the General Fund and 15.0FTE positions. This is an increase of 75,000 and 1.5 FTE positions compared to estimated net FY 2019.Page 16, Line 1Department of Human Services: Appropriates a total of 1,862.8 million from the General Fund and4,350.5 FTE positions. This is a net decrease of 30.9 million and an increase of 237.9 FTE positionscompared to estimated net FY 2019. Significant changes include:A decrease of 1,000 for the Family Investment Program (FIP)/PROMISE JOBS appropriation.An increase of 163,000 for the Child Support Recovery Unit appropriation.A decrease of 56.8 million for the Medicaid appropriation. This comparison is after the 150.3million FY 2019 supplemental appropriation.Page 17, Line 18

EXECUTIVE SUMMARYHOUSE FILE 766HEALTH AND HUMAN SERVICES APPROPRIATIONS BILLAn increase of 1.4 million for the Medical Contracts appropriation.A decrease of 2.4 million for the State Supplementary Assistance appropriation.An increase of 12.3 million for the State Children's Health Insurance Program appropriation.An increase of 1.2 million for the State Training School at Eldora.An increase of 4.1 million for the Child and Family Services appropriation.An increase of 151,000 for the Adoption Subsidy appropriation.A combined increase of 2.0 million for the two Mental Health Institute (MHI) appropriations.A combined decrease of 1.3 million for the two State Resource Center appropriations.An increase of 1.2 million for the Civil Commitment Unit for Sexual Offenders (CCUSO)appropriation.An increase of 6.3 million for the Field Operations appropriation.An increase of 825,000 for a new corporate technology appropriation.Temporary Assistance for Needy Families (TANF) Federal Block Grant: Appropriates 130.5 millionfor various DHS programs. This is no change compared to estimated net FY 2019.Page 17, Line 20Health Care Trust Fund: Appropriates 208.5 million for the Medicaid Program. This is a decrease of 1.3million compared to estimated net FY 2019.Page 27, Line 22Medicaid Fraud Fund: Appropriates 75,000 for the Medicaid Program. This is a decrease of 425,000compared to estimated net FY 2019.Page 27, Line 31Pharmaceutical Settlement Account: Appropriates 234,000 for Medical Contracts. This is a decrease of 1.2 million compared to estimated net FY 2019.Page 66, Line 8Quality Assurance Trust Fund: Appropriates 58.6 million for the Medicaid Program. This is an increaseof 21.9 million compared to estimated net FY 2019.Page 66, Line 19Hospital Health Care Access Trust Fund: Appropriates 33.9 million for the Medicaid Program. This isno change compared to estimated net FY 2019.Page 66, Line 31CHANGES TO PRIOR APPROPRIATIONSDepartment of Human ServicesGroup Foster Care Reallocation: Amends the allocation from the FY 2019 General Fund appropriation forChild and Family Services, for Group Foster Care, to expand the list of other permissible services to includefamily foster care, independent living, and family safety, risk, and permanency services.Page 79, Line 18

EXECUTIVE SUMMARYHOUSE FILE 766HEALTH AND HUMAN SERVICES APPROPRIATIONS BILLShelter Care Allocation: Amends the allocation from the FY 2019 General Fund appropriation for Childand Family Services, for shelter care and child welfare emergency services, by removing the financiallimitation.Page 79, Line 32Other Funding for Child and Family Services: Amends the FY 2019 General Fund appropriation forChild and Family Services to specify that if other funding is available, the allocations of State funds in thisSection may be substituted with the other funding source.Page 80, Line 7STUDIES AND INTENTDepartment of Human RightsTransfer of Juvenile Justice Programs: Requires the Division of Criminal and Juvenile Justice Planning(CJJP) of the Department of Human Rights to convene a work group to review and develop a plan to transfergraduated sanctions and court-ordered services funding, and oversight of group foster care placements, fromDHS to the Office of the State Court Administrator. A report is due to the Governor and the GeneralAssembly by December 15, 2019.Page 67, Line 20Department of Human ServicesMedicaid Pharmacy Benefits Manager Audit: Requires the DHS to audit all prescription drug benefitclaims managed by a pharmacy benefits manager under the Medicaid Program. The DHS is required toreport the findings and recommendations of the audit to the Governor and General Assembly by December15, 2019.Page 34, Line 19Managed Care Contracts Notification: Requires the DHS to notify the Chairpersons and RankingMembers of the Health and Human Services Appropriations Subcommittee, the LSA, and caucus staff within30 days of execution or amendment of a MCO contract, and within 30 days of determining the incentivepayment withhold amount.Page 71, Line 17Medicaid Claiming: Requires the DHS and the IDA to continue to collaborate to develop a cost allocationplan requesting federal financial participation for the Aging and Disability Resource Center (ADRC)activities.Page 71, Line 32Uniform Medicaid Prior Authorization Process: Requires the DHS to adopt rules to require both managedcare and fee-for-service systems to utilize a uniform process for prior authorization requests under Medicaidbeginning October 1, 2019.Page 83, Line 4

EXECUTIVE SUMMARYHOUSE FILE 766HEALTH AND HUMAN SERVICES APPROPRIATIONS BILLMedicaid Prior Authorization Portal: Requires the DHS to review costs associated with expanding theMedicaid Management Information System to integrate a single statewide system to serve as a central portalfor the submission of all prior authorization requests under Medicaid. The results of the study are to besubmitted to the Governor and the General Assembly by March 31, 2020.Page 83, Line 12Medical Assistance Advisory Council: Requires that any voting member absent for two consecutivemeetings is suspended from participation for one year from the date of the second absence. The suspensionof membership does not prohibit a quorum.Page 91, Line 26Managed Care Expedited Claims Process: Requires the DHS to have an expedited claims dispute processfor all outstanding claims if a managed care organization terminates coverage under the Medicaid Program.Page 92, Line 9Department of Public HealthReview of Allocations and Grants: Requires the DPH to work with stakeholders to develop a proposal fordistributing funds in a manner more closely aligned with the DPH's stated priorities and goals. A report isdue to the Governor and General Assembly by December 15, 2019.Page 15, Line 5Health Data Collection Legislative Interim: Requires the Legislative Council to establish a LegislativeInterim Committee to review the collection, maintenance, and discemination of hospital inpatient, outpatient,and ambulatory data by the Iowa Hospital Association. The Committee is to report it's findings andrecommendations to the General Assembly by December 15, 2019.Page 64, Line 15Enhanced Delivery of Services for Co-Occuring Conditions: Requires the DPH and the DHS to developrecommendations for the enhanced delivery of co-occuring conditions. The Departments are required tosubmit a report including findings, a five-year plan, and other recommendations to the Governor and GeneralAssembly by December 15, 2019.Page 71, Line 1SIGNIFICANT CODE CHANGESDepartment of Human ServicesHospital Health Care Access Assessment: Extends the repeal of the Hospital Health Care AccessAssessment Program until the end of FY 2021.Page 80, Line 22Polk County MHDS Funding: Allows Polk County to transfer funds from any other fund of the county tothe County Mental Health and Disability Services (MHDS) Fund in FY 2020. Polk County is required toPage 80, Line 28

EXECUTIVE SUMMARYHOUSE FILE 766HEALTH AND HUMAN SERVICES APPROPRIATIONS BILLsubmit a report to the Governor and the General Assembly by September 1, 2020, detailing the transfer offunds.Hospital Health Care Access Trust Fund: Eliminates the Hospital Health Care Access Trust Fund Board.Page 84, Line 5Council on Human Services: Eliminates the Child Support Advisory Committee and the Child WelfareAdvisory Committee of the Council on Human Services.Page 91, Line 19Mental Health and Disability Services Commission: Eliminates the Property Tax Relief Fund Risk Pool.Page 91, Line 21Children’s Mental Health Waiver Implementation Committee: Eliminates the committee.Page 91, Line 23Department of Public HealthExecutive Directors of Licensing Boards: Modifies the appointment of the executive directors for theBoard of Medicine, Board of Nursing, Dental Board, and Board of Pharmacy by establishing the DPHDirector will appoint and supervise these positions. Requires the four boards to advise the DPH Director onmatters related to the executive directors.Page 81, Line 7Iowa Collaborative Safety Net Provider Network: Eliminates the network and makes conformingchanges.Page 83, Line 28Advisory Committee to the Center for Rural Health and Primary Care: Eliminates the advisorycommittee and makes conforming changes.Page 87, Line 5Governmental Public Health Advisory Council: Eliminates the council and makes conforming changes.Page 87, Line 21Patient-Centered Health Advisory Council: Eliminates the council.Page 87, Line 27Office of State Medical Examiner: Combines the State Medical Examiner Advisory Council with theInteragency Coordinating Council.Page 87, Line 29Tobacco Use Prevention And Control Commission: Makes the following changes:Eliminates per-diem and expense reimbursement for citizen members.Limits meetings to no more than quarterly.Directs the commission to evaluate its membership and to make a recommendation to the DPH toreduce the voting membership from nine to seven.Page 88, Line 30

EXECUTIVE SUMMARYHOUSE FILE 766HEALTH AND HUMAN SERVICES APPROPRIATIONS BILLTrauma System Advisory Council: Limits membership to seven members selected from a listing oforganizations and provides transition provisions.Page 89, Line 21Teleconference Meetings: Requires the DPH to provide for teleconference options for any board,commission, committee, or council member to participate in official meetings.Page 90, Line 4Payment of Compensation or Expenses: Eliminates the payment of compensation or expenses for publicmembers of the following:Plumbing and Mechanical Systems Board.Child Death Review Team.Health Facilities Council.Emergency Management Services Advisory Council.Early Childhood Iowa State Board.Page 90, Line 12EFFECTIVE DATEDepartment of Human ServicesSpecifies the provision directing the State Court Administrator and the Division Administrator of the Childand Family Services Division of the DHS to determine the distribution of funds for the State expenses ofcourt-ordered services for juveniles by June 15, 2019, takes effect upon enactment.Page 65, Line 31Specifies the provision transferring decategorization funds to Medicaid that would have previously revertedto the General Fund is effective upon enactment and retroactive to July 1, 2018.Page 72, Line 24Specifies the provision amending FY 2019 appropriations is effective upon enactment and retroactive to July1, 2018.Page 80, Line 16Specifies the provision relating to the repeal of the Hospital Health Care Access Provider Assessment iseffective upon enactment.Page 80, Line 26Specifies the provision relating to Medicaid prior authorization takes effect upon enactment.Page 83, Line 24

House File 766House File 766 provides for the following changes to the Code of Iowa.Page #Line 1632344101921Bill 58687888990919293ActionCode 5.62.2.e147A.3256I.3.3217.3A.1217.3A.3,4426B.5.1

PG LNGA:88 181920For aging programs for the department on aging and areaagencies on aging to provide citizens of Iowa who are 60 yearsof age and older with case management for frail elders, Iowa’saging and disabilities resource center, and other serviceswhich may include but are not limited to adult day services,respite care, chore services, information and assistance,and material aid, for information and options counseling forpersons with disabilities who are 18 years of age or older,and for salaries, support, administration, maintenance, andmiscellaneous purposes, and for not more than the followingfull-time equivalent positions:. 11,191,441. FTEs27.001111111112122232425262728291. Funds appropriated in this section may be used tosupplement federal funds under federal regulations. Toreceive funds appropriated in this section, a local areaagency on aging shall match the funds with moneys from othersources according to rules adopted by the department. Fundsappropriated in this section may be used for elderly servicesnot specifically enumerated in this section only if approvedby an area agency on aging for provision of the service withinthe area.1111302. Of the funds appropriated in this section, 279,000 is31 transferred to the economic development authority for the Iowa32 commission on volunteer services to be used for the retired and33 senior volunteer program.ExplanationDIVISION IDEPARTMENT ON AGING —— FY 2019-2020Section 1. DEPARTMENT ON AGING. There is appropriated fromthe general fund of the state to the department on aging forthe fiscal year beginning July 1, 2019, and ending June 30,2020, the following amount, or so much thereof as is necessary,to be used for the purposes designated:General Fund appropriation to the Department on Aging (IDA) forFY 2020.DETAIL: This is an increase of 148,517 and 9.00 full-time equivalent(FTE) positions compared to estimated net FY 2019. The changesinclude the following:An increase of 150,000 to expand the Pre-Medicaid PilotProject.A decrease of 1,483 due to a general reduction.An increase of 9.00 FTE positions to match the FY 2019authorized amount.Permits the use of funds appropriated in this Section to supplementfederal funds for elderly services if those services are approved by anArea Agency on Aging (AAA). Requires local AAAs to match the fundsfor aging programs and services.Requires a transfer of 279,000 to the Iowa Commission on VolunteerService in the Iowa Economic Development Authority for the Retiredand Senior Volunteer Program (RSVP).DETAIL: This is a decrease of 946 compared to the estimated netFY 2019 allocation due to a general reduction. The RSVP engagesadults age 55 years and older in meaningful volunteer opportunities.1 343. a. The department on aging shall establish and enforce1 35 procedures relating to expenditure of state and federal funds2 1 by area agencies on aging that require compliance with both2 2 state and federal laws, rules, and regulations, including but2 3 not limited to all of the following:2 4(1) Requiring that expenditures are incurred only for goodsRequires the IDA to establish and enforce procedures related toexpenditures of State and federal funds and to comply with both Stateand federal law. An AAA is liable for any expenditures that are not incompliance with the law.

PG LNGA:88 516171819202122or services received or performed prior to the end of thefiscal period designated for use of the funds.(2) Prohibiting prepayment for goods or services notreceived or performed prior to the end of the fiscal perioddesignated for use of the funds.(3) Prohibiting prepayment for goods or services notdefined specifically by good or service, time period, orrecipient.(4) Prohibiting the establishment of accounts from whichfuture goods or services which are not defined specifically bygood or service, time period, or recipient, may be purchased.b. The procedures shall provide that if any funds areexpended in a manner that is not in compliance with theprocedures and applicable federal and state laws, rules, andregulations, and are subsequently subject to repayment, thearea agency on aging expending such funds in contravention ofsuch procedures, laws, rules and regulations, not the state,shall be liable for such repayment.2222223242526274. Of the funds appropriated in this section, at least 600,000 shall be used to fund home and community-basedservices through the area agencies on aging that enable olderindividuals to avoid more costly utilization of residential orinstitutional services and remain in their own homes.Allocates at least 600,000 to be used for Home and CommunityBased Services (HCBS) provided through AAAs.2222222829303132335. Of the funds appropriated in this section, 812,000 shallbe used for the purposes of chapter 231E and to administerthe prevention of elder abuse, neglect, and exploitationprogram pursuant to section 231.56A, in accordance with therequirements of the federal Older Americans Act of 1965, 42U.S.C.§3001 et seq., as amended.Allocates 812,000 for the Office of Public Guardian and for theprevention of elder abuse, neglect, and exploitation.DETAIL: This is no change compared to the estimated net FY 2019allocation.DETAIL: This is a decrease of 537 compared to the estimated netFY 2019 allocation due to a general reduction.The Office of Public Guardian works with individuals who are notcapable of making their own decisions about legal, financial, or healthcare matters. Depending on the situation, the Office may act as anindividual's guardian, conservator, attorney-in-fact under a health carepower of attorney document, agent under a financial power of attorneydocument, personal representative, or representative payee.2 346. Of the funds appropriated in this section, 1,000,0002 35 shall be used to fund continuation of the aging and disability3 1 resource center lifelong links to provide individuals and3 2 caregivers with information and services to plan for and3 3 maintain independence.Allocates 1,000,000 to continue the LifeLong Links ResourceProgram.DETAIL: This is no change compared to the estimated net FY 2019allocation. LifeLong Links helps to connect older adults, adults withdisabilities, veterans, and their caregivers to local service providerswho can help these individuals maintain their independence at home orin the community of their choice.

PG LN3333333333345678910111213143 153 163333333333317181920212223242526273 283 29333333031323334GA:88 HF7667. Of the funds appropriated in this section, 250,000shall be used by the department on aging, in collaboration withthe department of human services and affected stakeholders, toexpand the pilot initiative to provide long-term care optionscounseling utilizing support planning protocols, to assistnon-Medicaid eligible consumers who indicate a preferenceto return to the community and are deemed appropriate fordischarge, to return to their community following a nursingfacility stay. The department on aging shall submit a reportregarding the outcomes of the pilot initiative to the governorand the general assembly by December 15, 2019.ExplanationAllocates 250,000 to continue and expand a Pre-Medicaid PilotProject.DETAIL: This an increase of 150,000 compared to the estimated netFY 2019 allocation. The Project works to keep individuals in thecommunity and out of long-term care facilities following a nursingfacility stay. The goal of the Project is to gather data on potentialsavings to Medicaid and apply for a Section 1115 Medicaid waiver todraw down federal matching funds to expand the Project statewide.The Department is required to submit a report with the outcomes of theProject to the Governor and General Assembly by December 15, 2019.DIVISION IIOFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2019-2020Sec. 2. OFFICE OF LONG-TERM CARE OMBUDSMAN. There isappropriated from the general fund of the state to the officeof long-term care ombudsman for the fiscal year beginning July1, 2019, and ending June 30, 2020, the following amount, orso much thereof as is necessary, to be used for the purposesdesignated:For salaries, support, administration, maintenance, andmiscellaneous purposes, and for not more than the followingfull-time equivalent positions:. 1,149,821. FTEs16.00General Fund appropriation to the Office of Long-Term CareOmbudsman for FY 2019.DETAIL: This is no change in funding and an increase of 5.00 FTEpositions compared to estimated net FY 2019. The increase in FTEpositions is to match the FY 2019 authorized amount.DIVISION IIIDEPARTMENT OF PUBLIC HEALTH —— FY 2019-2020Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriatedfrom the general fund of the state to the department of publichealth for the fiscal year beginning July 1, 2019, and endingJune 30, 2020, the following amounts, or so much thereof as isnecessary, to be used for the purposes designated:3 351. ADDICTIVE DISORDERS4 1For reducing the prevalence of the use of tobacco, alcohol,4 2 and other drugs, and treating individuals affected by addictive4 3 behaviors, including gambling, and for not more than the4 4 following full-time equivalent positions:4 5. 25,110,0004 6. FTEs11.00General Fund appropriation to Addictive Disorders programs.DETAIL: This is an increase of 305,656 and no change in FTEpositions compared to estimated net FY 2019. Changes include:An increase of 306,000 to expand the Your Life Iowa treatmentinformation service to include information on the Iowa Children'sBehavioral Health System.A decrease of 344 due to a general reduction.

PG LNGA:88 41516171819202122232425262728a. (1) Of the funds appropriated in this subsection, 4,021,000 shall be used for the tobacco use preventionand control initiative, including efforts at the state andlocal levels, as provided in chapter 142A. The commissionon tobacco use prevention and control established pursuantto section 142A.3 shall advise the director of public healthin prioritizing funding needs and the allocation of moneysappropriated for the programs and initiatives. Activitiesof the programs and initiatives shall be in alignment withthe United States centers for disease control and preventionbest practices for comprehensive tobacco control programs thatinclude the goals of preventing youth initiation of tobaccousage, reducing exposure to secondhand smoke, and promotionof tobacco cessation. To maximize resources, the departmentshall determine if third-party sources are available toinstead provide nicotine replacement products to an applicantprior to provision of such products to an applicant underthe initiative. The department shall track and report tothe individuals specified in this Act, any reduction inthe provision of nicotine replacement products realized bythe initiative through implementation of the prerequisitescreening.Allocates 4,021,000 for tobacco use prevention and control initiatives,including Community Partnerships. Requires activities of theCommission on Tobacco Use Prevention and Control to align with U.S.Centers for Disease Control and Prevention (CDC) best practices.Requires a report on any reduction in providing nicotine replacementproducts realized by screening for third-party sources of funding for thenicotine replacement 1011(2) (a) The department shall collaborate with thealcoholic beverages division of the department of commerce forenforcement of tobacco laws, regulations, and ordinances and toengage in tobacco control activities approved by the divisionof tobacco use prevention and control of the department ofpublic health as specified in the memorandum of understandingentered into between the divisions.(b) For the fiscal year beginning July 1, 2019, and endingJune 30, 2020, the terms of the memorandum of understanding,entered into between the division of tobacco use preventionand control of the department of public health and thealcoholic beverages division of the department of commerce,governing compliance checks conducted to ensure licensed retailtobacco outlet conformity with tobacco laws, regulations, andordinances relating to persons under 18 years of age, shallcontinue to restrict the number of such checks to one check perretail outlet, and one additional check for any retail outletfound to be in violation during the first check.Requires the Department of Public Health (DPH) to collaborate withthe Alcoholic Beverages Division (ABD) of the Department ofCommerce for enforcement of tobacco laws, regulations, andordinances. Limits tobacco compliance checks by the ABD to oneannually per retail outlet and one additional check for any retail outletfound to be in violation during the first check.555555121314151617b. (1) Of the funds appropriated in this subsection, 21,089,000 shall be used for problem gambling andsubstance-related disorder prevention, treatment, and recoveryservices, including a 24-hour helpline, public informationresources, professional training, youth prevention, and programevaluation.Allocates 21,089,000 for problem gambling and substance abusetreatment and prevention.DETAIL: This is a decrease of 225 compared to the estimate

House File 766 . An Act relating to appropriations for health and human services and veterans and . Transfer of Juvenile Justice Programs: Requires the Division of Criminal and Juvenile Justice Planning (CJJP) of the Department of Human Rights to convene a work group to review and develop a plan to transfer . claims managed by a pharmacy .