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Requires the development of a resource for parents/guardians of children who are deaf or hard-of-hearing.

Defines autism spectrum disorder as a mental health disorder which meets certain criteria.

Authorizes the DHS to release nursing facility rates prior to receiving federal approval and to retroactively adjust rates as needed.

Makes changes to DHS reporting (eliminates DHS quarterly reports on the savings from the Medicaid Preferred Drug list, making them annual; changes date for reporting the average amount spent on eligible individuals for the HCBS/BI and HCBS/Elderly waivers from October 1 to December 30). 

Allows persons with permanent disabilities to be eligible for state child care assistance, permits DHS to tell banks and other financial institutions that they are starting a dependent adult abuse case if the person's finances are at risk, and allows young adults to remain in foster care until age 21.

Authorizes physical therapists to provide the required statement in order for a person with a disability to get special vehicle registration plates and parking permits.

Prohibits requiring COVID-19 immunization to enroll in a childcare center or school.

The House, Senate and Governor's compromise tax reform bill.

Outlines requirements and restrictions on Pharmacy Benefit Managers (PBMs).

Makes provisions related to foster care and the child advocacy board to bring state into compliance with Families First.

Requires DHS to implement a tiered reimbursement methodology for Medicaid psychiatric intensive inpatient care (based on the complexity of the patient's needs) by January 1, 2023.

Establishes a mental health practitioner loan repayment program for licensed non-prescribing mental health professionals.

Spends $623.3 million on various justice-related agencies and programs, including the Attorney General, Department of Corrections, and Department of Public Safety, for the state fiscal year beginning July 1, 2022 (FY23). This is an increase of $11.2 million.

 

Appropriates $992.9 million for the Department of Education, College Student Aid Commission, Department for the Blind, and state universities, for the state fiscal year beginning July 1, 2022 (FY23).  This is an increase of $20.8 million. 

Appropriates $2.1 billion to the Departments on Aging, Public Health, Human Services and Veterans Affairs for the state fiscal year beginning July 1, 2022 (FY23). This is an increase of $20.7 million (less than 1%).

Appropriates $175.1 million from the Rebuild Iowa Infrastructure Fund (RIIF) and Technology Reinvestment Fund (TRF), for the state fiscal year beginning July 1, 2022 (FY23).   RIIF and TRF are funded with revenues generated from gambling.

Adopts the interstate occupational therapy licensure compact.

Makes law enforcement crisis response reports about a person experiencing a mental health crisis, substance-related disorder crisis, or housing crisis confidential.

Directs the Department of Education to establish a special education support task force to ensure students in nonpublic schools get their federally-required special education services, supports, and resources.

Names a new "Congenital and Inherited Disorders Advisory Committee" to help make sure Iowans have access to quality genetic health care services and to help pick the conditions that will be included in all newborn screenings.  

Allows combined sales/use tax receipts, changes quarterly reporting and filings to monthly, and makes other process changes.  Exempts diapers and feminine hygiene products from sales tax.  Changes to the distribution of revenue to local governments and school districts and makes changes to economic development tax refund incentives and workforce housing program. Reduces the franchise tax over five years from 5% to 3.5%, allows previously denied solar projects to claim a tax credit for a limited time, and exempts Governor's $1,000 pandemic retention bonuses given to peace officers, teachers, childcare workers and correctional officers from income tax.

Makes changes to manufactured homes' inspections, work-based learning programs, health loan repayment, professional licensing for military spouses, and temporary insurance producer licenses.

Appropriates $50.1 million to various state agencies for the state fiscal year beginning July 1, 2022 (FY23).  This is a decrease of $99.5 million (most of this is attributed to elimination of $100 million in one-time broadband grants).

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