135.175 - HEALTH CARE WORKFORCE SUPPORT INITIATIVE -- WORKFORCE SHORTAGE FUND -- ACCOUNTS -- REPEAL.

        135.175  HEALTH CARE WORKFORCE SUPPORT INITIATIVE --
      WORKFORCE SHORTAGE FUND -- ACCOUNTS -- REPEAL.
         1. a.  A health care workforce support initiative is
      established to provide for the coordination and support of various
      efforts to address the health care workforce shortage in this state.
      This initiative shall include the medical residency training state
      matching grants program created in section 135.176, the health care
      professional and nursing workforce shortage initiative created in
      sections 261.128 and 261.129, the safety net provider recruitment and
      retention initiatives program created in section 135.153A, health
      care workforce shortage national initiatives, and the physician
      assistant mental health fellowship program created in section
      135.177.
         b.  A health care workforce shortage fund is created in the
      state treasury as a separate fund under the control of the
      department, in cooperation with the entities identified in this
      section as having control over the accounts within the fund.  The
      fund and the accounts within the fund shall be controlled and managed
      in a manner consistent with the principles specified and the
      strategic plan developed pursuant to sections 135.163 and 135.164.
         2.  The fund and the accounts within the fund shall consist of
      moneys appropriated from the general fund of the state for the
      purposes of the fund or the accounts within the fund; moneys received
      from the federal government for the purposes of addressing the health
      care workforce shortage; contributions, grants, and other moneys from
      communities and health care employers; and moneys from any other
      public or private source available.
         3.  The department and any entity identified in this section as
      having control over any of the accounts within the fund, may receive
      contributions, grants, and in-kind contributions to support the
      purposes of the fund and the accounts within the fund.
         4.  The fund and the accounts within the fund shall be separate
      from the general fund of the state and shall not be considered part
      of the general fund of the state.  The moneys in the fund and the
      accounts within the fund shall not be considered revenue of the
      state, but rather shall be moneys of the fund or the accounts.  The
      moneys in the fund and the accounts within the fund are not subject
      to section 8.33 and shall not be transferred, used, obligated,
      appropriated, or otherwise encumbered, except to provide for the
      purposes of this section.  Notwithstanding section 12C.7, subsection
      2, interest or earnings on moneys deposited in the fund shall be
      credited to the fund and the accounts within the fund.
         5.  The fund shall consist of the following accounts:
         a.  The medical residency training account.  The medical
      residency training account shall be under the control of the
      department and the moneys in the account shall be used for the
      purposes of the medical residency training state matching grants
      program as specified in section 135.176.  Moneys in the account shall
      consist of moneys appropriated or allocated for deposit in or
      received by the fund or the account and specifically dedicated to the
      medical residency training state matching grants program or account
      for the purposes of such account.
         b.  The health care professional and nurse workforce shortage
      initiative account.  The health care professional and nurse workforce
      shortage initiative account shall be under the control of the college
      student aid commission created in section 261.1 and the moneys in the
      account shall be used for the purposes of the health care
      professional incentive payment program and the nurse workforce
      shortage initiative as specified in sections 261.128 and 261.129.
      Moneys in the account shall consist of moneys appropriated or
      allocated for deposit in or received by the fund or the account and
      specifically dedicated to the health care professional and nurse
      workforce shortage initiative or the account for the purposes of the
      account.
         c.  The safety net provider network workforce shortage
      account.  The safety net provider network workforce shortage account
      shall be under the control of the governing group of the Iowa
      collaborative safety net provider network created in section 135.153
      and the moneys in the account shall be used for the purposes of the
      safety net provider recruitment and retention initiatives program as
      specified in section 135.153A.  Moneys in the account shall consist
      of moneys appropriated or allocated for deposit in or received by the
      fund or the account and specifically dedicated to the safety net
      provider recruitment and retention initiatives program or the account
      for the purposes of the account.
         d.  The health care workforce shortage national initiatives
      account.  The health care workforce shortage national initiatives
      account shall be under the control of the state entity identified for
      receipt of the federal funds by the federal government entity through
      which the federal funding is available for a specified health care
      workforce shortage initiative.  Moneys in the account shall consist
      of moneys appropriated or allocated for deposit in or received by the
      fund or the account and specifically dedicated to health care
      workforce shortage national initiatives or the account and for a
      specified health care workforce shortage initiative.
         e.  The physician assistant mental health fellowship program
      account.  The physician assistant mental health fellowship program
      account shall be under the control of the department and the moneys
      in the account shall be used for the purposes of the physician
      assistant mental health fellowship program as specified in section
      135.177.  Moneys in the account shall consist of moneys appropriated
      or allocated for deposit in or received by the fund or the account
      and specifically dedicated to the physician assistant mental health
      fellowship program or the account for the purposes of the account.
         6. a.  Moneys in the fund and the accounts in the fund shall
      only be appropriated in a manner consistent with the principles
      specified and the strategic plan developed pursuant to sections
      135.163 and 135.164 to support the medical residency training state
      matching grants program, the health care professional incentive
      payment program, the nurse educator incentive payment and nursing
      faculty fellowship programs, the safety net recruitment and retention
      initiatives program, for national health care workforce shortage
      initiatives, for the physician assistant mental health fellowship
      program, and to provide funding for state health care workforce
      shortage programs as provided in this section.
         b.  State programs that may receive funding from the fund and
      the accounts in the fund, if specifically designated for the purpose
      of drawing down federal funding, are the primary care recruitment and
      retention endeavor (PRIMECARRE), the Iowa affiliate of the national
      rural recruitment and retention network, the primary care office
      shortage designation program, the state office of rural health, and
      the Iowa health workforce center, administered through the bureau of
      health care access of the department of public health; the area
      health education centers programs at Des Moines university --
      osteopathic medical center and the university of Iowa; the Iowa
      collaborative safety net provider network established pursuant to
      section 135.153; any entity identified by the federal government
      entity through which federal funding for a specified health care
      workforce shortage initiative is received; and a program developed in
      accordance with the strategic plan developed by the department of
      public health in accordance with sections 135.163 and 135.164.
         c.  State appropriations to the fund shall be allocated in
      equal amounts to each of the accounts within the fund, unless
      otherwise specified in the appropriation or allocation.  Any federal
      funding received for the purposes of addressing state health care
      workforce shortages shall be deposited in the health care workforce
      shortage national initiatives account, unless otherwise specified by
      the source of the funds, and shall be used as required by the source
      of the funds.  If use of the federal funding is not designated,
      twenty-five percent of such funding shall be deposited in the safety
      net provider network workforce shortage account to be used for the
      purposes of the account and the remainder of the funds shall be used
      in accordance with the strategic plan developed by the department of
      public health in accordance with sections 135.163 and 135.164, or to
      address workforce shortages as otherwise designated by the department
      of public health.  Other sources of funding shall be deposited in the
      fund or account and used as specified by the source of the funding.
         7.  No more than five percent of the moneys in any of the accounts
      within the fund, not to exceed one hundred thousand dollars in each
      account, shall be used for administrative purposes, unless otherwise
      provided by the appropriation, allocation, or source of the funds.
         8.  The department, in cooperation with the entities identified in
      this section as having control over any of the accounts within the
      fund, shall submit an annual report to the governor and the general
      assembly regarding the status of the health care workforce support
      initiative, including the balance remaining in and appropriations
      from the health care workforce shortage fund and the accounts within
      the fund.
         9.  This section is repealed June 30, 2014.  
         Section History: Recent Form
         2009 Acts, ch 118, §45, 54
         Referred to in § 135.153A, 135.176, 135.177, 261.128, 261.129 
         Footnotes
         Implementation of section conditioned upon availability of
      funding; 2009 Acts, ch 118, §54