249H.4 - SENIOR LIVING TRUST FUND -- CREATED -- APPROPRIATIONS.

        249H.4  SENIOR LIVING TRUST FUND -- CREATED --
      APPROPRIATIONS.
         1.  A senior living trust fund is created in the state treasury
      under the authority of the department of human services.  Moneys
      received through intergovernmental agreements for the senior living
      program and moneys received from sources, including grants,
      contributions, and participant payments, shall be deposited in the
      fund.
         2.  The department of human services, upon receipt of federal
      revenue on or after October 1, 1999, from public nursing facilities
      participating in the medical assistance program, shall deposit the
      federal revenue received in the trust fund, less a sum of five
      thousand dollars as an administration fee per participating public
      nursing facility.
         3.  Moneys deposited in the trust fund shall be used only for the
      purposes of the senior living program as specified in this chapter.
         4.  The trust fund shall be operated in accordance with the
      guidelines of the centers for Medicare and Medicaid services of the
      United States department of health and human services.  The trust
      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 trust fund shall not be considered revenue of the state, but
      rather shall be funds of the senior living program.  The moneys
      deposited in the trust 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 chapter.
      Moneys in the trust fund may be used for cash flow purposes during a
      fiscal year provided that any moneys so allocated are returned to the
      trust fund by the end of that fiscal year.  Notwithstanding section
      12C.7, subsection 2, interest or earnings on moneys deposited in the
      trust fund shall be credited to the trust fund.
         5.  The department of human services shall adopt rules pursuant to
      chapter 17A to administer the trust fund and to establish procedures
      for participation by public nursing facilities in the
      intergovernmental transfer of funds to the senior living trust fund.

         6.  The director shall amend the medical assistance state plan to
      eliminate the mechanism to secure funds based on skilled nursing
      facility prospective payment methodologies under the medical
      assistance program and to terminate agreements entered into with
      public nursing facilities under this chapter, effective June 30,
      2005.  
         Section History: Recent Form
         2000 Acts, ch 1004, §4, 22, 23; 2000 Acts, ch 1232, §88, 95; 2002
      Acts, ch 1050, § 26; 2002 Acts, 2nd Ex, ch 1001, §30, 52; 2005 Acts,
      ch 167, §34, 66; 2009 Acts, ch 182, §94
         Referred to in § 249H.4A, 249H.5