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Program and Budget Fiscal Years 2018-2019 Includes Adjusted Fiscal Year 2017 Governor Terry E. Branstad Lt. Governor Kim Reynolds
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Program and Budget - Iowa

Mar 15, 2022

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Page 1: Program and Budget - Iowa

Program and Budget

Fiscal Years 2018-2019

Includes Adjusted Fiscal Year 2017

Governor Terry E. Branstad

Lt. Governor Kim Reynolds

Page 2: Program and Budget - Iowa
Page 3: Program and Budget - Iowa

Table of Contents

I. Program Initiatives

Growing Iowa’s Economy 19

Committed to Transformational Education Reform 26

Supporting Strong and Healthy Families 29

Feeding the World and Protecting Our Resources 33

Safety and Efficiency for Iowa’s Drivers and Roads 35

Open Government 38

II. Economic Review

National Economic Conditions 41

Iowa Economic Conditions 43

III. State Financial Policies

Budgeting Policies 47

General Fund Revenues 52

Capital Budgeting 55

Bond Summary 57

IV. Financial Summaries 67

V. Graphs & Support Documents-Education 153

VI. Graphs & Support Documents-Human Services 161

VII. Graphs & Support Documents-Corrections 183

VIII. Graphs & Support Documents-Other 187

Page 4: Program and Budget - Iowa

Prepared by Iowa Department of Management

This document is available at https://dom.iowa.gov/

January 10, 2017

Page 5: Program and Budget - Iowa

Branstad/Reynolds Administration’s Goals

“While I am pleased with this progress and optimistic about Iowa’s future, I believe there is more

work to be done. We must seize the opportunities before us. This new General Assembly brings

new dynamics, new expectations and new opportunities to deliver positive results for Iowans.”

Excerpt from Governor Branstad’s 2017 Condition of the State Address to the Iowa General Assembly.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

From the day they took office on January 14, 2011, Governor Branstad and Lt. Governor

Reynolds have focused the work of their administration on the accomplishment of four key

goals:

200,000 New Jobs for Iowans,

15% Reduction in the Cost of Government,

25% Increase in Family Incomes,

1st Schools in the Nation.

The Budget and Program for Fiscal Years 2018 and 2019 is designed to continue making

progress toward achievement of these ambitious goals. The initiatives outlined in this document

provide the framework to help foster Iowa’s greatest economic expansion and quality of life

enhancement of the last half-century.

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i

Governor Branstad’s Condition of the State Before the Iowa

General Assembly January 10, 2017

Madam Lieutenant Governor Mr. President Madam Speaker Legislative leaders, legislators, justices and judges, elected officials, distinguished guests, family, friends and fellow Iowans. I’m honored and humbled to once again address a joint session of the General Assembly delivering the Condition of the State for the final time as your governor. For 22 years, I have addressed this body as governor and today I want to especially welcome the 22 new legislators with us—from both sides of the aisle— who were elected in November. Your constituents sent you to work hard, to work for them, and help make Iowa a better place. I hope you are filled with the same sense of excitement and eagerness that I had when I first served in the Legislature in 1973. Lt. Gov. Reynolds and I look forward to working with each of you and listening to your ideas on how to make our state an even better place for families to live, work and grow. In that spirit, I am today extending an invitation to each legislator to meet with me personally during this legislative session. We also gather again with shared sadness, returning to do our work without our friend, Sen. Joe Seng of Davenport. Joe was a devout Catholic and a true statesman. We enjoyed his contagious and positive personality and working with him. As I look back on my years of public service, I am thankful for those Iowans who have stepped forward to serve their fellow citizens. In particular, please join me in applauding those Iowans who have helped make our state and nation safer by serving in the military, law enforcement or as first responders.

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Since taking office in 2011, we have made the necessary changes to strengthen our economy and improve the quality of life across our state. We’ve made tough decisions to give Iowans a smaller and smarter government. We have stayed the course with an unwavering commitment to create jobs, increase family incomes, reduce the size of government, and give Iowa students a globally competitive education. We have provided significant tax relief for Iowans the past five years, especially for commercial property taxpayers. And last month, Lt. Gov. Reynolds and leaders from the Economic Development Authority and Department of Transportation unveiled Iowa’s most comprehensive Energy Plan. The plan was developed after collaboration with the private sector, public sector, educators, non-profits and utilities. Iowa is already a leader in low-cost and renewable energy. The comprehensive new energy plan will help build on our past energy successes and reaffirms our commitment to maintaining Iowa’s energy leadership in the future. I’m proud that we have made government smaller and smarter. We’ve seen unemployment in our state drop from 6.2 percent to 3.8 percent. The state has helped attract more than 13 and a half billion in private-sector capital investment, which has translated into great-paying jobs across Iowa. And more Iowans have been employed these past few years than at any other period in our state’s history. We have also made the tough decisions to ensure government lives within its means like Iowa families must do. We have accomplished this with a relentless focus on fiscal discipline, demanding budget predictability, fully restoring Iowa’s reserve accounts and reducing the state’s debt liability. Together we have made progress toward our goal of restoring Iowa’s schools to best in the nation through a series of landmark reforms and innovative policies.

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To improve Iowa’s education standing, we needed to make sure our hardworking teachers had all the tools necessary to succeed given higher expectations for all students. So, we created a new Teacher Leadership System that better utilizes the expertise of top teachers to improve education, instruction and foster greater collaboration. I’m proud to say that every public school in Iowa today is participating in our Teacher Leadership System. To ensure that our children are prepared for a 21st century economy we advanced a nationally recognized STEM initiative that gives students the confidence and skills for rewarding careers. The STEM initiative is led by Lt. Gov. Kim Reynolds and Kemin Industries President & CEO Dr. Chris Nelson and has seen outstanding growth and success. Sustaining these measures over time is critical to get the right results for our students and our state. The ability of Iowans to overcome challenges bolsters my optimism for our state's future. When faced with challenges, Iowans consistently seek opportunities. Some of the challenges we have overcome--like the Farm Crisis of the 1980s--tore at the very fabric of our communities. In the 1980s, Bloomfield, Ia.--a community in Davis County in southeast Iowa--struggled like many communities across the state. An uninsured bank in Bloomfield closed in 1983 and caused great losses for area families and businesses. And area farmers were straddled with debt and limited market opportunities for their crops. However, through a persistent focus on economic diversification and an entrepreneurial spirit to rebuild its community, Bloomfield now has new manufacturers that are growing alongside innovative startups. And, to continue their effort to stay on the cutting edge community leaders are instituting aggressive strategies to become Iowa’s first energy independent community by 2030.

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I visited Bloomfield last year and was impressed with the Main Street revitalization, a new hardware store and the M3 Fabrication manufacturing plant. And Woodbine, Ia., is another example of a community that took its future into its own hands. The community showed how an integrated approach to community revitalization that focuses on historic preservation and community sustainability can redefine a struggling, small rural community. Woodbine also had a bank closure in the 1980s, but the community turned its challenges into future growth and diversification. Lt. Gov. Reynolds and I visited Woodbine and were impressed with the success of their Main Street program. And Waterloo, Ia., after experiencing economic challenges throughout the previous three decades embraced the challenge of reshaping its industrial heritage to succeed in modern times. Cedar Valley Tech Works has made Waterloo a nationally recognized leader for manufacturing innovation. And John Deere continues to be a leading manufacturer and innovator in Waterloo. In the balcony, we have leaders from Bloomfield, Woodbine and Waterloo. Please join me in congratulating their accomplishments and supporting their future success. Iowa’s industries are increasingly high tech, including advanced manufacturing. In total, Iowa has over 6,100 manufacturers that contribute more than $31 billion to Iowa’s economy and employ over 200,000 Iowans. Over the next year, the Iowa Economic Development Authority will work with Iowa’s manufacturers to advance a “Year of Manufacturing” in Iowa to help grow this important part of the Iowa economy. We should also be proud that Iowa remains an agricultural powerhouse that feeds and fuels the world thanks to the hard work and innovation of Iowa’s farmers and agricultural producers. We just set an all-time record for ethanol production, set a new record for biodiesel production by an additional 55 million gallons and lead the nation in percentage of electricity generated by wind.

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We now generate over 35 percent of our electricity from wind and expect this number to exceed 40 percent by 2020. Over the past 30 years, we’ve significantly added value to our agricultural commodities. We’ve also diversified the Iowa economy by expanding exports and supporting growth in biofuels, wind energy, data centers, fertilizer plants, bio-renewable chemicals, advanced manufacturing, insurance and financial services. These newer industries employ hundreds of thousands of Iowans in rewarding careers. And while I am pleased with this progress and optimistic about Iowa’s future, I believe there is more work to be done. We must seize the opportunities before us. This new General Assembly brings new dynamics, new expectations and new opportunities to deliver positive results for Iowans. Our state is in an admirable position. Many states are strapped with crushing debt, poor credit ratings and a bleak economic outlook. But Iowa is a shining example of what hard work and smart, tough choices can do for growing businesses and nurturing families. While the December Revenue Estimate is lower than previous projections the estimate still shows a modest increase in state revenues. Although we have faced a headwind out of Washington, D.C., that is stifling our agricultural economy, we still have positive state revenue growth. But we must proceed with caution and not repeat the mistakes of the past. With that prudence in mind, I present my proposed adjustments to the current fiscal year budget to you today. These adjustments are required by law. My proposal does not include across-the-board cuts, does not reduce funding for K through 12 education, does not reduce property tax credits and does not include furloughs for state employees. The budget reductions I am recommending for this fiscal year are difficult.

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But they maintain funding for our mutual priorities. I am committed to working with legislative leaders to implement these adjustments. For the coming biennium, I am presenting a complete two-year budget that is balanced each year and meets our five-year projections for a sustainable future. This budget is based on the principles laid out by the Iowa Taxpayers Association. It prioritizes education, health care, economic development and public safety. And it redirects family planning money to organizations that focus on providing health care for women and eliminates taxpayer funding for organizations that perform abortions. On my first trip to China in 1984, I learned that the Chinese word for danger and opportunity is one in the same. Today, America and Iowa exist in a challenging world. But we must seize the opportunity to make it a better place. In 2010, Lt. Gov. Reynolds and I promised to reduce the size and scope of government. I’m proud to report that we have a smaller, smarter government with a steady focus on improving services for our citizens in a more timely and efficient manner. Yet, while the size of government is smaller, benefits for public employees at the state and local level have increased. Unfortunately, the cost of these benefits has grown dramatically because of our antiquated collective bargaining system that has led to over 500 health-care plans, many of which are inefficient and way too costly for public employees and Iowa taxpayers. Under our present system, a few adverse health outcomes will destroy the budget of a city, county or school district. By replacing this system with one comprehensive statewide health-care contract we can spread the risk and dramatically reduce costs. Using a uniform health-care benefit system similar to the IPERS program for retirement we can provide quality health care at a significantly lower cost

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and give local governments more flexibility to provide better wages and meet other needs. The statewide health-care contract also needs to reward employees who take ownership of their own health by conducting health risk assessments and taking actions to improve their own health. We have made a commitment to examine every dollar of revenue and expenditure in order to maximize efficiency and respect hardworking taxpayers. We are committed to a smaller, smarter government that seeks innovative ways to provide services rather than blind adherence to the way things have always been done. I’m asking the General Assembly to take a comprehensive review of all of our state’s boards and commissions to address unnecessary barriers that prevent competition and raise costs. I encourage you to ask the tough questions that challenge the status quo. In Iowa, 90 percent of our general fund budget is spent on three items; K through 12 education, Medicaid and employee wages and benefits. The state has significantly increased funding for education since 2011, amounting to over 654 million additional dollars. Education and job training are the foundation for our future economic growth. Growing our state’s talent pipeline needs to be a top priority. Even with our modest revenue growth my recommendation includes an increase of $78.8 million for K-12 education for fiscal year 2018 and an additional $63.5 million for fiscal year 2019 which equates to roughly 2 percent growth each year. So this year, let’s show Iowans we can make these decisions early and meet the legal requirements of setting supplemental state aid for fiscal year 2018 and fiscal year 2019 in the first 30 days. The second largest driver of our state budget is health and human services spending. Together, we have transformed our mental health system to a community-based model, we obtained a federal waiver for our Iowa Health and Wellness Plan which has reduced charity care for hospitals and, like 39 other states, we have modernized our Medicaid program.

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As a result, we have created a new system where more Iowans have access to mental health services closer to home than ever before; more Iowans are covered with health insurance than ever before; and more than 80 new value-added services are now being offered under our modernized Medicaid program. We’ve also replaced the old Medicaid system with a coordinated team of health-care professionals to ensure patients see the right provider at the right time. As a result of these reforms and innovation, we have improved the focus on health outcomes and saved the taxpayers $110 million. Our increase in education funding last year was made possible because of our modernized Medicaid efforts. Without these vital reforms, the budget choices before us today would be twice as hard. In order to grow Iowa, we must also look at policies and reforms that will continue growing family incomes. One way to do this is to close the skills gap which in many ways is the biggest challenge our state faces over the next decade. That is why Lt. Governor Reynolds and I set the Future Ready Iowa goal that 70 percent of Iowans in the workforce should have education or training beyond high school by 2025. Today, less than half of our workforce does. Accomplishing this ambitious goal will create unprecedented opportunities for Iowans and better position our state to compete in an increasingly knowledge-based, digital economy. That is why we established the Future Ready Iowa Alliance, co-chaired by Lt. Governor Reynolds and Dan Houston of Principal, which will make recommendations by Oct. 31, 2017, to assure more Iowans have the careers they deserve and employers can hire the skilled workers they need to grow and innovate. Even with a tight budget, we should continue to prioritize initiatives that will grow the state’s talent pipeline like the STEM initiative, registered apprenticeships and work-based learning for Iowa’s students. Please help me recognize the students here with us today from Jackson Elementary School in Des Moines, Bondurant-Farrar Middle School and Waukee High School, which has one of the premier work-based learning programs in our state.

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The students in the gallery represent children across Iowa who are counting on all of us to modernize schools for the 21st century. That’s why Lt. Governor Reynolds and I are launching a comprehensive computer science initiative. We are encouraging every high school to offer at least one high-quality computer science course, every middle school to provide exploratory computer science, and every elementary school to include an introduction to computer science. All students need to learn how computers operate because it is fundamental to life and work today. Computer science will provide students a chance to join one of the fastest-growing and best-paying fields. No student should miss out on this opportunity because of where they live. This is another step to better align education and training with essential workforce needs. We all care deeply for the safety of our families, our friends, and our neighbors. However, a troubling trend has begun to emerge that threatens Iowans’ safety on our roads. Traffic deaths went from 315 in 2015 to 402 in 2016. This is unacceptable. Earlier this year, I called on the Department of Public Safety and the Governor’s Traffic Safety Bureau to lead a working group to study this disturbing trend. The group, with the support of key stakeholders, including law enforcement, made recommendations worth your consideration. I am asking you to take a hard look at these recommendations and evaluate which can be put into law to make our roads safer. Unfortunately, too many innocent bicyclists, motorcyclists, pedestrians and passengers have lost their lives on our roads. Last year, I received a handwritten note from Christine and Darrel Harken, parents of Grace Harken, who live near Riceville.

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They wrote “our daughter Gracie’s life was so sadly ended July 29, 2015, by someone who was driving and texting.” Grace was biking safely and lawfully during a morning bike ride, when a driver who was texting struck and killed her. They went on to write, “Grace would have forgiven the driver and moved forward. “That is what we have chosen to do. But we miss her so.” Grace Harken’s life was tragically ended way too early. Modern technologies should come with new responsibilities. I ask that all Iowans join the Iowa law-enforcement community, first responders, the League of Cities, all the major cell-phone carriers, the insurance industry, and the medical community in demanding real change in the laws for distracted and impaired drivers. Last year, I called on the Legislature to send me a water-quality improvement bill. I was pleased to see bipartisan progress made on this front with the House passing House File 2541 last session. This bill was approved by the Agriculture, Ways and Means and Appropriations Committees and passed the House with 65 votes. This bill provided for a long-term, dedicated and growing source of revenue to help implement projects to improve habitat and water quality directed by the Iowa Nutrient Reduction Strategy. The bill also provided funding for community conservation practices and improvements to wastewater and drinking water facilities. By leading on this issue, together we have the opportunity to modernize Iowa’s agricultural infrastructure, create jobs in rural Iowa and promote collaboration between urban and rural communities. I believe our discussions should begin with the House-passed bill from last session. I hope we can work together to perfect and improve the legislation that will provide a long-term, dedicated and growing source of revenue for water-quality improvements. I’ve been so blessed to serve as your governor, leading the state I love, for 22 years.

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I am confident Iowa will continue to move forward because Iowans care deeply about their neighbors, their communities and creating an even better future. And I’m extremely thankful for perhaps the most patient person in the state -- my wife, Chris -- as she has also served Iowa as first lady with grace. She has welcomed Iowans and visitors from around the world to Terrace Hill and she has volunteered to help in many ways, including reading with Jackson Elementary students. To Chris and my entire family, thank you for your sacrifice during my time in public service. I am also thankful for the friendships we have made in all 99 counties – friendships that we will always cherish. And I am grateful for the prayers from Iowans who have encouraged me along the way. There is no better job in the world than being the governor of the state that you love. But sometimes we are called to serve in ways we had never imagined. As I approach the U.S. Senate confirmation process my main priority is to continue serving the people of Iowa with the same energy and passion that I have brought to this office each and every day. Thank you. God Bless you and all the people of Iowa.

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Growing Iowa’s Economy

Since taking office in 2011, Governor

Branstad and Lt. Governor Reynolds made

it a priority to get Iowans working again.

Both the Governor and Lt. Governor knew

that in order to truly stimulate strong growth,

Iowa needed to create 200,000 new jobs

over the upcoming five-year period. Thanks

to sound budgeting practices, tax reform

and innovative economic growth policies,

Iowa has seen a significant comeback in job

growth.

2017: The Year of Manufacturing

Iowa’s advanced manufacturing

businesses produce $31.7 billion of

products annually, three times more than

what is generated from the farming industry.

Manufacturing is the state’s single largest

business sector. Iowa ranks eighth in the

nation in the percentage of our gross

domestic product (GDP) stemming from

manufacturing. While other states have

seen declines in their manufacturing

sectors, Iowa has experienced growth. The

Branstad-Reynolds administration will work

with the Iowa Economic Development

Authority, Iowa’s manufacturers and other

stakeholders to ensure continued growth

and expansion in this sector to benefit

Iowa’s working families.

Changing Workforce Needs and a

Persistent Skills Gap

Every state in the nation is challenged

by a persistent skills gap—a challenge

confirmed during travel by the Governor and

Lt. Governor throughout all of Iowa’s 99

counties. Policy leaders within Iowa and

across the nation are exploring avenues to

strengthen the talent pipeline. The goal is

to ensure students and workers have the

career opportunities they need and Iowa

employers have the skilled employees they

desire to grow and innovate. Policy

discussions are driven by a global,

knowledge-based economy that rewards

higher levels of education and training.

Fifty years ago, nearly 80% of jobs

required only a high school diploma or less,

and most paid a good wage. Today, only

35% of jobs are available to high school

graduates or dropouts, and more than two-

thirds of those jobs pay less than $25,000.

In short, the careers of today and tomorrow

increasingly require advanced knowledge

and skill levels. Even as the numbers of

mid-level and high-skilled jobs grow in Iowa,

the availability of a skilled workforce is a

major constraint for Iowa businesses and

overall economic development. A recent

Georgetown University report states that in

1973, 28% of U.S. jobs required education

beyond a high school diploma, while by

2025, nearly 66% of jobs in the nation (and

68% of Iowa jobs) will require education or

training beyond high school.

Growing Iowa’s Talent Pipeline

To better match employers with a skilled

workforce, the Governor and Lt. Governor

have supported a number of programs and

Agri-Industrial Plastics

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continue to look for innovative approaches

to strengthen Iowa’s workforce. Initiatives

must include comprehensive strategies that

align education, workforce and economic

development efforts.

Future Ready Iowa: Preparing our

Workforce

Closing the skills gap is the biggest

workforce challenge Iowa faces over the

next decade. This is why Governor

Branstad and Lt. Governor Reynolds have

set an ambitious goal of 70% of Iowa’s

workforce, ages 25 to 64, having education

or training beyond high school by the year

2025. Nearly half of the workforce

population meets this goal now according to

an analysis by the Lumina Foundation.

Accomplishing the 70% goal will provide

more Iowans with the career opportunities

they deserve and give employers the skilled

workforce they need to help their

businesses flourish.

To help set the pieces in place to

achieve the 70% goal, Governor Branstad

issued Executive Order 88 establishing the

Future Ready Iowa Alliance. The charge of

the Alliance is to develop recommendations

by October 31, 2017, for how to achieve the

goal.

Lt. Governor Reynolds co-chairs the

group, which is comprised of a broad cross-

section of Iowans representing business

and industry, labor, education, non-profits,

community advocates, students and state

agencies, among others. The Alliance is

seeking to build on existing efforts to better

align education, workforce training and

economic development initiatives. Five work

groups have been created to study policies

and other strategies to reach the 2025 goal:

Get Iowans Ready focuses on better

preparing students from preschool

through high school,

Get Iowans Credentialed focuses on

increasing post-secondary enrollment

and attainment,

Upskilling Iowans focuses on

unemployed and underemployed

Iowans,

Demand Driven focuses on filling high-

demand jobs, and

Communications and Outreach

focuses on getting the message to key

stakeholders.

One of the near-term milestones for the

Alliance will be to launch the Future Ready

Iowa website in early 2017. The website

will be a one-stop shop for Iowans to learn

about education and training pathways tied

to high-demand careers.

With 2025 just eight years away, the

Future Ready Iowa Alliance will work to

develop concrete, cost-effective

recommendations. These recommendations

will work to create more opportunity for

students and adults in partnership with

business and industry. This initiative

promises to grow family incomes,

accelerate economic vitality and improve

the quality of life for Iowans.

Governor Branstad signing Executive Order 88,

establishing Future Ready Iowa Alliance

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Iowa Apprenticeship and Job Training

Program

Registered Apprenticeships

The Registered Apprenticeship system

provides a proven pathway to preparing

workers for in-demand jobs and meets the

needs of businesses for a highly skilled

workforce. The Iowa Apprenticeship

Program, created by the Iowa

Apprenticeship Act in 2014, has helped to

increase the number of registered

apprentices in Iowa by providing training

grants to eligible apprenticeship programs.

The program is administered by the Iowa

Economic Development Authority in

coordination with the United States

Department of Labor (DOL) Office of

Apprenticeship (OA).

As a result of the robust state, federal

and private sector partnership, Iowa has

been one of the fastest growing Registered

Apprenticeship states in the nation and is

recognized as a national leader in

supporting apprenticeships. As of

November 2016, more than 8,200

employees were working in Registered

Apprenticeship programs statewide. Iowa is

also showing a dramatic increase in the

number of new programs joining Registered

Apprenticeship. In the last four years, Iowa

added over 100 Registered Apprenticeship

programs each year and is on track to meet

a federal five-year goal of doubling its

registered apprentices by 2019.

High Quality Pre-Apprenticeship Programs

High quality pre-apprenticeship

programs contribute to the development of a

diverse and skilled workforce by preparing

participants to meet the basic qualifications

for entry into one or more Registered

Apprenticeship programs. High quality pre-

apprenticeship programs also provide the

opportunity for participants to explore and

learn more about the different career

opportunities offered by Registered

Apprenticeship programs. Employers with

the Registered Apprenticeship program can

work with a pre-apprenticeship program to

determine the curriculum and training pre-

apprentices receive. These programs also

set quality standards and competency

goals, helping to streamline the recruitment

process for Registered Apprenticeships.

Like Registered Apprenticeship

programs, the pre-apprenticeship program

design is flexible. Programs can be

adapted to meet the needs of differing

populations being trained, the various

employers and sponsors they serve, and

specific opportunities within the local labor

market.

The Des Moines Public School’s Central

Campus and Lincoln High School recently

established the first Quality Pre-

Apprenticeship programs in Iowa. These

programs offer students on-site instructional

and quality training in specific skilled

occupation areas. Students also have an

opportunity to meet with Registered

Apprenticeship sponsors and explore and

pursue potential careers with employers.

These programs have become a model for

other high schools and public and private

collaborators interested in creating similar

programs in Iowa.

STEM Internship Program

The Science, Technology, Engineering

and Mathematics (STEM) Student

Internship Program, administered through

the Iowa Economic Development Authority,

provides grants to small and medium-sized

companies in the advanced manufacturing,

biosciences and information technology

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industries to help support internship

programs. The goal of the program is to

transition the interns to full-time employment

in Iowa upon graduation.

Home Base Iowa

On Memorial Day 2014, Governor

Branstad signed the landmark Home Base

Iowa Act into law. Home Base Iowa (HBI)

has paved the way for current and future

military veterans to receive the thanks they

deserve for their service. Program efforts

are currently underway to finalize the launch

of a searchable database of veterans for

HBI businesses to access. The database

will automatically send resumes to HBI

businesses, Workforce Development One-

Stop shops, and HBI communities when a

veteran’s data matches criteria for a

position.

The program continues to garner

support from additional HBI businesses and

communities and CHAMPs (Certified Higher

Academic Military Partners) across the

state. The number of HBI communities has

grown to 44 and there are well over 1,400

HBI businesses. Additionally, there are 21

CHAMPs institutions with the highest

commitment to veterans, including all

Regents universities, numerous private

colleges and 23 community colleges. The

Iowa Business Council reports that more

than 2,750 veterans have been hired since

the program began, vastly outpacing the

2,500 goal set for 2018. Home Base Iowa

is generating results for veterans and for the

State of Iowa.

State Energy Plan and Energy Careers

As we look to future economic growth in

Iowa, discussions need to include a

strategic approach as part of our state’s

energy plan. Governor Branstad has been

a strong supporter of renewable energy

since the 1970s. In 1983, Governor

Branstad signed the nation’s first renewable

electricity standard. At that time, Iowa was

heavily dependent on coal for electricity and

imported oil for motor fuel. Today, Iowa

produces far more ethanol than we

consume in gasoline. We are also the

leading producer of biodiesel and wind

energy, producing over 31% of our

electricity from wind in 2015. Companies

that have invested in Iowa have cited our

low cost of energy as a major reason for

locating here.

The American Wind Energy Association

reported that Iowa could meet 40% of our

energy needs from wind power by 2020 and

still export excess energy to other states.

Part of these successes can be attributed to

thoughtful planning. To that end, ongoing

strategic planning will enable Iowa to remain

a leader in this field.

University of Iowa Lab

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On December 21, 2016, Lt. Governor

Reynolds announced the Iowa State Energy

Plan along with the Iowa Economic

Development Authority, the Iowa

Department of Transportation, and the Iowa

Partnership for Economic Progress (IPEP)

Board. One of the Plan’s objectives is to

increase the local talent pool for energy-

related careers while promoting

employment and training opportunities in

the energy sector. Iowa stakeholders will

identify high-demand energy sector

occupational needs and determine ways to

clearly communicate those needs to

education and training providers.

As plan implementation moves forward,

state agencies and industry leaders will

continue to support Iowa’s existing training

and trade apprenticeship programs. Efforts

will also identify additional opportunities for

building career pathways in the energy

sector.

Smaller and Smarter Government

through Regulatory and Licensing

Reform

Regulatory and licensing reforms

continue to be priorities of the Branstad-

Reynolds Administration. Government

regulation and licensing are necessary only

when protecting the public safety and

welfare of Iowans.

State agencies should achieve statutory

goals as effectively and efficiently as

possible without imposing unnecessary

burdens that reduce jobs and hurt job

growth. All rules are cleared by the

Governor’s Office to ensure Iowa’s

employers are not adversely affected. The

following efforts are in support of a smaller

and smarter government.

Professional Licensing Reform

In 2013, Governor Branstad vetoed

legislation mandating licensing for four new

professions. At the end of the 2016

Source: American Wind Energy Association

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legislative session, Governor Branstad item-

vetoed licensing requirements for natural

hair braiding and ended licensing for natural

hair braiding in Iowa. The Branstad-

Reynolds Administration will work with the

Iowa legislature to continue finding other

common-sense solutions and reduce the

number of unnecessary regulatory burdens

and licensing fees on hardworking Iowans.

Boards and Commissions

The Branstad-Reynolds Administration

proposes reviewing the existing boards and

commissions to determine which boards

can be merged or reduced to eliminate

unnecessary or redundant ones.

New Rules-filing System Using Existing

State Resources

In November of 2016, the Branstad-

Reynolds Administration, in collaboration

with Legislative Services Agency, launched

a new administrative rules filing system.

This new system was incorporated into the

already existing bill filing system.

Coordination between the two branches of

government resulted in an easy-to-use filing

system for state agencies that maximized

the use of state resources.

Award-Winning Administrative Rules

Website

On May 18, 2015, Governor Branstad

announced the launch of a new website that

made the administrative rules process more

open and transparent to the public. The

site, Rules.Iowa.Gov, creates a one-stop

shop allowing Iowans to view administrative

rules that are open for comment, comment

on rules online, find contact information for

each specific rule, learn how much longer

the comment period is open and inquire

about the administrative rules process.

On July 21, 2015, the Administrative

Rules Organization of the National

Association of Secretaries of State (NASS)

honored the Iowa Office of the Chief

Information Officer with the 2015 Colborn

Award for the development of

Rules.Iowa.Gov. The Colborn Award

“annually recognizes a state program that

demonstrates creativity and innovation in

providing public access to, or management

of, administrative rules. The award also

highlights improved efficiency and delivery

of services to citizens, businesses and other

governmental entities.”

Jobs Impact Statement for New Administrative Rules

Since March 2011, Governor Branstad

and Lt. Governor Reynolds have required

that a Jobs Impact Statement accompany

every proposed administrative rule. The

Jobs Impact Statement requires regulators

to create policies that protect the health and

safety of individuals and families while

maximizing job growth and reducing

adverse impacts on small businesses in

Iowa.

Stakeholder Groups Involve Iowans in the

Rulemaking Process

The Governor signed Executive Order

80 in August 2012 which established

stakeholder rulemaking groups for the

purpose of preventing unnecessary burdens

on the public, increasing public input, and

encouraging efficiency and economic

growth. Stakeholder groups encourage

information-sharing between agencies and

varying interests in the community. They

also help to encourage more public

participation, especially from those

individuals and groups that will be affected

by new rules. Public participation in the

formulation of administrative rules helps our

state to reform burdensome rules and

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prevent overregulation or red tape,

encouraging efficiency, economic growth

and job creation.

Rolling Sunset of Existing Rules

Governor Branstad and Lt. Governor

Reynolds continue to require all state

agencies to review existing administrative

rules to identify those regulations that

adversely and unnecessarily impact job

creation in Iowa. State agencies are

required to complete their five-year review

by July 2017.

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Committed to Transformational Education Reform

Preparing Iowa students to succeed in a

knowledge-based, high-tech economy is

one of Governor Branstad’s and Lt.

Governor Reynolds’ top priorities. The

Branstad-Reynolds administration remains

committed to sustaining and building upon

the major education reforms they

recommended and signed into law in recent

years. To further this effort, they are

proposing legislation requiring all

elementary, middle and high school

students to have access to high-quality

computer science programs by the year

2019. Specifics include:

Offering at least one high-quality

computer science course in every high

school,

Providing exploratory computer science

curriculum in every middle school, and

Including an introduction to computer

science basics in every elementary

school.

Source: Iowa STEM Advisory Council

All students would learn about

technology including how computers work.

This knowledge is a fundamental skill

needed in both life and work today.

Developing these skills will provide young

people a foundation for succeeding in our

technology-based economy. It will also help

students when deciding whether to pursue a

career in the field of computer science, one

of the fastest-growing, best-paying sectors

of our economy.

Education trends are already moving in

this direction. An Iowa Department of

Education survey found nearly 69% of the

school districts responding currently offer

high school students at least one computer

science course. Of the districts not yet

offering a program, 57% plan to start one in

the 2017 - 2018 school year. Meanwhile,

nearly 69% of middle schools and 38% of

elementary schools currently offer computer

science as part of their curriculum.

The Governor’s education reform

legislation will also include provisions to:

Establish high-quality computer science

standards,

Create a computer science professional

development incentive fund to train

teachers, and

Convene an advisory group to

recommend how to count computer

science as a math credit toward high

school graduation.

Developing a comprehensive computer

science initiative will work to enhance

existing education reforms designed to help

all students graduate from high school

ready for college or career training. These

efforts will also help to meet the Future

Ready Iowa goal of 70% of the workforce

having education or training beyond high

school by 2025. About half of Iowa’s

workforce population currently meets this

target according to the Lumina Foundation.

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Some of the reforms now in place to

improve education include:

Iowa’s Teacher Leadership and

Compensation System,

Iowa’s Early Literacy initiative to assure

children read by the end of third grade,

and

The Governor’s STEM Advisory Council,

which delivers high-quality science,

technology, engineering, and math

programs to nearly every Iowa school

district.

Iowa’s 2013 landmark Teacher

Leadership and Compensation System—

the most extensive teacher leadership

system in the nation—was phased in over

three years starting in 2014-15. Beginning

in the 2016 - 2017 school year, the system

is now in place in all 333 school districts

with about 25% of Iowa teachers serving in

leadership roles including instructional

coaches and mentors. An American

Institutes for Research interim report found

a positive impact on classroom instruction

and professional climate in the 115 school

districts that implemented the system during

the first two years of the roll-out.

Iowa’s 2012 Early Literacy initiative

requires school districts to identify struggling

readers beginning in kindergarten and

provide intensive assistance to help them

read proficiently by the end of third grade.

An early identification and progress

monitoring system is now in place across

the state. Unfortunately, third-grade reading

results on state tests have been stagnant so

improving instruction is critical. Therefore,

Governor Branstad and Lt. Governor

Reynolds recommend $3.5 million to launch

a three-year project to develop an early

literacy standard of care. This standard will

better support teachers and accelerate

student progress in reading.

The Governor’s STEM Advisory Council,

established in 2011, continues to gain

momentum. The Council delivered high-

quality STEM education programs to more

than 100,000 students from preschool

through high school in 2015-16. Programs

offered include:

Curriculum for Agricultural Science

Education,

Engineering is Elementary,

Project Lead the Way, and

Introduction to Computer Science and

Engineering.

In the National Percentile Rank,

students who participated in these programs

scored an average of 7% higher in math,

6% higher in science and 4% higher in

reading. The Council has promoted STEM-

related teaching endorsements and teacher

externships. Since launching the STEM

BEST (Businesses Engaging Students and

Teachers) program in 2014-15, this public-

private partnership providing students real-

world, hands-on learning experiences, now

includes 18 projects involving dozens of

schools and hundreds of businesses

throughout the state. With the STEM

Council’s operations team located at the

Lt. Governor Reynolds, Governor Branstad, Education Director

Ryan Wise with 2017 Teacher of the Year Shelly Vroegh

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University of Northern Iowa, UNI’s budget

request includes $500,000 to expand STEM

BEST in 2017-18.

Source: Bureau of Labor Statistics

As Iowa continues to implement

education reform, efforts promise to improve

instruction and increase student

achievement levels. All of the progress

achieved to date has built on the work of

dedicated educators across the state. One

of Iowa’s many successes includes being

first in the nation for our high school

graduate rate—nearly 91 percent according

to the U.S. Department of Education. Iowa

also leads the nation in the number of

students earning dual high school and

community college credits.

Iowa is making progress. Yet a lot of

work remains to be done. Iowa’s 2016 state

report card showed that only about 39

percent of middle and high school students

met or exceeded college and career

readiness benchmarks in math and reading

based on a two-year composite. While this

is slightly higher than in 2015, it still remains

low. Nearly one quarter of third-grade

students did not read proficiently on the

state test in 2015-16.

While Iowa students must be better

prepared for the future, it is also crucial that

they understand Iowa’s past. Governor

Branstad and Lt. Governor Reynolds are

including $50,000 in their budget

recommendations to promote Iowa history

including an online Iowa history course.

School Choice

Governor Branstad and Lt. Governor

Reynolds believe in school choice. One

size does not fit for all families and school

choice encourages greater engagement in

education. School choice in Iowa offers a

variety of important options including:

Open enrollment, which allows

parents to enroll their children in any

school district regardless of where

they live,

Virtual academies, and

Charter schools.

School choice in Iowa also includes the

School Tuition Organization tax credit that

provides a tuition grant for children

of modest-income families to attend the

accredited non-public school of their choice.

In addition, home school options in Iowa

make it possible for families to work with

their local school districts or to educate their

families independently. Governor Branstad

and Lt. Governor Reynolds look forward to

working with the 2017 Legislature to explore

other school choice opportunities such as

Education Savings Accounts.

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Supporting Strong and Healthy Families

Healthiest State in the Nation

Iowa continues to lead the nation in

improving the health and well-being of its

citizens. National organizations such as the

Gallup-Healthways Well-Being Index,

Mental Health America, and Annie E. Casey

Foundation rank Iowa as a top state for

health. America’s Health Ranking listed

Iowa as the most improved state rising five

spots from 22nd in 2015 to 17th in 2016. The

state’s rise is due in part to improvements in

the percentage of children ages 19 to 35

months and adolescents ages 13 to 17

years receiving recommended

immunizations.

The Healthiest State Initiative, a public-

private partnership launched in 2011,

contributed to our state’s success this year.

Iowa moved from the rank of 19th in the

country to 14th in the Gallup-Healthways

Well-Being Index, improving at twice the

national average.

The Healthiest State Walk continues to

attract thousands of Iowans annually. More

than 1.5 million Iowans have participated in

the walk since June 2011. This year’s walk

once again featured participation in all 99

Iowa counties with over 850 walks being

held statewide. Iowans young and old are

taking more ownership for improving their

own health and well-being.

Source: Iowa Department of Public Health

Health Care Reform

Iowans deserve health care reform that

improves care, lowers costs and, most of

all, results in healthier people. These

principles guide Governor Branstad and Lt.

Governor Reynolds in addressing all health

care issues.

Medicaid Modernization

In April 2016, Iowa modernized its

Medicaid Program to a proactive, patient-

centered approach. This approach included

moving from a volume- to a value-based

system focused on health outcomes.

Patients now have more choice than ever

before in receiving services that meet their

individual needs including improved access

to doctors and nurses. The program also

incorporates real accountability for

improving the health of more than 500,000

Iowans.

Nationally, over 52 million Medicaid

patients in 39 states and Washington, D.C.

are enrolled in comprehensive Medicaid

managed care health plans. Prior to April

2016, Iowa already had significant

experience with Medicaid managed care

when the state first began serving Medicaid

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patients in managed care plans in the

1980s. Iowa expanded use of this approach

with the Medicaid behavioral health

population in the 1990s and with Iowa’s

HAWK-I Program. For years, Iowa has

entrusted the care of its state employees to

private insurance companies.

Medicaid Modernization has delivered

unprecedented transparency and results in

Iowa’s Medicaid Program. Governor

Branstad signed every Medicaid

Modernization oversight item into law from

the 2015 and 2016 legislative sessions. As

a result, the state is now able to track nearly

1,000 measurable health outcomes. In the

first six months

Over 145,000 patients voluntarily

selected their own health plan,

Over 40,000 value-added services were

utilized. The health plans offer

numerous value-added services that go

above and beyond what traditional

Medicaid benefits offer. Examples of

value-added services include health

incentives, tobacco cessation and

wellness programs,

Over 230,000 patient health risk

assessments and outreach efforts were

conducted in the identified health risk

factors to help patients live longer,

healthier lives, and

More than 25,000 adults and children

with high-risk behavioral health

conditions now have a health care

coordinator. The coordinator works with

individuals to ensure integration of their

medical, physical and behavioral health

care needs.

Improving our mental health system and

ensuring coordinated care is a cornerstone

of Medicaid Modernization.

The modernizing of Medicaid through

managed care has also ensured the

sustainability of the program. Before

moving to managed care, state Medicaid

expenditures had increased an average of

10% each year over the past 10 years.

Medicaid spending in Iowa had grown from

$2.6 billion in State Fiscal Year 2007 to an

estimated nearly $5 billion in Fiscal Year

2017. This unsustainable rate of

expenditure growth had become the fastest

growing state General Fund budget driver.

In the first fiscal year of modernization,

Iowa’s Medicaid budget is saving taxpayers

$110 million. Savings were achieved by

increasing the availability of preventive

services, reducing the number of

emergency room visits, hospitalizations and

surgeries, and eliminating unnecessary or

duplicative services.

Medicaid Modernization has brought

fiscal accountability to the forefront.

National data from the Centers for Medicare

& Medicaid Services (CMS) found that

Iowa’s previous Medicaid fee-for-service

program had an improper payment rate of

12% or $318.5 million annually. Medicaid

would pay providers and ask questions

later. In comparison, CMS data shows that

managed care Medicaid programs have an

improper payment rate of 0%. Health plans

use sophisticated, 21st century computer

systems to verify payment on the front side,

ensuring accuracy and preventing fraud,

waste and abuse. This enhanced program

integrity is another cornerstone of managed

care.

Medicaid Modernization utilizes

nationally experienced health plans to

coordinate care in a way that meets

individual health care needs and results in

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healthier patients. Iowans are getting the

right care, at the right time, in the right

setting.

Modernizing our Mental Health Care

System

Iowa’s mental health system is serving

more Iowans with better services in an even

greater number of local settings. Since

2014, nearly 150,000 more Iowans now

have access to mental health insurance

coverage through the Iowa Health and

Wellness Plan. The Plan offers mental

health services to patients in their local

community as well as in their home.

Doctors, advocates and mental health

professionals agree that modern mental

health care is best delivered at the

community level.

In 2013, Iowa successfully moved from

a 99-county delivery system to 15

regionalized state-local partnerships to

provide quality, mental health services.

Since that time, state and local government

investment in mental health care in Iowa

has increased by 40% to $2.1 billion over

five years (Fiscal Years 2013 - 2017). In

the previous five years, mental health care

spending by state and local governments in

Iowa was $1.5 billion (Fiscal Years 2008 -

2012).

Iowa’s 15 mental health regions now

offer locally administered, evidence-based

services. No matter where you live, Iowans

can now receive the same core mental

health services. Regions have the flexibility

to expand into more intensive services in

specific communities to address crisis

needs. Since the redesign, regions have

added 53 residential crisis beds (up to 83

total beds). There has also been a 240%

increase in the number of counties offering

mobile crisis services, 10 regions provide

24-hour crisis lines, and 60 counties offer

jail diversion programs. The successful

redesign has resulted in more Iowans

receiving modernized and improved mental

health services at the local level.

Inpatient Psychiatric Bed Tracking

System

Iowa is tracking inpatient, psychiatric

bed availability using a new modern bed

tracking system. In 2015, the Iowa

Department of Human Services (DHS)

launched a real-time, statewide bed tracking

system which allows health care providers

to determine the availability of mental health

beds quickly and to locate services when

hospitalization is needed.

Most Iowans who seek mental health

care services will never need hospitalization

and are best served in home- and

community-based settings. For Iowans that

require inpatient psychiatric care there are

more than 700 public and private inpatient

beds located at 29 hospitals across the

state. Data from the bed tracking system

shows that Iowa has between 60 and 100

mental health beds available daily.

Stakeholders from local government, our

law enforcement community, and medical

professionals continue working with DHS to

improve on this bed tracking tool.

Helping Keep Doctors in Iowa

Governor Branstad and Lt. Governor

Reynolds are committed to ensuring a

sustainable health care system that includes

a sufficient health care workforce. Iowa is

home to two medical schools and more than

1,500 medical students. Healthcare

professionals play an important role in

helping Iowa communities stay vibrant.

Public investment helps address the

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physician shortage in the state to better

meet the health care needs of Iowans. By

making investments in residency programs,

we can attract more physicians, particularly

in specialty areas such as psychiatry, to

come to and remain in Iowa after

completing their residency.

In 2015, Governor Branstad signed into

law provisions to reduce the barriers to

medical residency programs and increase

the opportunities for significant investments

to be made into the more costly residency

programs like psychiatry. In November

2015, the Department of Public Health

awarded $4 million to three new psychiatric

medical residency programs. The residency

programs are located in Des Moines at

Broadlawns Medical Center, UnityPoint

Health, and Mercy Medical Center. It is

expected that the three residency programs

will train up to ten residents per year.

Governor Branstad also continues to

support efforts to reform medical

malpractice litigation including a Certificate

of Merit and a cap on non-economic

damages in medical malpractice lawsuits.

While president of Des Moines University,

Governor Branstad learned that keeping

doctors in Iowa meant making a

commitment to helping them in stay Iowa.

Other states have enacted similar reforms

and had success in reducing the cost of

care and retaining physicians.

Promoting Pro-Life Policies and

Maintaining High-Quality, Accessible

Health Care

Governor Branstad and Lt. Governor

Reynolds have led Iowa’s most pro-life

administration in history. During the past

four years, Iowa taxpayers have not paid

one dollar toward reimbursing a Medicaid

abortion procedure or abortion-related

service. Today, no state dollars from state

programs are paid to abortion providers.

Governor Branstad is proud of his

record of signing pro-life legislation.

Governor Branstad signed into law the

requirement for parental notification for any

minor seeking an abortion and the

requirement that a sonogram be provided

as an option before an abortion. Governor

Branstad and Lt. Governor Reynolds are

committed to working with the General

Assembly to enact pro-life initiatives and

policies.

Governor Branstad and Lt. Governor

Reynolds are committed to creating a state-

run family planning program that increases

options for women seeking family planning

services while ending taxpayer funding of

abortion providers. The state-run family

planning program will disallow abortion

providers from reimbursement. There are

over 210 health care providers across Iowa

including federally qualified health clinics

and rural health clinics that can provide high

quality health care to women (Source: CMS,

HRSA). Governor Branstad and Lt.

Governor Reynolds remain dedicated to

ensuring no state taxpayer funds reimburse

abortion providers while maintaining high

quality, accessible health care services.

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Feeding the World and Protecting Our Resources

Modernize Iowa’s Agriculture

Infrastructure

Governor Branstad and Lt. Governor

Reynolds recognize the important role

agriculture plays, not only in our economy

but also in terms of our proud Iowa heritage.

In order to continue to feed the world and at

the same time promote protection of our rich

soil and waterways we must modernize

Iowa’s agricultural infrastructure. To

accomplish this, the Governor and Lt.

Governor believe it is critical to find a long-

term, dedicated, growing source of revenue

to implement the Iowa Nutrient Reduction

Strategy.

Through a broad coalition of more than

100 organizations, Iowa has implemented a

science-based approach to improving water

quality which identifies projects that reduce

the amount of nutrients entering our

waterways. These efforts include working

with landowners in both rural and urban

settings and partnering with farmers,

municipalities, academia and businesses in

a collaborative fashion to promote a culture

of conservation.

Last session, the House passed House

File 2451, which provided for long-term,

dedicated sources of revenue for

implementation of projects outlined in the

Nutrient Reduction Strategy through the

year 2029. This year, the Governor and Lt.

Governor are proposing a similar version of

House File 2451 as a means to modernize

Iowa’s agriculture and promote cleaner

water.

Adopting this strategy will mean more

jobs for rural Iowa, a modernized

agricultural infrastructure in the 21st

century, and additional resources for

municipalities to improve drinking water.

The overall result will be cleaner water for

all Iowans.

Trade

With an abundance of rich soil and 30.8

million acres of farmland, the world looks to

Iowa as the leader in feeding the global

population. International markets depend

on safe and reliable agricultural products

from Iowa farmers and businesses.

Soil and Water Conservation Week Proclamation

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With these facts in mind, Governor Branstad

and Lt. Governor Reynolds recognize how

critically important it is to remain pro-active

in seeking to expand trade opportunities.

According to the U.S. International

Trade Administration, 107,000 Iowa jobs are

supported by exports. According to Iowa

Farm Bureau, each Iowa farmer produces

enough food to feed about 168 people

worldwide. To put that number in

perspective, in 1970, that same farmer

produced enough food for about 73 people.

Iowa’s soybean exports to China also help

tell the story of Iowa’s leadership role in

agriculture, with almost one in every three

rows of Iowa soybeans being shipped there.

To build upon these successes,

Governor Branstad and Lt. Governor

Reynolds remain committed to promoting

Iowa’s agricultural products around the

world.

Supporting a Robust Renewable Fuels

Standard

Governor Branstad and Lt. Governor

Reynolds will continue to call for a strong

and robust Renewable Fuels Standard

(RFS). The Governor and Lt. Governor

believe this energy policy is critical for

injecting competition and choice for

consumers in the transportation fuels

market. The RFS has laid a foundation to

diversify our nation’s energy portfolio,

reduce transportation emissions, create

rewarding careers and offer lower cost

choices for consumers.

In addition to their ongoing commitment

for a robust RFS, the Governor and Lt.

Governor will again be recommending $3

million in Fiscal Year 2018 funding for the

Renewable Fuels Infrastructure Program

(RFIP) from the Rebuild Iowa Infrastructure

Fund. The RFIP is a successful program

assisting retail operators in their conversion

of equipment to allow for the expanded use

of renewable fuels.

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Safety and Efficiency for Iowa’s Drivers and Roads

After several years of progress toward

the goal of making Iowa roads safer, the

state experienced a troubling spike in the

number of road accidents and fatalities in

2016. There was a 27% increase in the

number of deaths on Iowa’s roads

compared to 2015.

Highway safety is a top priority of

Governor Branstad and Lt. Governor

Reynolds. In February 2016, the Governor

called upon the Department of Public Safety

(DPS) to assemble a task force to examine

the issues of impaired as well as distracted

drivers on Iowa's roadways. This group,

comprised of dedicated law enforcement

and criminal justice professionals and

stakeholders from around the state, met to

develop recommendations. These

recommendations include adopting best

practices and new legislation to significantly

decrease the number of deaths and

accidents that occur on Iowa’s roads.

Governor Branstad recommends

legislation to drastically reduce the amount

of driver distractions on Iowa’s roadways.

When drivers have their attention diverted

by text messages, e-mails or the Internet

they are significantly more dangerous to

themselves, their passengers and to other

motorists on the road.

It is time for Iowa’s laws to catch up with

the proliferation of mobile devices in

vehicles and to send the message to drivers

in Iowa: Eyes on the road when behind the

wheel. Restricting the use of mobile devices

while driving will result in fewer distractions

and more motorists making it home safely.

Source: ATT’s It Can Wait Survey

Additional steps can be taken to

increase the safety of Iowans on the roads.

One of these steps includes instituting more

appropriate penalties for those that choose

to put the lives and safety of others at risk

when they drive.

The state can also implement programs

to curb the number of repeat OWI offenders,

provide better protections for bicyclists on

Iowa roads, and update penalties for

dangerous driving behaviors. In addition to

these actions, Iowa will continue to remind

drivers that “zero fatalities” should be the

goal of every motorist when they get behind

the wheel. This is being accomplished

through the “Zero Fatalities” public

awareness efforts of the DPS, including the

Governor’s Traffic Safety Bureau, and the

Department of Transportation (DOT).

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The combination of these strategies

provides the opportunity to make Iowa

roads safer for the traveling public.

A Radio System for All of Iowa’s First

Responders

Since 2004, Iowa has lagged behind

other states in providing public safety

responders a radio system that can deliver

adequate communication coverage and

reliability, known as interoperability. This

system is designed to provide critical

communication coverage during disasters

and planned events where multiple

agencies are responding. In Fiscal Year

2015, the Iowa Legislature appropriated $4

million to begin construction of the statewide

system that will be the backbone for

interoperable and operable emergency

radios in Iowa. In Fiscal Year 2016, the

legislature approved important language

allowing the state to enter into a long-term

contract for the system. The Iowa

Statewide Interoperable Communications

System (ISICS) holds the promise of

delivering seamless and reliable

communications for all of Iowa’s law

enforcement personnel and first responders.

Tower construction is expected to be

completed in calendar year 2017 with the

networking buildout concluding in mid-2018.

Completion of this network will allow public

safety personnel to contact, by radio, first

responders anywhere in the state.

Construction of the ISICS will benefit

first responders using radio communication

for daily duties, planned events and

responding to emergencies. This network

will also result in millions of dollars of

savings for local taxpayers whose elected

officials recognize the economies of scale

that the statewide system offers. Because

the radio system will be available in every

Iowa county for mobile coverage at no cost,

there are major savings available to

counties that choose to use the ISICS to

meet their first responders’ communication

needs. Building out the remainder of the

platform will work to ensure the safety of

Iowans.

Transportation: Moving Forward

The strategic mission of the Iowa

Department of Transportation is safe

mobility: “Getting you there safely,

efficiently, and conveniently.” This mission

is delivered through strategies that align

with the goal of being smarter, simpler and

customer driven. In the past six years, DOT

has made major strides towards its mission

and vision through various achievements in

road safety engineering, cost-saving

measures and citizen convenience features.

Moving forward, DOT will continue to be

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diligent stewards of the road use tax fund.

They will also continue to work with local

governments as well as private contractors

to develop a transportation system to move

Iowa into the future.

DOT continues to leverage emerging

technologies to achieve both innovations

and cost savings. Examples include:

Renewal of drivers’ licenses via Internet-

connected devices,

Electronic vehicle registrations,

“Smart” weigh stations,

Online voter registration through

partnership with the Secretary of State’s

Office, and

High definition mapping for future

autonomous vehicle technology.

In 2017 and beyond, DOT will work with

the Transportation Commission to invest

road use dollars in projects that will result in

safer roads. DOT will also continue to

prioritize efficient management of its

physical footprint throughout the state by

streamlining services, consolidating

resources and continuously improving

operations.

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Open Government

Governor Branstad and Lt. Governor

Reynolds are committed to honest and open

government. Their desire for transparency

supports the enactment of several initiatives

to ensure that Iowa government is truly

open.

Governor Branstad and Lt. Governor

Reynolds continue to hold a weekly news

conference that provides members of the

media unprecedented access and a regular

opportunity to ask questions on any subject.

They also hold annual budget hearings

open to the public and the media in order to

ensure Iowans know how their government

operates. Additionally, since taking office in

2011, both the Governor and Lt. Governor

have made annual visits to all 99 Iowa

counties, and Lt. Governor Reynolds will do

so again in 2017.

Shortly after the Branstad-Reynolds

Administration took office in 2011, the Office

of the Governor launched a transparency

website. All open records requests are

posted on the website in the Open Records

Transparency section at the beginning of

each month. The transparency website

posts all open records requests received by

the Governor’s Office and includes the

information requested, the number of days it

took to complete the request, and the cost

to the requestor, if any. From January 2011

to December 2016, 242 open records

requests were made and responded to by

the Office of the Governor.

In June of this past year, Governor

Branstad appointed Keith Luchtel, the

former executive director of the Iowa Public

Information Board and recipient of the Iowa

Newspaper Association’s Distinguished

Service Award, as special advisor for

government transparency. The role of

special advisor had been held by Bill

Monroe, who served from February 2011

until his retirement last June. Meetings

between the Governor and special advisor

occur monthly to discuss ongoing issues

and ensure that the administration remains

on the cutting edge of open government

initiatives.

Transparently Provide the Rationale

Regarding Discharged Employees

In 2014, the Iowa House passed, with

bipartisan support, House File 2463 which

would make public the explanation of why a

public employee was discharged. To

encourage even greater transparency at all

levels of government, Governor Branstad

and Lt. Governor Reynolds will introduce

legislation that will make the documented

reasons and rationale for the discharge,

resignation in lieu of termination or

demotion a public record.

Continued Support of the Iowa Public

Information Board

In 2012, Governor Branstad signed one

of his priorities into law, Senate File 430,

October 31, 2016 Weekly Press Conference

38

Page 39: Program and Budget - Iowa

creating the Iowa Public Information Board.

This agency is given the authority to enforce

Iowa’s open records and open meetings

laws. The agency will continue to work to

identify areas in these laws that need to be

addressed. The board serves as a one-stop

shop where Iowans, local government

officials and media can go to get quick,

reliable answers.

Transparency Training for Keepers of

Public Records

Many open meetings and open records

violations occur due to a lack of knowledge

and inadequate training of elected officials

and government employees. For that

reason, Governor Branstad and Lt.

Governor Reynolds propose that the Iowa

Public Information Board partner with key

stakeholders to provide training for public

officials and employees in all levels of

government.

Fiscal Transparency and Open Data

Under the leadership of Governor

Branstad and Lt. Governor Reynolds, Iowa

state government continues to expand and

improve transparency for budget, financial,

tax and performance data. The Department

of Management maintains and continuously

improves the data.iowa.gov website, which

provides public access to comprehensive

information in these areas. The amount of

information available on the website

increased over 94% from last year. The

data.iowa.gov website has also seen a

nearly 42% increase in the number of

individuals accessing it from last year.

The data.iowa.gov website remains one

of the leading state government financial

transparency websites in the nation in 2016

as rated by the U.S. Public Information

Research Group (PIRG). PIRG’s “Following

the Money 2016” report gave Iowa an A-,

94.5 out of 100. It is complemented by

checkbook.iowa.gov, launched in 2015,

which provides citizens an easy way to drill

into over 6.22 million financial transactions

recorded in the state’s central accounting

system from July 1, 2013 through the

current month.

Top 10 States in Providing Online Access to Government Spending Data

State Grade Score Ohio A+ 100 Michigan A+ 100 Indiana A+ 100 Oregon A+ 100 Connecticut A+ 99 Wisconsin A 97 Louisiana A 96 Florida A 96 Massachusetts A 95.5 Iowa A- 94.5

Source: U.S. Public Interest Research Group, Following the Money 2016

http://www.uspirg.org/reports/usp/following-money-2016-0

39

Page 40: Program and Budget - Iowa

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Page 41: Program and Budget - Iowa

National Economic Conditions

Moody’s Analytics stated the economic

outlook has meaningfully changed due to

the election of Donald Trump as president

of the United States. Significant changes

are likely to occur in tax law and

government spending, trade and

immigration policies, and regulation.

Financial markets are already

discounting the coming policy changes.

Stock prices are up over 5% since Election

Day to a record high, with the biggest gains

in the shares of financial institutions and

energy and industrial companies. Long-

term Treasury yields have also risen

sharply, pushing fixed mortgage rates back

up to well over 4%.

The strong reaction in financial markets

offset a tightening in financial conditions. If

the tightening continues, it will slow

economic growth in the coming year.

According to Moody’s Analytics, 2017 will

still be a good year as the president-elect

will inherit a fundamentally strong economy.

Nationwide, job creation is robust, the

economy is near full employment, and wage

growth is accelerating.

U.S. Gross Domestic Product

The Bureau of Economic Analysis

estimates that real Gross Domestic Product

(GDP) grew at an annual rate of 3.2% in the

third quarter of 2016, up from a 1.4%

increase in the second quarter of 2016. The

increase in the third quarter primarily

reflected positive contributions from

personal consumption expenditures,

exports, private inventory investment, and

federal government spending that were

partly offset by negative contributions from

residential fixed investment and state and

local government spending. Moody’s

Analytics projects GDP to grow overall 1.6%

for calendar year 2016, 3% for 2017 and 3%

for 2018.

U.S. Employment

November 2016 showed solid job

growth, extending the U.S. labor market’s

streak of uninterrupted payroll growth, the

longest on record. Payroll employment

increased by 178,000, about equal to the

three-month average of 176,000, as

revisions to the two prior months just about

canceled each other out.

Moody’s Analytics expects employment

gains to remain roughly at the November

pace over the next year. It is expected that

the economy will generate 2.1 million jobs

through the fourth quarter of 2017. Services

and the housing market will drive gains.

-2.0%

-1.0%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

13Q

1

13Q

2

13Q

3

13Q

4

14Q

1

14Q

2

14Q

3

14Q

4

15Q

1

15Q

2

15Q

3

15Q

4

16Q

1

16Q

2

16Q

3

16Q

4

17Q

1

17Q

2

17Q

3

17Q

4

18Q

1

18Q

2

18Q

3

18Q

4

19Q

1

19Q

2

19Q

3

19Q

4

U.S. Gross Domestic Product

Actual Projected

4.0%

4.5%

5.0%

5.5%

6.0%

6.5%

7.0%

7.5%

8.0%

8.5%

125.0

130.0

135.0

140.0

145.0

150.0

155.0

12

Q1

12

Q2

12

Q3

12

Q4

13

Q1

13

Q2

13

Q3

13

Q4

14

Q1

14

Q2

14

Q3

14

Q4

15

Q1

15

Q2

15

Q3

15

Q4

16

Q1

16

Q2

16

Q3

16

Q4

17

Q1

17

Q2

17

Q3

17

Q4

18

Q1

18

Q2

18

Q3

18

Q4

19

Q1

19

Q2

19

Q3

19

Q4

Un

em

plo

ym

en

t P

erc

en

tag

e

Millio

ns E

mp

loyed

U.S. Employment

Total Employment

Unemployment Rate

Actual Projected

Source: Moody’s Analytics

Source: Moody’s Analytics

41

Page 42: Program and Budget - Iowa

In November, the unemployment rate

fell to a cyclical low of 4.6%, though the

significance is somewhat diminished by a

reduction in the labor force. The labor

participation rate has hovered between 63%

and 62.4% for the past three years.

Wage growth is still subdued compared

with other expansions, but there is clear

acceleration across measures suggesting

that the labor market is nearing full

employment. Labor costs are up a solid

3%, about equal to the upwardly revised

3.1% in the second quarter. A number of

factors continue to hold back wage growth,

including low inflation, cost pressures on

corporations from both international

competition and stockholders, and low

productivity growth.

Consumer Spending

U.S. consumers are leading the

economy and doing so without dipping into

their savings. Income growth is expected to

gradually pick up on the back of rising wage

growth. Prospects for wages are tied to

labor markets, which are tightening. The

unemployment rate is less than 5%, which

suggests the economy is near full

employment. Moody’s Analytics expects

consumer spending to continue to be

strong, generally exceeding its third quarter

2016 pace over the next two years. Durable

goods will lead in the near term, though

services spending will increasingly take the

lead with vehicle sales near their peak.

Rebounding housing markets will boost

housing services spending, while high

confidence and wage growth will support

leisure spending.

Median Household Income

Median household income grew 3.9% in

calendar year 2015 and is estimated by

Moody’s Analytics to grow by 2.6% in 2016,

3% in 2017, 3.9% in 2018, and 3.7% in

2019. This is reflective of continued job

growth and income gains as well as wealth

appreciation, which will lift confidence and

encourage pent-up demand.

62.0

62.5

63.0

63.5

64.0

64.5

65.0

65.5

66.0

66.5

67.0

Jan

-06

May-0

6

Sep

-06

Jan

-07

May-0

7

Sep

-07

Jan

-08

May-0

8

Sep

-08

Jan

-09

May-0

9

Sep

-09

Jan

-10

May-1

0

Sep

-10

Jan

-11

May-1

1

Sep

-11

Jan

-12

May-1

2

Sep

-12

Jan

-13

May-1

3

Sep

-13

Jan

-14

May-1

4

Sep

-14

Jan

-15

May-1

5

Sep

-15

Jan

-16

May-1

6

Sep

-16

Labor Force Participation Rate

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

Jan

-08

Ap

r-08

Ju

l-08

Oct-

08

Jan

-09

Ap

r-09

Ju

l-09

Oct-

09

Jan

-10

Ap

r-10

Ju

l-10

Oct-

10

Jan

-11

Ap

r-11

Ju

l-11

Oct-

11

Jan

-12

Ap

r-12

Ju

l-12

Oct-

12

Jan

-13

Ap

r-13

Ju

l-13

Oct-

13

Jan

-14

Ap

r-14

Ju

l-14

Oct-

14

Jan

-15

Ap

r-15

Ju

l-15

Oct-

15

Jan

-16

Ap

r-16

Ju

l-16

Oct-

16

Personal Savings as a Percent of Disposable Income

Source: Bureau of Economic Analysis

Source: Bureau of Labor Statistics

42

Page 43: Program and Budget - Iowa

Iowa Economic Conditions

Iowa’s labor market performance has

been mixed. Iowa’s unemployment rate fell

to 3.8% in November 2016, down from 4.1%

in October but higher than the 3.5% from

one year ago. The number of unemployed

Iowans decreased to 65,000 in November

from 70,400 in October, but the current

number is 5.3% higher than the level one

year ago. However, while the number of

working Iowans decreased in November

from October by 200, it is 10,600 higher

than one year ago.

Iowa’s economy is supported by a

diverse mixture of industry, agriculture and

services. This past year, agriculture

continued to be at the top of the news with

low commodity prices but record crop

yields.

Iowa Gross Domestic Product

For 2015, Gross Domestic Product

(GDP) for Iowa increased 0.8%, down from

a revised 2.8% for 2014. The United States’

average growth for 2015 was 2.4%. In

2015, 21.8% of the state’s GDP was in

finance and insurance, down from 23.1% in

2005. Manufacturing was 18.9%, down

from 19.7%. With the growth in renewable

fuels processing and higher grain

production, agriculture’s share of GDP has

grown from 3.9% in 2005 to 5.4% in 2015.

Personal Income

Revised personal income for the nation,

as reported by the Bureau of Economic

Analysis, increased 4.5% during 2015.

Iowa’s personal income rose 3.8%, which

ranked Iowa 30th in growth nationwide. For

the third quarter 2016, Iowa’s personal

income rose 1.1%, which ranked Iowa 20th

in the nation for growth.

-1.5% -1.0% -0.5% 0.0% 0.5% 1.0% 1.5%

Finance, insurance, real estate, etc.

Information

Manufacturing

Retail Trade

Utilities

Transportion and warehousing

Other Services

Mining

Government

Arts, entertainment, etc.

Construction

Educational services, etc.

Wholesale Trade

Professional and business services

Agriculture

Change in Share of State GDP 2005 to 2015

Agriculture, 5.4%

Mining, 0.2%

Utilities, 1.5%

Construction, 4.5%

Manufacturing,

18.9%

Wholesale Trade,

5.8%

Retail Trade, 5.4%

Transportion and

warehousing, 3.4%Information, 2.4%

Finance,

insurance, real estate, etc., 21.8%

Professional and

business services,

6.5%

Educational

services, etc., 7.7%

Arts,

entertainment, etc.,

2.9%

Other Services,

2.1%

Government,

11.6%

Share of Iowa GDP 2015

Source: Bureau of Economic Analysis

Source: Bureau of Economic Analysis

43

Page 44: Program and Budget - Iowa

Employment

Iowa’s unemployment rate has

historically been below the national average

by up to 3.6%. As the national average has

dropped, the difference between the two

rates has narrowed, especially over the past

year. As of November 2016, the state

unemployment rate stood at 3.8% and the

national unemployment rate was 4.6%.

Agriculture

The Federal Reserve Bank of Chicago,

in its November 2016 public release,

reported that farmland values for the

Seventh Federal Reserve District (Chicago)

decreased by 3%. Farmland values in Iowa

decreased 5% for the period October 1,

2015 to October 1, 2016. A majority of the

survey respondents projected a drop in the

District’s farmland values in the final quarter

of 2016 while only 1% anticipated an

increase. Additionally, respondents

forecasted weaker demand to acquire

farmland this fall and winter compared with

a year ago, particularly among farmers but

also among nonfarm investors. Yet, a lack

of available properties for sale may be

playing a role in keeping farmland values

from dropping faster since only 16% of

responding bankers predicted an increase

in the volume of farmland transfers relative

to the fall and winter a year ago and 42%

predicted a decrease.

The November 2016 update from the

United States Department of Agriculture

(USDA) found that, if realized, both corn

and soybean crops are forecast to be a

record high. The national corn yield was

raised to 175.3 bushels per acre, up 1.9

bushels from October and up 6.9 bushels

from 2015. Total forecast for corn

production for 2016 is at 15.2 billion

bushels, up 1% from October and up 12%

from last year. The national soybean yield

forecast in November was raised to 52.5

bushels per acre, up 1.1 bushels from

October and 4.5 bushels from 2015. Total

forecast for soybean production for 2016 is

at 4.36 billion bushels, up 2% from October

and 11% from last year.

For Iowa, the corn production is forecast

at 2.69 billion bushels in November. If

realized, production would be a record high,

surpassing last year’s record of 2.51 billion

bushels. Corn yield is expected to average

199 bushels per acre, up 1 bushel from

October and 7 bushels per acre higher than

last year. If realized, yield would set a new

record high for a second consecutive year.

As reported by the USDA, the average

price received by farmers in Iowa for corn

$20

$40

$60

$80

$100

$120

$140In

Bil

lio

ns

Iowa Personal Income

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

10.0%

Ja

n-1

0

Mar-

10

May-1

0

Ju

l-10

Sep

-10

No

v-1

0

Ja

n-1

1

Mar-

11

May-1

1

Ju

l-11

Sep

-11

No

v-1

1

Ja

n-1

2

Mar-

12

May-1

2

Ju

l-12

Sep

-12

No

v-1

2

Ja

n-1

3

Mar-

13

May-1

3

Ju

l-13

Sep

-13

No

v-1

3

Ja

n-1

4

Mar-

14

May-1

4

Ju

l-14

Sep

-14

No

v-1

4

Ja

n-1

5

Mar-

15

May-1

5

Ju

l-15

Sep

-15

No

v-1

5

Ja

n-1

6

Mar-

16

May-1

6

Ju

l-16

Sep

-16

No

v-1

6

Unemployment Rates

U.S.

Iowa

Source: Bureau of Economic Analysis

Source: Iowa Workforce Development, Bureau of

Labor Analysis

44

Page 45: Program and Budget - Iowa

during October 2016 was $3.30 per bushel.

This was up $0.24 from the September

price but $0.28 below October 2015.

Soybean production is forecast at 561

million bushels for Iowa. If realized, this will

be the largest crop on record, 6.8 million

bushels above last year’s record high. The

November yield forecast is a record-high

59.0 bushels per acre, 2.5 bushels more

than the previous record set last year.

The average price received by farmers

in Iowa for soybeans was $9.22 per bushel.

This was $0.26 less than the September

price but $0.53 above the October 2015

price.

Iowa Leading Indicators

The Iowa Department of Revenue

produces a monthly index based on

economic indicators. The Iowa Leading

Indicators Index (ILII) was created as a tool

to predict turn points in Iowa employment.

The ILII is derived from seven Iowa-specific

economic indicators and one national

indicator. The Department designed the ILII

to forecast the likely future direction of

economic activity in Iowa. The techniques

used to build the ILII follow those used by

The Conference Board to construct the

national leading indicators index.

Movement in the ILII for only one month

does not produce a clear signal; rather it is

necessary to consider the direction of the

index over several consecutive months.

1,700

1,900

2,100

2,300

2,500

2,700

2,900

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

Millio

n b

us

he

ls

Iowa Corn Production

300

350

400

450

500

550

600

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

Millio

n b

us

he

ls

Iowa Soybean Production

$0.00

$1.00

$2.00

$3.00

$4.00

$5.00

$6.00

$7.00

$8.00

$9.00

Jan

-06

May-0

6

Sep

-06

Jan

-07

May-0

7

Sep

-07

Jan

-08

May-0

8

Sep

-08

Jan

-09

May-0

9

Sep

-09

Jan

-10

May-1

0

Sep

-10

Jan

-11

May-1

1

Sep

-11

Jan

-12

May-1

2

Sep

-12

Jan

-13

May-1

3

Sep

-13

Jan

-14

May-1

4

Sep

-14

Jan

-15

May-1

5

Sep

-15

Jan

-16

May-1

6

Sep

-16

Monthly Iowa Corn PricesAverage Dollars per Bushel

$0.00

$2.00

$4.00

$6.00

$8.00

$10.00

$12.00

$14.00

$16.00

$18.00

Jan

-06

May-0

6

Sep

-06

Jan

-07

May-0

7

Sep

-07

Jan

-08

May-0

8

Sep

-08

Jan

-09

May-0

9

Sep

-09

Jan

-10

May-1

0

Sep

-10

Jan

-11

May-1

1

Sep

-11

Jan

-12

May-1

2

Sep

-12

Jan

-13

May-1

3

Sep

-13

Jan

-14

May-1

4

Sep

-14

Jan

-15

May-1

5

Sep

-15

Jan

-16

May-1

6

Sep

-16

Monthly Iowa Soybean PricesAverage Dollars per Bushel

Source: United States Department of Agriculture

Source: United States Department of Agriculture

Source: United States Department of Agriculture

Source: United States Department of Agriculture

45

Page 46: Program and Budget - Iowa

The ILII increased to 105.6 in October

2016 (100=1999), up from 105.4 in

September. The Iowa non-farm employment

coincident index recorded a 0.09% rise in

October, which extends the streak of

employment gains into the sixth consecutive

year.

During the six-month span through

October, the ILII increased 0.3% (an

annualized rate of 0.5%). The six-month

diffusion index increased to 50, caused by

the agriculture futures profit index

experiencing an increase of greater than

0.05% over the last half of the year.

In October, five of the eight ILII

components contributed positively. The

positive contributors were diesel fuel

consumption, residential building permits,

the national yield spread, average weekly

unemployment claims (inverted), and the

agriculture futures profit index. Average

manufacturing hours, the Iowa stock market

index, and the new orders index were the

three components that contributed to the

index negatively.

46

Page 47: Program and Budget - Iowa

Budgeting Policies

Basis of Budgeting Iowa’s budget is prepared on a modified

cash basis that is used to establish and

ensure compliance with enacted budgets

according to applicable statutes and

administrative procedures. For each fund,

except for the General Fund, the total

amount appropriated or budgeted to be

spent may not exceed the fiscal year’s

estimated revenues available plus the

unappropriated surplus fund balance (or

less a deficit) of the preceding year. The

fiscal year begins July 1 and ends on June

30.

For budgeting purposes, with the

modified cash basis of budgeting, tax

receipts are recorded at the time of deposit

during the fiscal year. During the accrual

period tax receipts are determined when

earned and adjusted back to the appropriate

fiscal year. All other receipts are deposited

to the appropriate fiscal year in which the

revenues were earned if received within 60

days after the end of the fiscal year; if

received after those 60 days, they are

recorded in the fiscal year received. For

expenditures, statute requires that no

payment for goods or services may be

charged subsequent to the last day of the

fiscal year unless the goods or services are

received on or before the last day of the

fiscal year. The only exceptions allowed are

repair projects, purchases of specialized

equipment and furnishings, and other

contracts for services and capital

expenditures for the purchase of land, or

erection of buildings or new construction or

remodeling which were committed and in

progress prior to the end of the fiscal year.

In other words, except for the previously

mentioned exceptions, the State must have

received the goods or services on or before

June 30, creating an actual liability.

Relationship to the Generally Accepted Accounting Principles (GAAP)

Under GAAP, the General Fund is used

to account for all financial resources except

those required to be accounted for in

another fund. This differs materially from

the Budget Basis General Fund, which is

defined primarily by legislation. As a result,

approximately 400 funds are classified as

part of the General Fund under GAAP; only

one is included in the Budget Basis General

Fund. Further information on the

measurement focus and basis of accounting

for funds reported in the State’s

Comprehensive Financial Report is

discussed in Note 1 to the Financial

Statements of that report.

Budget Control The annual budget process serves as

the foundation for the State’s financial

planning and control. Each year

departments are required to submit budget

requests to the Department of Management

(DOM) by October 1 for the subsequent

fiscal year. The State’s budget is prepared

by DOM for the Governor, along with the

proposed appropriation bills for the

subsequent fiscal year, and is required to be

submitted to the General Assembly by

February 1. The General Assembly

approves the appropriation bills which

establish spending authority for the

upcoming year. The Governor has the

authority to approve, veto or line-item veto

appropriation bills as they are presented to

him.

Departments may request revisions to

allotments, appropriation transfers, or

47

Page 48: Program and Budget - Iowa

supplemental appropriations. The DOM

approves revised allotments within an

appropriation, subject to the Governor’s

review. The Governor and the Department

of Management approve all appropriation

transfers. The Governor and the General

Assembly act on supplemental

appropriation bills in a manner similar to

original appropriations. Appropriations

lapse at fiscal year-end, and unobligated

balances revert to the state treasury unless

otherwise provided.

All claims presented for payment must

be approved by the appropriate department.

The expenditure must be for a purpose

intended by law, and a sufficient existing

and unexpended appropriation balance

must be available. Budgetary controls are

incorporated into state accounting systems.

The annual budget of the State is

established through separate appropriations

to individual departments for specific

purposes, special outlays and/or operating

expenditures. Budget control is essentially

maintained at the department level except

for certain grant and aid programs where

control is maintained at the program level.

General Fund For budgetary purposes, the General

Fund of the State receives those revenues

of the State not required to be deposited in

other funds. General Fund revenues are

obtained from the payment of state taxes

and from federal and non-tax revenue

sources. Major tax revenues to the General

Fund include the individual income tax,

corporate income tax, sales/use tax, and

certain other taxes and revenue.

For budgetary purposes, the State has

classified General Fund revenues as either

“appropriable” or “appropriated.”

Appropriable revenues consist of all

General Fund revenues other than

appropriated revenues. Appropriated

revenues consist of fees and charges

together with support payments and

reimbursements (including federal funds).

Because these revenues are routinely

credited to the General Fund appropriation

for the operation of the applicable

department rather than being appropriable

for other General Fund expenditures, they

are referred to as “appropriated.”

General Fund Expenditure Limitation The Code of Iowa, section 8.54,

establishes a State General Fund

expenditure limitation of 99% of the

adjusted appropriable revenue estimate.

The adjusted revenue estimate is the

appropriable revenue estimate for the

General Fund following fiscal year, as

determined by the Revenue Estimating

Conference. Adjustments may be made by

adding any new revenues which may be

considered to be eligible for deposit into the

General Fund subtracted by any revenues

which are considered not eligible for deposit

into the General Fund that are determined

to happen after the Revenue Estimating

Conference meets. “New revenues” means

moneys which are estimated to be received

by the State due to increased tax rates or

changes in tax structures and increased or

newly created fees. For expenditure

limitation purposes, only 95% of the new

revenues may be added. Reductions to the

General Fund estimate due to tax rate or

structure changes and reduced or

eliminated fees are reduced at 100% of the

amount.

Reserve Funds The Economic Emergency Fund was

created in Iowa Code section 8.55. The

Economic Emergency Fund is separate

from the General Fund of the State and the

48

Page 49: Program and Budget - Iowa

balance in this fund is not considered part of

the General Fund. The moneys in the

Economic Emergency Fund do not revert to

the General Fund, unless and to the extent

that it exceeds the maximum balance. The

maximum balance of the Economic

Emergency Fund is the amount equal to

2.5% of the adjusted revenue estimate for

the fiscal year. If the amount of moneys in

the Economic Emergency Fund is greater

than the maximum balance, the excess is

required to be transferred to the General

Fund. The moneys in this fund may be

appropriated by the General Assembly for

emergency expenditures. However, starting

in Fiscal Year 2012, there was a standing

appropriation from the Economic

Emergency Fund to the Executive Council

to pay for performance of duty claims

approved by the Executive Council. The

balance in the Economic Emergency Fund

may be used in determining the cash

position of the General Fund of the State for

payment of state obligations. Interest or

earnings on moneys deposited in the fund

are credited to the Rebuild Iowa

Infrastructure Fund.

The Cash Reserve Fund was created in

Iowa Code section 8.56. This fund is

separate from the General Fund of the State

and the balance in the fund is not

considered part of the General Fund. The

moneys in the Cash Reserve Fund cannot

be transferred, used, obligated,

appropriated or otherwise encumbered

except as provided under Iowa Code

section 8.56. Interest or earnings on

moneys deposited in the Cash Reserve

Fund are credited to the Rebuild Iowa

Infrastructure Fund. The balance in the

Cash Reserve Fund may be used in

determining the cash position of the General

Fund of the State for payment of state

obligations. The maximum balance of the

fund is the amount equal to 7.5% of the

adjusted revenue estimate for the fiscal

year. If the amount of moneys in the Cash

Reserve Fund is greater than the maximum

balance, the excess is required to be

transferred first to the GAAP Retirement

Account and, if not needed in this account,

then transferred to the Economic

Emergency Fund.

Significant Budget Policies When Governor Branstad entered office

in 2011, he was faced with an

unprecedented budget gap. According to

the Auditor of State, over $638 million of

spending in Fiscal Year 2011 was from one-

time funding sources. Governor Branstad

made it a priority to stop these practices and

to bring stability to the budget process,

rectifying the damage done to the State’s

finances. Starting with his budget

recommendations for Fiscal Years 2012 and

2013, and working with the Legislature

during the 2011 session, much was

accomplished. The Auditor reported only

$53 million of spending coming from one-

time funding sources in the Fiscal Year

2012 budget.

Governor Branstad is committed to

strong budget and financial policies, making

the budget not only balanced but

sustainable for the long term. These policies

include the following:

Maintaining the Reserve Funds and Keeping them Full

Having reserve funds and keeping them

full is crucial in bringing the budget into

fiscal sustainability. That does not mean

the funds should never be used; they are

clearly in place for emergencies. However,

a balanced approach in using the reserves

is important because full depletion of

reserves in one year without other budget

49

Page 50: Program and Budget - Iowa

adjustments just recreates the structural

gap that was rectified.

Using One-Time Funding for One-time Purposes

As we have seen, using one-time

funding for ongoing operations creates a

structural gap in the budget. It is important

that one-time funds be identified and used

only for one-time purposes.

Biennial Budgeting Governor Branstad believes strongly

that biennial budgeting is needed to remove

the incremental cost increases that creep

into base budgets simply due to the fact that

the budget is created annually. Biennial

budgeting will also provide additional

funding stability to those entities dependent

on state resources and will help smooth the

highs and lows that can occur with annual

budgeting.

Long-Term Planning A five-year financial plan for state

government allows the Governor and

Legislature to better track the long-term

impacts that taxing and spending decisions

in the subsequent year have on the ability of

the State to balance its budget, meet critical

future needs and avoid budget cliffs for

years. Past practices tended to focus on a

year-to-year approach to balancing the

budget. As a result, little regard was given

to how current decisions impacted future

budgets, created new burdens for taxpayers

or hindered our ability to meet critical future

needs. Governor Branstad is committed to

a forward-looking approach to budgeting to

prevent the pitfalls of a year-to-year

approach.

Budget Process Preparation of the Governor’s budget for

the State of Iowa is the responsibility of the

DOM. Preparation, deliberation and

execution of the budget is a continual

process throughout the year. This process

regularly involves the Legislative and

Executive branches, with occasional

counsel from the Judicial Branch.

The budget process starts when DOM

sends out budget instructions in June/July.

State agencies are required by statute to

submit their budget requests for the

upcoming fiscal year by October 1. From

October through December, DOM works

with other departments’ staff and the

Governor’s Office to review and analyze

department requests. During

November/December, the Governor holds

public budget hearings for departments to

present their budget requests formally to

him. The Governor also holds at least one

public hearing for citizens to voice their

opinions on the upcoming budget.

The Governor is required by law to

submit his budget recommendations to the

Legislature by February 1, along with

appropriation bills. The Legislature passes

appropriation bills during the session (with

most bills being passed during the last week

of the session, usually in April/May) and

sends them to the Governor for signature.

The Governor has the options of signing,

vetoing or item vetoing the bill.

During May/June, departments enter

their spending plans based upon the

enacted appropriations bills. The spending

plans are transferred to the accounting

system and spending is tracked through the

accounting system during the fiscal year. At

the end of the fiscal year, remaining

appropriation balances after the payment of

all appropriate expenditures are reverted to

the original fund.

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General Fund Revenues

The General Fund is primarily

comprised of the state’s major tax revenues

and includes Personal Income Tax, Sales

and Use Tax, and Corporate Income Tax.

For Fiscal Year 2018, these taxes are

estimated to make up approximately 94

percent of gross General Fund revenues.

The remaining 6 percent comes from a

combination of lesser taxes including

Inheritance Tax, Insurance Premium Tax,

and Franchise Tax, along with fees and

other revenue sources. Transfers from

other funds to the General Fund also occur.

Major Revenue Sources

A general description of the three major

sources of General Fund revenues are as

follows:

Personal Income Tax. This tax was

enacted in 1934 and imposed on Iowa

taxable income of individuals and estates

and trusts Taxpayers under 65 years of age

with a net income of less than $9,000

($13,500 married) are generally not required

to pay Iowa income tax or file a tax return.

Taxpayers who are at least 65 years of age

are generally subject to the tax if their

income exceeds $24,000 ($32,000 married).

Social Security benefits and all military

retirement pay are exempt from taxation.

Iowa has a progressive tax structure of 9

rates on individual tax. For tax year 2016,

the tax rate starts at 0.36 percent on the first

$1,554 of taxable income and goes to 8.98

percent on taxable income over $69,930.

Due to the allowance of deduction of federal

taxes, (federal deductibility), most taxpayers

do not pay the top percentage.

Sales and Use Tax. This tax was

enacted in 1934 and imposed on the gross

receipts from the purchase of tangible

personal property and payment for

performing enumerated services sold.

Major exemptions from this tax include food

for home consumption, prescription drugs

and medical devices, motor fuel and motor

vehicles (subject to a special excise/use tax

which is deposited in the Road Use Tax

Fund). Also, machinery and equipment

used on processing and personal property

used in agricultural production and farm

machinery and equipment are exempt from

this tax. A rate of 6 percent is imposed on

taxable transaction. One-sixth of this

amount is transferred from the General

Fund to the Secure an Advanced Vision for

Education (SAVE) fund for distribution to

local school districts for school infrastructure

projects.

Diversion of General Fund Revenues

Over the years, diversion of General

Fund revenues has occurred. This is done

a variety of ways, either through the

allowance of tax credits for specific

purposes or from a direct diversion of

revenue before they are deposited into the

General Fund.

Expected State Tax Credit Claims

Fiscal Years 2017 and 2018 General

Fund revenues, as established by the

Revenue Estimating Conference on

December 12, 2016, include estimates

provided by the Department of Revenue for

numerous tax credits available to taxpayers.

The table below shows the tax credits that

are expected to be claimed against the

State. In some cases, any person or

corporation meeting the eligibility criteria

can claim the credit. In other cases, tax

credits are awarded to individuals or

corporations which meet specific criteria set

52

Page 53: Program and Budget - Iowa

out in the tax credit. Where there is a “cap”

on the credit, there is a maximum that may

be claimed either in one year, or over a

period of year.

Tax Credit Program FY2016 FY2017 FY2018

Capped Program

DED Awarded Sales Tax Refund (17.0) (18.7) (15.6)

Accelerated Career Education Tax Credit (4.2) (3.9) (3.9)

Agricultural Assets Transfer Tax Credit (3.4) (4.6) (5.0)

Custom Farming Contract Tax Credit - (0.1) (0.2)

Endow Iowa Tax Credit (5.4) (5.1) (5.1)

Enterprise Zone Program (7.5) (4.9) (3.5)

Enterprise Zone Program-Housing Component (9.6) (13.3) (10.1)

High Quality Job Program (24.8) (24.0) (38.6)

Historic Preservation and Cultural and Entertainment District Tax Credit (35.3) (58.1) (56.2)

Redevelopment Tax Credit (2.6) (6.8) (6.9)

Renewable Chemical Proeduction Tax Credit - - -

Renewable Energy Tax Credit (5.3) (9.0) (13.0)

School Tuition Organization Tax Credit (10.9) (11.3) (11.4)

Solar Energy System Tax Credit (3.2) (3.7) (3.9)

Venture Capital Tax Credit-Innovation Fund (2.0) (0.9) (1.9)

Venture Capital Tax Credit-Iowa Fund of Funds (0.9) (1.2) -

Venture Capital Tax Credit-Qualified Bus. or Comm-Seed Capital Fund (1.0) (1.8) (2.1)

Wind Energy Production Tax Credit (0.8) (2.2) (1.7)

Workforce Housing Tax Incentive Program - (6.0) (9.2)

Total Capped Programs (133.9) (175.6) (188.3)

Uncapped Programs

Adoption Tax Credit (0.4) (0.5) (0.9)

Biodiesel Blended Fuel Tax Credit (15.4) (17.8) (17.0)

Charitable Conservation Contribution Tax Credit (0.4) (0.7) (0.7)

Child and Dependent Care Tax Credit (5.7) (6.7) (6.5)

E15 Gasoline Promotion Tax Credit (0.1) (0.4) (0.4)

E85 Gasoline Promotion Tax Credit (1.9) (2.2) (2.5)

Early Childhood Development Tax Credit (0.7) (0.7) (0.7)

Earned Income tax Credit (71.8) (70.9) (71.8)

Ethanol Promotion Tax Credit (1.8) (1.4) (1.1)

Farm to Food Donation Tax Credit - - -

Geothermal Heat Pump Tax Credit (1.6) (2.4) (0.4)

Geothermal Tax Credit - - (1.5)

Iowa Industrial New Job Training Program (260E) (37.5) (42.5) (43.8)

New Capital Investment Program Investment Tax Credit - - -

New Jobs and Income Program Investment Tax Credit - - -

Research Activities Tax Credit (53.8) (56.8) (63.8)

Supplemental Research Activities Tax Credit (7.0) (4.0) (5.6)

Targeted Jobs Tax Credit from Withholding (5.0) (4.9) (5.2)

Tuition and Textbook Tax Credit (15.4) (15.2) (15.3)

Volunteer Firefighter and EMS Tax Credit (1.4) (1.3) (1.3)

Total Uncapped Programs (219.9) (228.4) (238.5)

Tax Credit Program Total (353.8) (404.0) (426.8)

Note: These estimates are based on the Tax Credit Expected Claims Projection published by the Department of Revenue in

December 2016. The table above reflects the tax credits that are likely to be claimed in a given fiscal year based on

previous experience. The projected claims are incorporated in the FY2017 and FY2018 REC estimates.

State Tax Credit Expected Claims Projection($ in millions)

Source: Iowa Department of Revenue

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Other Revenue Diversions

Programs have been established over

the years which receive a specific diversion

of revenue before they are deposited into

the General Fund. These programs include:

Flood Mitigation Program. Established

in 2012, the program provides funding to

certain governmental entities for flood

mitigation projects. It is estimated that $30

million will go to the fund in FY2017 and

FY2018.

Reinvestment Districts. Established in

2013, the program allows municipalities to

establish reinvestment districts and receive

specified amounts of state sales tax

revenues collected in those districts for use

in undertaking projects in the districts. It is

estimated that $0.6 million in Fiscal Year

2018.

Health Care Trust Fund. Starting in

Fiscal Year 2014, all cigarette and tobacco

taxes are deposited into the Health Care

Trust Fund. This fund is used exclusively

for the Medical Assistance (Medicaid)

program. It is estimated that $219.8 million

in Fiscal Year 2017 and $221.9 million in

Fiscal Year 2018.

Gaming Revenues. As discussed in

another section, gaming revenues are all

diverted for specific purposes and beginning

in Fiscal Year 2014, no gaming revenues

are deposited into the General Fund.

Judicial Revenues. As discussed in

another section, $14.9 million of judicial

revenues are diverted to pay for prison

construction bonds.

Real Estate Transfer Tax. Thirty

percent, up to $3 million, of real estate

transfer tax is deposited into the State

Housing Trust Fund, with 5 percent of the

real estate transfer tax transferred to the

Shelter Assistance Fund. It is estimated

that $3 million in FY2017 will be deposited

into the State Housing Trust Fund and $0.9

million into the Shelter Assistance Fund,

and in Fiscal Year 2018 $3 million to the

State Housing Trust Fund and $0.9 million

to the Shelter Assistance Fund.

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Page 55: Program and Budget - Iowa

Capital Budgeting

A capital project is defined by statute as

specific activities which involve construction

of either new facilities or significant, long-

term renewal improvements to existing

facilities. Capital projects may also include

funding for major or routine maintenance or

for equipment or software over $250,000.

Capital projects do not include highway and

right of way projects or airport capital

projects funded by non-state grants, gifts, or

contracts obtained at or through state

universities, if the projects do not require a

commitment of additional state resources

for maintenance, operations or staffing. A

capital project shall not be divided into small

projects in such a manner as to thwart the

intent of this section to provide for the

evaluation of a capital project whose cost

cumulatively equals or exceeds $250,000.

The capital budget presented in this

document, itemized by department, is for

Fiscal Years 2018 and 2019 of the

Governor’s recommendations.

Department of Administrative Services

Major Maintenance-

$4 million in Fiscal Year 2018 and $12.5

million in Fiscal Year 2019 from the

Rebuild Iowa Infrastructure Fund (RIIF)

for major maintenance projects on state

properties. The Governor is also

recommending that the remaining

balance in the Revenue Bonds Capitals

Fund of approximately $3,080,991 be

used by the department for major

maintenance projects starting in Fiscal

Year 2018.

Department of Cultural Affairs

State Historical Building Renovations-

$5 million in both Fiscal Years 2018 and

2019 from RIIF to start the process of

renovating the State Historical Building.

Department of Natural Resources

State Park Infrastructure Renovation-

$3 million in both Fiscal Years 2018 and

2019 from RIIF for State Park major

maintenance projects in the State Park

system.

Lake Dredging and Water Quality-

$9.6 million in both Fiscal Years 2018

and 2019 from RIIF for lake restoration,

dredging, and water quality projects.

Iowa Law Enforcement Academy

New Building-

$5 million in FY2019 from RIIF for

planning, design and construction of

a new building for the Academy.

Department of Public Defense

Facility and Armory Maintenance-

$2 million in both Fiscal Years 2018 and

2019 from RIIF for facility and armory

major maintenance around Iowa.

$2 million in both Fiscal Years 2018 and

2019 from RIIF for armory upgrades

throughout Iowa.

$0.5 million in both Fiscal Years 2018

and 2019 from RIIF for upgrades at

Camp Dodge.

Iowa State Fair

Construction and Remodeling Projects-

$0.5 million in Fiscal Year 2018 and

$4.5 million in Fiscal Year 2019 from

RIIF for construction and remodeling the

northwest events area.

55

Page 56: Program and Budget - Iowa

Board of Regents

University of Iowa Pharmacy Building

Replacement and Improvements-

$23.3 million in Fiscal Year 2018 and $5

million in Fiscal Year 2019 from RIIF to

complete the replacement and

improvements of the Pharmacy Building.

The total state appropriations will be

$64,300,000 over 5 years, with the

overall cost of the project estimated to

be $96.3 million and the remaining

amount to come from private gifts and

College/University earnings.

Iowa State University Construction of

Biosciences Facilities-

$20.5 million in Fiscal Year 2018 and $3

million in Fiscal Year 2019 from RIIF to

complete the construction and

renovation of facilities used by the

biosciences at ISU. The total state

appropriations will be $50 million over 5

years, with the overall cost of the project

estimated to be $80 million and the

remaining amount to come from private

gifts.

Iowa State University Construction of the

Student Innovation Center-

$7 million in Fiscal Year 2018 and $12

million in Fiscal Year 2019 from RIIF for

the construction of the Student

Innovation Center at ISU. The total

state appropriations will be $40 million

over 5 years, with the overall cost of the

project estimated to be $80 million and

the remaining amount to come from

private gifts.

Department of Transportation

Dubuque Garage Replacement-

$10.8 million in Fiscal Year 2018 from

the Primary Road Fund (PRF) and Road

Use Tax Fund (RUTF) for construction

of a new highway maintenance garage.

Adair Garage Renovations-

$1.478 million in Fiscal Year 2018 from

the PRF for the renovation of the Adair

maintenance garage.

Waterloo Garage Renovations-

$1.79 million in Fiscal Year 2019 from

the PRF for the renovation of the

Waterloo maintenance garage.

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Page 57: Program and Budget - Iowa

Bond Summary

Bonds

The Treasurer of State, multiple

authorities, and the Board of Regents have

authority to issue debt. The governor has

specific responsibility to monitor debt of the

state. In order to meet this responsibility,

the Governor has established debt

management goals for the state. The goals

include:

Maintain debt affordability standards

and limit capital borrowing and funds,

Borrow at the lowest possible cost of

funds and adapt to investor demand,

Monitor the state’s outstanding

indebtedness for possible refunding

opportunities, and

Maintain ongoing relationships with

rating agencies to obtain the highest

ratings possible.

Under Iowa’s Constitution, general

obligation bonds over $250,000 cannot be

issued without approval by the voters. The

state does not have any outstanding

general obligation bonds. Debt that is

issued is paid from dedicated revenue

sources and does not constitute a liability

against the state.

Outstanding Bonds

Shown at the end of this section are the

outstanding bonds that have been issued by

the State of Iowa, or related components.

The outstanding principal on the debt at the

end of Fiscal Year 2016 is $5.2 billion.

Outstanding Bonds Supported by State

Revenues

The outstanding debt discussed in this

section includes bonds that the General

Assembly and Governor have authorized

and committed specific revenue sources to

for paying the debt service. The debt

service on the revenue bonds is paid from

these specific, dedicated revenue sources

that would otherwise be available for

appropriation by the General Assembly.

Gaming Revenues

The state has dedicated future gaming

revenues from the taxes and certain fees

collected at the riverboats and casinos to be

deposited into various debt service funds to

repay debt issued for the Vision Iowa and I-

JOBS Programs. Vision Iowa bonds were

issued in 2001 to provide grants or loans to

communities to enhance local recreational,

cultural and entertainment opportunities. I-

JOBS bonds were issued in July 2009 and

October 2010 to finance certain

infrastructure projects and certain grant and

loan programs of the state.

The current allocation of gaming

revenues is as follows:

As seen in the following chart, the

diversion of gaming revenues has grown

since Fiscal Year 2002, impacting the

amount of funds available to go to the

Rebuild Iowa Infrastructure Fund.

Gaming Revenue Overall Allocaton

(in millions)

IJOBS Debt Service 55.0

Federal Subsidy Holdback Fund 3.8

Vision Iowa Debt Service 15.0

Iowa Skilled Worker and Job Creation Fund 66.0

Total Specific Allocations 139.8

(Remaining amounts to Rebuild Iowa Infrastructure Fund.

For FY2018, this is estimated at $152.1 million)

57

Page 58: Program and Budget - Iowa

Also, out of the Rebuild Iowa

Infrastructure Fund, an annual appropriation

is now being made to the Board of Regents

to help repay Academic Revenue Bonds

issued by the Board for capital projects on

the three main campuses.

This appropriation, known as Tuition

Replacement, is currently $28.3 million for

Fiscal Year 2018 and is projected to grow to

32.6 million in Fiscal Year 2019. Fiscal

Year 2018 amount is lower after taking into

account carryforward balances from prior

fiscal years for savings realized from

refunding issues in past years. The bonds

issued are not projected to be paid off until

Fiscal Year 2035.

In looking at gaming revenues as a

whole, of the total estimate amount for

Fiscal Year 2018 of $291.8 million, $102.0

million, or 35%, is set aside for debt service

on bonds.

Judicial Revenues

For Fiscal Year 2018, the first $14.9

million of court fines and fees due to the

State General Fund is diverted to pay for

Prison Construction Bonds. These bonds

were issued July 2010 for the construction

of a new maximum security prison at Fort

Madison in the amount of $135,050,000.

The final maturity on these bonds is 2027.

Utilities Assessments

For Fiscal Year 2018, the Utilities Board

and the Consumer Advocate will pay

$1,063,760 in Fiscal Year 2018 for debt

service on the bonds issued for the building

of the Iowa Utilities Board and Consumer

Advocate State Building. The payment of

debt will come from billings the Utilities

Board and Consumer Advocate charge to

the various industries they regulate. The

original issuance on the bonds was

$12,640,000, with the final maturity on the

bonds in 2029.

Tobacco Master Settlement Agreement

Revenues

For Fiscal Year 2018, an estimated

$40,616,794 (78%) of the total amounts

payable to the state under the Tobacco

Master Settlement Agreement (MSA) is

pledged as security for bonds issued by the

Tobacco Settlement Authority. The original

and advance refunding bond proceeds

provided funding for various capital projects.

The original bonds were issued in 2001,

with an advance refunding done in 2005.

Total issuance was $1.365 billion over the

two issuances with the bonds’ final maturity

in 2046. The remaining 22% of amounts

$0

$50,000,000

$100,000,000

$150,000,000

$200,000,000

$250,000,000

$300,000,000

Allocation of Gaming Revenues

General Fund Vision Iowa Debt ServiceSchool Infrastructure Debt Service Endowment FundI-JOBS Debt Service Federal Subsidy HoldbackTechnology Reinvestment Fund Iowa Skilled Worker and Job Creation FundRebuild Iowa Infrastructure Fund

DebtService

$3

2.4

$2

8.3

$32.6

$3

0.2

$29

.8

$2

9.8

$29

.8

$2

9.6

$27.3

$2

7.4

$27

.8

$2

2.5

$21

.8

$2

1.6

$15

.0

$1

7.4

$17

.3

$1

3.5

$14.6

$0

$5

$10

$15

$20

$25

$30

$35F

Y2

017

FY

2018

FY

2019

FY

2020

FY

2021

FY

2022

FY

2023

FY

2024

FY

2025

FY

2026

FY

2027

FY

2028

FY

2029

FY

2030

FY

2031

FY

2032

FY

2033

FY

2034

FY

2035

In M

illi

on

s

Projected Tuition Replacement Obligations by Fiscal Year

Source: Iowa Department of Management

Source: Iowa Board of Regents

58

Page 59: Program and Budget - Iowa

payable under the MSA are deposited into

the Rebuild Iowa Infrastructure Fund.

Outstanding Bonds Supported by Other

Funding Sources

Universities

Academic Revenue Bonds

The Legislature periodically authorizes

the Board of Regents to issue Academic

Revenue Bonds for construction,

reconstruction, and renovation of facilities at

the three state universities. The revenue

repayment of the bonds is derived from

student tuition and fees. As described

previously, the Governor recommends and

the Legislature appropriates annually funds

(Tuition Replacement) in order to reimburse

the universities for tuition and fees used to

pay the debt service on the bonds. As of

June 30, 2016, the universities had original

issuance amount of $461,495,081 for

outstanding bonds, with outstanding

principal of $400,858,080. In Fiscal Year

2018, the Governor’s recommended tuition

replacement appropriation from the Rebuild

Iowa Infrastructure Fund is $28.3 million.

Self-Supporting Bonds

The Board of Regents is authorized

under various Iowa Code sections to issue

bonds which are repaid from self-supporting

units at each of the three universities.

Examples of self-supporting units are

dormitory systems, athletic facilities, student

health facilities, and University of Iowa

Hospitals and Clinics. As of June 30, 2016,

the universities had an original issuance

amount of $1,717,241,677 for bonds, with

outstanding principal of $1,496,720,122.

Iowa Finance Authority

The Iowa Finance Authority (IFA) is

authorized and has issued bonds to provide

affordable mortgage financing and to meet

the 20% match required for federal

capitalization grants which are used to

provide loans for construction of wastewater

and drinking water facilities. The bonds are

payable principally from repayments of such

loans. The bonds are secured, as

described in applicable bond resolution, by

the revenues, moneys, investments, loans,

and other assets in the funds and accounts

established by the respective bond

resolutions. As of June 30, 2016, IFA had

original issuance of outstanding bonds of

$1,448,301,000 with outstanding principal of

$1,258,847,000. It is estimated that for

Fiscal Year 2017, $103,733,000 will be paid

in debt service.

Universities Foundations

Iowa State University (ISU) Foundation

in prior years issued $3,850,000 in bonds to

purchase and remodel the Foundation

Advancement Center building. The bonds

are collateralized with a mortgage on the

building and other real estate owned by the

Foundation. In March 2010, the bonds were

refinanced under an amended agreement.

The refinanced bonds have varying

maturities through 2020 and have an

interest rate of 2.4%. Outstanding principal

on June 30, 2016 was $2,199,999, and debt

service for Fiscal Year 2017 is $136,716.

59

Page 60: Program and Budget - Iowa

Co

rrecti

on

s2%

I-JO

BS

12%

To

bacco

24%

Reg

en

ts37%F

inan

ce A

uth

ori

ty23%

Oth

er

2%

Bo

nd

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Ob

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ati

on

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ipa

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5.2

B

Inte

res

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2.4

B

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Page 62: Program and Budget - Iowa

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Page 63: Program and Budget - Iowa

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Page 64: Program and Budget - Iowa

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Page 65: Program and Budget - Iowa

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Page 66: Program and Budget - Iowa

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66

Page 67: Program and Budget - Iowa

State of IowaEstimated Condition of the General Fund

Financial Summary($ in Millions)

Governor's Governor's

Actual Estimate Recommendation Recommendation

FY2016 FY2017 FY2018 FY2019

Estimated Funds Available:

Total Gross Receipts 8,262.7$ 8,560.0$ 8,952.5$

Net Accruals 14.2 36.6 10.7

Refunds (1,018.3) (1,013.0) (1,018.0)

School Infrastructure Transfer from General Fund (466.9) (470.6) (490.8)

General Fund Transfers 129.4 98.9 101.9

Total Net General Fund Receipts 6,921.1 7,211.9 7,556.3 7,858.6

Revenue Adjustments - 3.3 (20.2) (23.0)

Excess from Reserve Funds 367.3 18.2 - 32.6

Total Funds Available 7,288.4 7,233.4 7,536.1 7,868.2

Expenditure Limitation 7,460.6$ 7,789.6$

Estimated Appropriations:

Executive Branch 7,030.8 7,137.6 7,233.5 7,399.6

Judicial Branch 181.8 181.8 186.6 187.0

Legislative Branch 34.0 32.9 36.8 36.8

Adjustment to Standings 8.2 (4.5) - -

Recommended Appropriation Adjustments - (110.1) - -

Total Appropriations 7,254.8 7,237.7 7,456.9 7,623.4

Reversions-operations (8.8) (5.0) (5.0) (5.0)

Reversions-Item Vetoes (1.7) - -

Net Appropriations 7,244.3 7,232.7 7,451.9 7,618.4

Ending Balance 44.1$ 0.7$ 84.2$ 249.8$

Distribution of Ending Balance

Reserve Funds (44.1) (0.7) (84.2) (249.8)

Total -$ -$ -$ -$

67

Page 68: Program and Budget - Iowa

State of IowaEstimated Condition of the Cash Reserve, GAAP, and Economic Emergency Funds($ in Millions)

Governor's Governor's

Actual Estimate Recommendation Recommendation

FY2016 FY2017 FY2018 FY2019

Cash Reserve Fund

Balance Brought Forward 523.3$ 539.2$ 553.5$ 554.2$

Estimated Revenues:

Prior Fiscal Year Ending Balance 410.7 44.1 0.7 84.2

Intrastate Receipts 0.2

Total Funds Available 934.2 583.3 554.2 638.4

Appropriations

Net Appropriations - - - -

Reversions -

Transfer to GAAP Retirement Account (395.0) (29.8) - (50.7)

Ending Balance - Cash Reserve Fund 539.2$ 553.5$ 554.2$ 587.7$

Cash Reserve Fund Goal (7.5%) 539.0 553.5 565.2 587.7

GAAP Retirement Account

Balance Brought Forward - - - -

Estimated Revenues:

Transfer From Cash Reserve Fund 395.0 29.8 - 50.7

Total Funds Available 395.0 29.8 - 50.7

Excess to Economic Emergency Fund (395.0) (29.8) - (50.7)

Ending Balance - GAAP Retirement Fund - - - -

Economic Emergency Fund

Balance Brought Forward 174.5$ 189.9$ 184.5$ 181.1$

Estimated Revenues:

Transfer From GAAP Retirement Account 395.0 29.8 - 50.7

Other Receipts - - - -

Total Funds Available 569.5 219.7 184.5 231.8

Standing Appropriation for Performance of Duty (12.3) (17.0) (3.4) (3.3)

Transfer to General Fund (367.3) (18.2) - (32.6)

Total Transfers Out: (379.6) (35.2) (3.4) (35.9)

Ending Balance - Economic Emergency Fund 189.9$ 184.5$ 181.1$ 195.9$

Economic Emergency Fund Goal (2.5%) 179.7 184.5 188.4$ 195.9

Total Reserve Funds 729.1$ 738.0$ 735.3$ 783.6$

68

Page 69: Program and Budget - Iowa

State of IowaEstimated Condition of the Taxpayer Trust Fund/Taxpayer Trust Fund Tax Credit Fund($ in Millions)

Actual Estimate Estimate

FY2016 FY2017 FY2018

Taxpayer Trust Fund

Beginning Balance 35.5$ 8.2$ -$

Revenues:

Transfer from Economic Emergency Fund -

Reversion from Taxpayer Trust Fund Tax Credit Fund 8.1

Interest 0.1

Total Funds Available 43.7 8.2 -

Expenditures

Transfer to Taxpayer Trust Fund Tax Credit Fund (35.5) -

Governor's recommended transfer to General Fund (8.2)

Ending Balance - Taxpayer Trust Fund 8.2$ -$ -$

Taxpayer Trust Fund Tax Credit Fund

Beginning Balance -$ -$ -$

Revenues:

Transfer from Taxpayer Trust Fund 35.5 - -

Interest -

Total Revenues Available 35.5 - -

Expenditures

Transfer to General Fund (reimbursement for payment of tax credits) (27.4) - -

Reversion to the Taxpayer Trust Fund (8.1) - -

Total Expenditures (35.5) - -

Ending Balance - Taxpayer Trust Fund Tax Credit Fund -$ -$ -$

FY2015 Calculation

Actual FY14 Net General Fund Revenues 6,489.0

FY2014 Adjusted Revenue (6,496.6)

Amount Estimated to be Availabile to the Taxpayer Trust Fund (7.6)$

Limit to the Taxpayer Trust Fund -$

FY2016 Calculation

FY2015 December 2014 REC Estimate 6,819.7

FY2015 Adjusted Revenue (7,186.7)

Amount Estimated to be Availabile to the Taxpayer Trust Fund (367.0)$

Limit to the Taxpayer Trust Fund -$

FY2017 Calculation

FY2016 December 2015 REC Estimate 7,045.6

FY2016 Adjusted Revenue (7,380.0)

Amount Estimated to be Availabile to the Taxpayer Trust Fund (334.4)

Limit to the Taxpayer Trust Fund -$

69

Page 70: Program and Budget - Iowa

State of IowaGeneral Fund Revenue (Appropriable Revenues)Cash Basis

($ in Millions)

Actual Estimated Estimated

FY2016 FY2017 FY2018

Tax Receipts

Personal Income Tax 4,355.5 4,608.1 4,854.2

Use Tax 2,810.5 2,864.7 2,989.8

Corporate Income Tax 520.5 531.4 546.4

Inheritance Tax 91.8 82.1 86.3

Insurance Premium Tax 119.7 118.7 120.0

Cigarette Tax - - -

Tobacco Tax - - -

Beer Tax 14.1 14.1 14.1

Franchise Tax 52.1 48.9 50.0

Miscellaneous Tax 1.5 1.5 1.5

Total Tax Receipts 7,965.7 8,269.5 8,662.3

Other Receipts

Institutional Payments 12.1 6.8 6.8

Liquor Profits 112.3 111.5 111.5

Interest 4.1 4.2 4.3

Fees 28.1 27.0 26.3

Judicial Revenue 97.7 97.7 97.7

Miscellaneous Revenues 42.7 43.3 43.6

Racing and Gaming Revenues - - -

Total Other Receipts 297.0 290.5 290.2

Total Tax & Other Receipts 8,262.7 8,560.0 8,952.5

2.1% 3.6% 4.6%

70

Page 71: Program and Budget - Iowa

State of IowaGeneral Fund Accrued Revenue Changes($ in Millions)

Actual Estimated Estimated

FY2016 FY2017 FY2018

Tax Receipts:

Personal Income Tax 271.4 298.0 296.0

Sales/Use Tax 231.7 232.0 236.0

Corporate Income Tax 25.7 28.0 32.0

Inheritance Tax 13.5 13.5 15.0

Insurance Premium Tax - - -

Cigarette Tax - - -

Tobacco Tax - - -

Beer Tax 1.5 1.5 1.5

Franchise Tax 1.5 2.5 3.5

Miscellaneous Tax - - -

Total Tax Receipts 545.3 575.5 584.0

Other Receipts:

Institutional Payments 2.1 2.1 2.0

Liquor Profits 11.1 12.0 13.5

Interest 0.3 1.2 1.5

Fees (0.8) 1.5 1.5

Judicial Revenue 5.0 7.0 7.5

Miscellaneous Receipts 5.2 5.5 5.5

Racing and Gaming - - -

Total Other Receipts 22.9 29.3 31.5

Total Receipts and Transfers 568.2 604.8 615.5

Net Change 14.2 36.6 10.7

71

Page 72: Program and Budget - Iowa

State of IowaGeneral Fund Refunds/School Infrastructure Transfers/Transfers($ in Millions)

Actual Estimated Estimated

FY2016 FY2017 FY2018

Refunds:

Personal Income Tax (828.4) (814.0) (809.0)

Sales/Use Tax (41.1) (41.0) (49.0)

Corporate Income Tax (136.4) (140.5) (144.5)

Inheritance Tax (2.4) (4.5) (4.5)

Cigarette Tax (0.6) (0.5) (0.5)

Franchise Tax (9.6) (12.0) (10.0)

Other (3.4) (3.5) (3.5)

Total Gross Refunds (1,021.9) (1,016.0) (1,021.0)

Less: Reimbursements 3.6 3.0 3.0

Total Net Refunds (1,018.3) (1,013.0) (1,018.0)

School Infrastructure Transfers (466.9) (470.6) (490.8)

Transfers:

Lottery 85.5 78.0 81.0

Taxpayer Trust Fund Tax Credit Fund Transfer - - -

Other 43.9 20.9 20.9

Total Transfers 129.4 98.9 101.9

72

Page 73: Program and Budget - Iowa

State of IowaGeneral Fund Revenue

Governor's Recommended Revenue Adjustments($ in Millions)

FY2017 FY2018 FY2019

Revenue Adjustments:

Transfer from Other Funds:

Taxpayer Trust Fund 8.2

Cultural Trust Fund 6.0

Strategic Investment Fund 1.0

Innovation & Commercialization Fund 2.0

Economic Development Energy Projects Fund 2.0

Grow Iowa Values Fund 12.0

Federal Economic Stimulus and Jobs Holding Fund 2.0

Coupling with all tax provisions except Section 179 (29.9) (20.2) (23.0)

Total Revenue Adjustments 3.3$ (20.2)$ (23.0)$

73

Page 74: Program and Budget - Iowa

State of IowaGovernor's Recommended Appropriation Adjustments

General Fund

FY2017

Amount

Departments

Department of Administrative Services (318,910)

Auditor of State (39,935)

Department of Commerce (65,053)

Executive Council (3,825)

Governor's Office (62,640)

Governor's Office of Drug Control Policy (10,195)

Department of Human Rights (106,501)

Department of Inspections and Appeals (516,180)

State Public Defender (720,011)

Department of Management (151,470)

Department of Revenue (1,000,000)

Secretary of State (122,476)

Treasurer of State (45,849)

Department of Agriculture & Land Stewardship (952,837)

Department of Natural Resources (650,773)

Department of Cultural Affairs (256,560)

Department of Economic Development (706,287)

Iowa Workforce Development (749,086)

Public Employment Relations Board (57,054)

Department of Blind (63,205)

College Aid Commission (475,498)

Department of Education (5,505,905)

Community Colleges (8,703,601)

Vocational Rehabilitation (265,036)

Iowa Public Television (343,138)

Board of Regents (25,562,429)

Department of Aging (591,829)

Department of Public Health (2,523,282)

Department of Human Services (20,296,531)

Department of Veterans Affairs (199,348)

Iowa Veterans Home (322,787)

Attorney General (727,783)

Department of Corrections (15,017,157)

Law Enforcement Academy (42,637)

Board of Parole (36,137)

Department of Public Defense (293,212)

Department of Homeland Security (94,759)

Department of Public Safety (3,813,122)

Judicial Branch (7,725,931)

Legislative Branch (1,396,125)

Department of Human Services-Medical Assistance (13,855,709)

Department of Inspections and Appeals/State Public Defender-Indigent Defense 4,300,000

Total Adjustments (110,090,803)

74

Page 75: Program and Budget - Iowa

State of IowaCalculation of Statutory Expenditure Limit

Fiscal Year 2018/Fiscal Year 2019($ in Millions)

Proposed FY18 Expenditure

FY2018 % Calculation Limitation

Fiscal Year 2018

December 2016 REC Estimate

Total Gross Receipts 8,952.5$ 99% 8,863.0$

Accruals 10.7 99% 10.6

Refunds (1,018.0) 99% (1,007.8)

School Infrastructure Transfer (490.8) 99% (485.9)

Transfers 101.9 99% 100.9

Total Revenue Estimating Conference 7,556.3 7,480.8

Transfer/Revenue Adjustments:

Coupling with all tax provisions except Section 179 (20.2) 100% (20.2)

Total Revenue Adjustments (20.2) (20.2)

Transfer from Economic Emergency Fund -

FY2018 Expenditure Limitation 7,460.6$

Proposed FY19 Expenditure

FY2019 % Calculation Limitation

Fiscal Year 2019

Governor's Estimate 7,858.6$ 99% 7,780.0$

Total Governor's Estimate 7,858.6$ 7,780.0$

Transfer/Revenue Adjustments:

Coupling with all tax provisions except Section 179 (23.0) 100% (23.0)

Total Transfer/Revenue Adjustments (23.0) (23.0)

Transfer from Economic Emergency Fund 32.6

FY2019 Expenditure Limitation 7,789.6$

Governor's Recommendation

Governor's Recommendation

75

Page 76: Program and Budget - Iowa

State of IowaCalculation of Cash Reserve Fund and Economic Emergency Fund Percentage Goals

Fiscal Year 2016/Fiscal Year 2017/Fiscal Year 2018/Fiscal Year 2019($ in Millions)

Fiscal Year 2016

March 2015 Revenue Estimating Conference Net Receipts Estimate 7,175.5$

2015 Session Revenue Adjustments for FY2016 11.2

Total 7,186.7$

Cash Reserve Fund 7.5% Goal 539.0$

Economic Emergency Fund 2.5% Goal 179.7$

Fiscal Year 2017

March 2016 Revenue Estimating Conference Net Receipts Estimate 7,357.4$

2016 Revenue Adjustments for FY2017 22.6

Total 7,380.0$

Cash Reserve Fund 7.5% Goal 553.5$

Economic Emergency Fund 2.5% Goal 184.5$

Governor's Recommendation Fiscal Year 2018

December 2016 Revenue Estimating Conference Net Receipts Estimate 7,556.3$

2017 Session Governor's Proposed Revenue Adjustments for FY2018 (20.2)

Total 7,536.1$

Cash Reserve Fund 7.5% Goal 565.2$

Economic Emergency Fund 2.5% Goal 188.4$

Governor's Recommendation Fiscal Year 2019

Governor's Estimate for FY2019 7,858.6$

2017 Session Governor's Proposed Revenue Adjustments for FY2019 (23.0)

Total 7,835.6$

Cash Reserve Fund 7.5% Goal 587.7$

Economic Emergency Fund 2.5% Goal 195.9$

76

Page 77: Program and Budget - Iowa

State of IowaEstimated Condition of the Rebuild Iowa Infrastructure Fund

Financial Summary

Governor's Governor's

Actual Estimate Recommendation Recommendation

FY2016 FY2017 FY2018 FY2019

Resources

Beginning Balance 21,598,538 7,828,282 (1,020,978) 66,431

Revenues:

Wagering Tax and Fees 148,482,696 150,550,000 152,055,500 153,576,055

Licensing Fees 5,000,000 5,000,000 1,000,000 -

Revenue Bond Debt Service Fund Transfer 2,965,000 6,000,000 6,000,000 6,000,000

Federal Subsidy Holdback fund Transfer 3,766,307 3,750,000 3,750,000 3,750,000

Transfer from TRF (DHS Technology Project) 2,997,182 - - -

Interest 4,528,695 4,500,000 4,500,000 4,500,000

MSA Tobacco Payment Transfers 16,860,588 16,632,983 13,656,019 13,512,097

Total Revenues 184,600,468 186,432,983 180,961,519 181,338,152

Total Resources Available 206,199,006 194,261,265 179,940,541 181,404,583

Appropriations

DAS Major Maintenance 9,974,856 9,489,237 4,000,000 12,500,000

DALS Water Quality Initiative 5,200,000 5,200,000 9,500,000 9,500,000

DALS Ag Drainage Wells 1,920,000 1,920,000 1,875,000 1,875,000

DALS Renewable Fuels - - 3,000,000 3,000,000

Blind Elevator Improvements - - 150,000 -

Corr CBC District 5 Infrastructure 500,000 - - -

Corr CBC District 3 Infrastructure - 150,000 - -

DCA Great Places Infrastructure Grants 1,000,000 1,000,000 1,000,000 1,000,000

DCA State Historical Building Renovation - - 5,000,000 5,000,000

DCA USS Iowa Battleship - 250,000 250,000 -

DCA Strengthening Communities Grants 500,000 500,000 - -

DCA Civil Ware Monument-Littleton Brothers/Louisa Co. 150,000 - - -

DCA Veterans Memorial-Drakesville/Davis Co 12,000 - - -

EDA Community Attraction & Tourism Grants 5,000,000 5,000,000 5,000,000 5,000,000

EDA Regional Sport Authorities 500,000 500,000 500,000 500,000

EDA World Food Prize Borlaug/Ruan Scholar Progra, 300,000 300,000 300,000 300,000

EDA Lewis & Clark Water System - - 3,500,000 3,500,000

EDA Easter Seals/Swimming Pool - - 500,000 -

EDA Ft. Des Moines Museum Restoration 150,000 - - -

IFA State Housing Trust Fund 3,000,000 3,000,000 3,000,000 3,000,000

ILEA Planning for new facility - - - 5,000,000

DHS Nursing Home Facility Improvements 728,818 500,000 - -

DHS Broadlawns Mental Health Facilities 2,000,000 - - -

DHS Brain Injury Rehabilitation Facility-On With Life 500,000 - - -

DHS Polk County Youth Emergency Shelter 500,000 - - -

DHS Vocatoinal Services Facility 500,000 - - -

DHS The Homestead Autism Facilities - 485,000 - -

DOM Environment First Appropriation 42,000,000 42,000,000 42,000,000 42,000,000

DNR State Park Infrastructure 5,000,000 3,000,000 3,000,000 3,000,000

DNR Lakes Restoration & Water Quality 9,600,000 9,600,000 9,600,000 9,600,000

DNR Water Trails and Low Head Dam Safety Grants 1,750,000 1,000,000 1,000,000 1,000,000

DPD Facility/Armory Maintenance 2,000,000 2,000,000 2,000,000 2,000,000

DPD Construction Improvements Statewide 2,000,000 1,500,000 2,000,000 2,000,000

DPD Camp Dodge Infrastructure Upgrades 500,000 300,000 500,000 500,000

DPS Fire Training Mobile Units 100,000 - - -

Regents Tuition Replacement 30,237,549 32,447,187 16,072,923 32,624,618

Regents SUI Pharmacy Building 13,000,000 23,000,000 23,300,000 5,000,000

Regents ISU Biosciences Facilities 11,000,000 15,500,000 20,500,000 3,000,000

Regents UNI Schindler Education Center Renovation 15,000,000 15,900,000 - -

Regents ISU Student Innovation Center - 1,000,000 7,000,000 12,000,000

StateFair Youth Inn Renovation and Improvements 2,325,000 - - -

StateFair Construction and Remodel of NW Events Area - 500,000 500,000 4,500,000

(continued)

77

Page 78: Program and Budget - Iowa

State of IowaEstimated Condition of the Rebuild Iowa Infrastructure Fund

Financial Summary

Governor's Governor's

Actual Estimate Recommendation Recommendation

FY2016 FY2017 FY2018 FY2019

(continued)

DPS Network Contract - - 4,143,687 4,143,687

DPS Crime Scene Equipment/Tazers - - 1,122,500 -

DOT Recreational Trails 3,400,000 2,500,000 2,500,000 2,500,000

DOT Public Transit Infrastructure 1,500,000 1,500,000 1,500,000 1,500,000

DOT Commercial Air Service Airports 1,500,000 1,440,000 1,500,000 1,500,000

DOT General Aviation Airport Grants 750,000 - 750,000 750,000

DOT Rail Assistance 2,000,000 1,500,000 2,000,000 2,000,000

TOS County Fairs Infrastructure 1,060,000 1,060,000 1,060,000 1,060,000

Vets Capital Upgrades 10,800,000 2,500,000

Technology

DCA Sullivan Brothers Musuem - 250,000 250,000 -

Educ Statewide Education Data Warehouse 600,000 363,839 - -

Educ ICN Part III & Maintenance & Leases 2,727,000 2,727,000 - -

Educ IPTV Equipment Replacement 1,256,200 1,017,000 - -

ICN ICN Equipment Replacement 2,248,653 1,150,000 - -

DHR Integrating Justice Data Systems 1,300,000 1,345,000 - -

DHR Justice Datewarehouse 159,474 117,980 - -

DOM Transparency Project 45,000 45,000 - -

DOM Grants Management System 50,000 50,000 - -

DPH M&CH Database Integration 500,000 500,000 - -

DPH Iowa Prescription Drug Safety Net - 75,000 - -

HomelandEMS Mass Messaging System 400,000 400,000 - -

Regents ISU - Vet Lab Cancer Equipment 330,000 - - -

Regents IPR - Radio Transmitter 100,000 - - -

DPD Gold Star Musuem - 250,000 - -

DPS DCI Lab-DNA Marker Software - 150,000 - -

SecState Voting Equipment 450,000 - - -

SecState Voter Registration System 234,000 300,000 - -

TOS Iowa ABLE Savings Plan Trust 50,000 - - -

Total Appropriations/Expenditures 198,408,550 195,282,243 179,874,110 180,853,305

Reversions (37,826) - - -

Net Appropriations 198,370,724 195,282,243 179,874,110 180,853,305

Net Available Balance Forward 7,828,282 (1,020,978) 66,431 551,278

78

Page 79: Program and Budget - Iowa

Governor's Governor's

Actual Estimate Recommendation Recommendation

FY2016 FY2017 FY2018 FY2019

Resources

Beginning Balance 236,162 315,616 79,455 81,396

Revenues:

General Fund Appropriation - - 17,500,000 17,500,000

Total Revenues - - 17,500,000 17,500,000

Total Resources Available 236,162 315,616 17,579,455 17,581,396

Appropriations

OCIO Technology Projects/Consolidation - - 3,000,000 7,650,000

Educ ICN Part III & Maintenance & Leases - - 2,727,000 2,727,000

Educ Statewide Education Data Warehouse - 236,161 600,000 600,000

Educ IPTV Equipment Replacement - - 1,007,200 1,007,200

HomelandEMS Mass Messaging System 400,000 400,000

ICN ICN Equipment Replacement - - 1,150,000 1,150,000

DHR Integrating Justice Data Systems - - 1,400,000 1,400,000

DHR Justice Datewarehouse - - 157,980 157,980

DHS Technology - - 2,992,416 -

DIA State Public Defender online non Attorney billings - - 66,463 -

ILEA Technology Projects 35,000

DOM Transparency Project - - 45,000 45,000

DOM Grants Management System - - 50,000 70,000

DOM Local Government Budget & Property Tax upgrade 600,000

DPH Technology Consolidation - - 250,000 250,000

DPH Equipment-State Medical Examiner - - 1,037,000 -

DPS Radio Upgrades - - 1,980,000 -

SecState Technolog Projects - - - 1,750,000

Total Appropriations - 236,161 17,498,059 17,207,180

Reversions (79,454) - -

Net Appropriations (79,454) 236,161 17,498,059 17,207,180

Net Available Balance Forward 315,616 79,455 81,396 374,216

State of IowaEstimated Financial Condition of the Technology Reinvestment Fund

Financial Summary

79

Page 80: Program and Budget - Iowa

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80

Page 81: Program and Budget - Iowa

2007

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81

Page 82: Program and Budget - Iowa

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83

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Page 86: Program and Budget - Iowa

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Page 87: Program and Budget - Iowa

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Page 94: Program and Budget - Iowa

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96

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Stat

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97

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98

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99

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Stat

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e of

Iow

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Fun

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tions

FY 2

018

and

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110

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e of

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Fun

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FY 2

018

and

2019

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Iow

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Fun

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FY 2

018

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2019

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e of

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Fun

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Iow

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Fun

d A

ppro

pria

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FY 2

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FY 2

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FY 2

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133

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FY 2

018

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FY 2

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and

2019

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FY 2

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and

2019

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136

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e of

Iow

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Fun

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pria

tions

FY 2

018

and

2019

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e of

Iow

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Fun

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FY 2

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and

2019

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erno

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Fun

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Page 142: Program and Budget - Iowa

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Page 144: Program and Budget - Iowa

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144

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Page 149: Program and Budget - Iowa

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151

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Page 153: Program and Budget - Iowa

State Foundation Aid$2,04851%

Uniform Property Taxes$57114%

Additional Property Taxes$52213%

Federal/Other Miscellaneous

$49412%

Other State Aid$2546%

ISL Property Taxes$842% Income Surtaxes

$652%

PK-12 Education General Operating Fund Sources Detail

School Year 2006-2007

(In Millions)

Total Available: $4.036 Billion

State Foundation Aid$3,09956%

Uniform Property Taxes$82815%

Federal/Other Miscellaneous

$61511%

Additional Property Taxes$59411%

Other State Aid$1433%

ISL Property Taxes$1352%

Income Surtaxes$902%

PK-12 Education General Operating Fund Sources Detail

School Year 2016-2017

(In Millions)

Total Available: $5.503 Billion

Source: Iowa Department of Education

Source: Iowa Department of Education

153

Page 154: Program and Budget - Iowa

State$2,30257%

Local$1,24131%

Federal/Other Miscellaneous

$49412%

PK-12 Education General Operating Fund Sources

School Year 2006-2007

(In Millions)

Total Available: $4.036 Billion

State$3,24259%

Local$1,64630%

Federal/Other Miscellaneous

$61511%

PK-12 Education General Operating Fund Sources

School Year 2016-2017

(In Millions)

Total Available: $5.503 Billion

Source: Iowa Department of Management

Source: Iowa Department of Management

154

Page 155: Program and Budget - Iowa

Regular Program$1,59878%

Supplementary Weight$352%

Special Education$31415%

AEA State Aid$834% Property Tax Aid

$191%

State Foundation Aid Distribution

Fiscal Year 2007

(In Millions)

Total Available: $2.048 Billion

Regular Program$1,94163%

Supplementary Weight$772%

Special Education$36112%

AEA State Aid$1164%

Property Tax Aid$843%

4-Year-Old Preschool$762%

Categorical$44314%

State Foundation Aid Distribution

Fiscal Year 2017

(In Millions)

Total Available: $3.099 Billion

Source: Iowa Department of Management

Source: Iowa Department of Management

155

Page 156: Program and Budget - Iowa

440,000

450,000

460,000

470,000

480,000

490,000

500,000

510,000

520,000

530,000

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

Est

2018

Est

2019

Est

2020

Est

2021

Est

485,011

483,335

483,105

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156

Page 157: Program and Budget - Iowa

0

5,000

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2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

Est

2018

Est

2019

Est

2020

Est

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Est

35,295

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Enrollments by Grade

Iow

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157

Page 158: Program and Budget - Iowa

-1,539

279

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-1,295

472

491

1,601

2,801

4,457

4,535

3,747

2,710

1,637

1,381

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-2,000

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5,000

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017 Est

2018 Est

2019 Est

2020 Est

2021 Est

Kindergarten Minus Grade 12 Enrollment

Iow

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158

Page 159: Program and Budget - Iowa

Iowa School Foundation Formula Summary

Iowa Code 257.31 Foundation Formula Goals:

Equalize educational opportunity

Provide good education for all Iowa children

Provide property tax relief

Decrease percentage of school costs paid from property taxes

Provide reasonable control of school costs

Basics:

Formula determines spending limit/ceiling

Funding is primarily determined by number of students and the district’s cost per pupil

Basic budget is calculated by multiplying cost per pupil amount by weighted enrollment

Funding added for AEAs, 4-year-old voluntary preschool, teacher salaries, professional

development, early intervention, class size and teacher leadership

Enrollment:

Pupils counted for funding purposes where they reside

Additional pupil count (weighted enrollment) is added for special education, English language

learners, operational function sharing, community college sharing, sharing teachers/grades

and at-risk enrollment

Foundation Formula Funding Sources – 3 components:

Uniform Levy – property tax levy of $5.40 per $1000 taxable valuation

State Foundation Aid – amount paid by the state based on the foundation formula

percentage; currently 87.5% of state cost per pupil amount

Additional Levy – property tax levy to fund the remainder of the spending limit

Property tax relief included in the School Foundation Aid Formula:

$117.9 million in FY 2017

FY 2017 Big Picture:

333 school districts

9 AEAs

483,450.9 budget enrollment

$6,591 state cost per pupil

$3,099,119,039 state foundation aid

$1,421,289,764 foundation property tax

$2,264,823,591 total property tax

$100,727,300 total income surtax

$470.6 million estimated SAVE for school infrastructure and property tax relief

Other:

Discretionary – non General Fund property tax levies (included in the total above) include:

o Management

o Physical Plant and Equipment (VPPEL)

o Public Education and Recreation (PERL)

o Debt Service/Bond Levy

Income surtax can be used to replace specific property tax levies

Districts can levy for Cash Reserve within Iowa Code limitations

Districts can increase funding through the Instructional Support program

Source: Iowa Department of Management

159

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Page 162: Program and Budget - Iowa

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Page 163: Program and Budget - Iowa

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Page 164: Program and Budget - Iowa

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164

Page 165: Program and Budget - Iowa

Service Category FY16 Actual FY17 Gov FY18 Gov FY19 Gov FY18 vs FY17 FY19 vs FY18

Expenditures

Modernization Expenditures:

Managed Care (includes IHWP) 361,954,546$ 1,412,233,965$ 1,415,524,921$ 1,439,425,495$ 3,290,956$ 23,900,574$

Health Insurer Fee -$ -$ -$ 29,252,241$ -$ 29,252,241$

Total Modernization Expenditures 361,954,546$ 1,412,233,965$ 1,415,524,921$ 1,468,677,736$ 3,290,956$ 53,152,815$

Non-Modernization Expenditures:

Hospital 267,795,200$ 44,360,698$ 41,417,586$ 43,241,598$ (2,943,113)$ 1,824,012$

Other Fee for Service Providers 190,409,161$ 48,820,697$ 46,652,287$ 48,004,166$ (2,168,409)$ 1,351,879$

Prescription Drug 102,040,167$ 3,084,960$ 3,158,898$ 3,216,296$ 73,938$ 57,398$

Drug Rebates (91,874,841)$ (87,615,693)$ (83,635,013)$ (90,636,379)$ 3,980,680$ (7,001,366)$

Chronic Care Health Home Payments 620,863$ 152,352$ 142,884$ 148,752$ (9,468)$ 5,868$

Health Home Payments 6,194,540$ 690,402$ 647,499$ 674,089$ (42,903)$ 26,589$

School Based Services -$ -$ -$ -$ -$ -$

Mental Health Services 107,406,936$ 12,233,424$ 10,607,779$ 11,607,290$ (1,625,646)$ 999,511$

Nursing Facility 234,579,287$ 27,915,085$ 28,584,135$ 29,103,520$ 669,050$ 519,385$

Nursing Facility Rebase -$ -$ 7,600,000$ 7,600,000$ 7,600,000$ -$

Intermediate Care Facilities (ICF)/Intellectual Disabilities (ID) 60,345,709$ 2,283,145$ 2,337,867$ 2,380,346$ 54,721$ 42,480$

ICF/ID Assessment Fee (16,210,158)$ (17,286,904)$ (16,941,166)$ (16,602,343)$ 345,738$ 338,823$

State Resource Centers 40,967,561$ 2,602,833$ 2,682,723$ 2,760,154$ 79,890$ 77,431$

Transfer from State Resource Centers (38,428,850)$ (33,928,036)$ (31,928,036)$ (33,928,036)$ 2,000,000$ (2,000,000)$

Home Community Based Waivers (HCBS) 220,574,754$ 16,057,504$ 16,442,360$ 16,741,124$ 384,856$ 298,764$

Home Health Care 50,796,816$ 10,941,747$ 10,261,800$ 10,683,202$ (679,948)$ 421,402$

Medicare-Related Payments 157,308,172$ 173,105,220$ 179,444,649$ 189,033,965$ 6,339,429$ 9,589,316$

Medical Transportation 6,154,464$ 1,224,431$ 1,148,342$ 1,195,499$ (76,089)$ 47,156$

Targeted Case Management 12,939,856$ 3,298,439$ 3,093,466$ 3,220,500$ (204,973)$ 127,034$

Other Providers/Programs 3,373,815$ 560,873$ 526,019$ 547,620$ (34,854)$ 21,601$

Money Follows Person-State 3,092,129$ 4,925,897$ 4,659,282$ 2,578,351$ (266,615)$ (2,080,931)$

Recoveries (43,691,072)$ (19,992,627)$ (19,974,028)$ (20,627,677)$ 18,599$ (653,649)$

Administrative Activities 5,635,896$ 6,243,535$ 6,355,589$ 6,474,642$ 112,054$ 119,053$

Mental Health Institution Transfers 18,144,319$ -$ -$ -$ -$ -$

UIHC Lodging Transfer 133,523$ 100,000$ 100,000$ 100,000$ -$ -$

Transfers to Other Entities 6,540,980$ 10,184,230$ 10,184,230$ 10,184,230$ -$ 0$

Balancing Incentive Program (4,770,569)$ -$ -$ -$ -$ -$

MHDS Redesign Standardized Assess. 2,112,635$ -$ -$ -$ -$ -$

MHDS Redesign Administration 205,119$ -$ -$ -$ -$ -$

Health & Wellness Plan - Newly Eligible (Non-MCO) -$ 2,858,684$ 5,957,676$ 7,330,639$ 3,098,992$ 1,372,963$

Health & Wellness Plan - Not Newly Eligible (Non-MCO) 21,635,031$ 1,697,764$ 1,742,017$ 1,771,701$ 44,253$ 29,685$

Adjustment Offsets 7,092,416$ (1,493,068)$ 2,825,853$ 2,938,631$ 4,318,921$ 112,779$

Audits/Financial Review 887,844$ -$ -$ -$ -$ -$

Total Non-Modernization Expenditures 1,332,011,703$ 213,025,595$ 234,094,698$ 239,741,883$ 21,069,103$ 5,647,185$

TOTAL ALL EXPENDITURES 1,693,966,249$ 1,625,259,560$ 1,649,619,619$ 1,708,419,619$ 24,360,059$ 58,800,000$

FMAP - Traditional Medicaid (included above) -$ -$ (67,190,242)$ -$

FMAP - IA Health and Wellness Plan (included above) -$ -$ 17,371,602$ 6,906,997$

Total FMAP Changes -$ -$ (49,818,640)$ 6,906,997$

Revenues: FY16 Actual FY17 Gov Rec FY18 Gov Rec FY19 Gov Rec FY18 vs FY17 FY19 vs FY18

Medicaid General Fund Appropriation 1,318,191,564$ 1,318,246,446$ 1,318,246,446$ 1,318,246,446$ -$ -$

Governor General Fund Increase/(Decrease) -$ (13,855,709)$ 35,967,965$ 95,967,965$ 49,823,674$ 60,000,000$

Carry Forward from Previous Fiscal Year -$ 22,891,475$ -$ -$ (22,891,475)$ -$

Decategorization Fund Balance -$ 1,700,000$ 500,000$ 500,000$ (1,200,000)$ -$

General Fund Supplemental 67,000,000$ -$ -$ -$ -$ -$

Other Program Deappropriations/Reallocations 31,366,908$ -$ -$ -$ -$ -$

Food Assistance Bonus Funds 2,000,000$ -$ -$ -$ -$ -$

Health Care Trust Fund 224,990,504$ 223,000,000$ 221,900,000$ 220,700,000$ (1,100,000)$ (1,200,000)$

Nursing Facility Quality Assurance Fund 37,205,208$ 36,705,208$ 36,705,208$ 36,705,208$ -$ -$

Hospital Trust Fund 34,101,631$ 34,700,000$ 34,700,000$ 34,700,000$ -$ -$

Medicaid Fraud Account 1,021,178$ 500,000$ 500,000$ 500,000$ -$ -$

Palo Tax 980,730$ 1,372,140$ 1,100,000$ 1,100,000$ (272,140)$ -$

TOTAL REVENUES 1,716,857,723$ 1,625,259,560$ 1,649,619,619$ 1,708,419,619$ 24,360,059$ 58,800,000$

Medicaid & IA Health & Wellness Plan Estimated State Expenditures and Revenues by Category

FY 2016 Actual - FY 2017-FY 2019 Governor Recommendations

Source: Iowa Department of Human Services and Iowa Department of Management

165

Page 166: Program and Budget - Iowa

# Recipients* Total $$ Federal $$ State $$ Other $$

Hospital

Inpatient Hospital 48,514 345,714,321$ 187,017,969$ 158,696,351$ -$

Outpatient Hospital 270,934 221,620,207$ 119,887,892$ 101,732,315$ -$

Hospital Rebase -$ -$ -$ -$

UIHC Additional Reimbursement 9,900,000$ 5,451,683$ -$ 4,448,318$

UIHC Funded DSH 17,544,006$ 9,661,045$ -$ 7,882,961$

Broadlawns Funded DSH 12,018,473$ 6,618,473$ -$ 5,400,000$

Other DSH 16,366,176$ 8,999,643$ 7,366,533$ -$

Subtotal - Hospital 623,163,183$ 337,636,705$ 267,795,200$ 17,731,278$

Other Fee-for-Service Categories

Physician 375,224 162,693,486$ 88,010,833$ 74,682,653$ -$

UIHC Physician UPL

Incl in

Physician Total 95,134,169$ 66,335,811$ -$ 28,798,358$

Clinics 99,406 48,895,731$ 26,450,684$ 22,445,047$ -$

Dental 213,534 61,260,763$ 33,139,684$ 28,121,079$ -$

Other Practitioner 151,577 57,205,224$ 30,945,796$ 26,259,428$ -$

Optometric 99,103 8,216,289$ 4,444,692$ 3,771,597$ -$

Chiropractic 32,121 3,875,364$ 2,096,421$ 1,778,943$ -$

Podiatrist 21,023 2,067,641$ 1,118,513$ 949,128$ -$

Family Planning Services 17,795 2,223,357$ 1,202,749$ 1,020,607$ -$

EPSDT 52,792 16,973,024$ 9,181,744$ 7,791,280$ -$

Medical Supplies/DME 83,450 45,348,647$ 24,531,850$ 20,816,797$ -$

Lab/X-Ray 83,025 6,040,016$ 3,267,413$ 2,772,603$ -$

Subtotal - Other FFS Categories 509,933,710$ 290,726,191$ 190,409,161$ 28,798,358$

Prescription Drugs

Drugs 312,445 222,290,850$ 120,250,683$ 102,040,167$ -$

Drug Rebates (204,224,560)$ (112,349,719)$ (91,874,841)$ -$

Subtotal - Prescription Drugs 18,066,289$ 7,900,964$ 10,165,325$ -$

Health Homes

Chronic Care Health Home 40,890 1,381,777$ 760,914$ 620,863$ -$

Integrated Health Home 26,017,579$ 19,823,040$ 6,194,540$ -$

Subtotal - Health Homes 27,399,356$ 20,583,954$ 6,815,402$ -$

School-Based Services

Local Education Agencies 5,915 82,509,639$ 44,634,498$ -$ 37,875,141$

Infant & Toddler 1,311 179,601$ 97,157$ -$ 82,444$

Subtotal - School-Based Services 82,689,240$ 44,731,655$ -$ 37,957,585$

Mental Health Services

Iowa Plan 582,961 189,022,357$ 104,314,834$ 83,757,523$ 950,000$

Iowa Plan -- TCM ASO 2,849 493,720$ 258,604$ 235,116$ -$

BHIS -- FFS 6,884 10,204,085$ 5,607,405$ 4,596,680$ -$

Habilitation -- FFS 5,305 31,729,670$ 17,281,200$ 14,448,470$ -$

Psychiatric Services 36,272 9,518,029$ 5,148,883$ 4,369,147$ -$

Subtotal - Mental Health Services 240,967,861$ 132,610,925$ 107,406,936$ 950,000$

Nursing Facility

Intermediate Care 21,136 453,338,884$ 250,191,722$ 203,147,162$ -$

Rebase -$ -$ -$ -$

Skilled-Nursing Care 5,426 27,749,472$ 15,267,643$ 12,481,829$ -$

Nursing Facilities for the Mentally Ill 122 4,244,661$ 2,336,233$ 1,908,428$ -$

Iowa Veteran's Home

Incl in Int Care

Total 36,552,874$ 20,110,695$ 16,442,180$ -$

Nurse Aid Training 1,199,377$ 599,689$ 599,689$ -$

Subtotal - Nursing Facility 523,085,268$ 288,505,981$ 234,579,287$ -$

SFY16 Final Expenditures

Iowa Department of Human Services

SFY16 Medical Assistance Detailed Projection

Source: Iowa Department of Human Services

166

Page 167: Program and Budget - Iowa

# Recipients* Total $$ Federal $$ State $$ Other $$

ICF/ID

Community-Based ICF-ID 134,239,957$ 73,894,249$ 60,345,709$ -$

Glenwood & Woodward 89,857,569$ 48,890,009$ 2,538,711$ 38,428,850$

ICF/ID Assessment Fee Offset (16,210,158)$ -$ (16,210,158)$ -$

Subtotal - ICF/MR 2,032 207,887,369$ 122,784,257$ 46,674,262$ 38,428,850$

HCBS Waivers

Intellectual Disabilities 13,010 379,657,671$ 209,011,910$ 170,645,761$ -$

Elderly 13,210 60,114,741$ 33,091,061$ 27,023,680$ -$

Health & Disability 2,180 16,596,026$ 9,137,626$ 7,458,400$ -$

Brain Injury 1,409 26,092,581$ 14,364,436$ 11,728,146$ -$

CMH 802 5,296,406$ 2,915,944$ 2,380,462$ -$

Physical Disabilities 765 2,764,651$ 1,521,811$ 1,242,840$ -$

AIDS 30 212,377$ 116,913$ 95,465$ -$

Subtotal - HCBS Waivers 490,734,454$ 270,159,699$ 220,574,754$ -$

Home Health Care

Home Health Services 88,172,964$ 47,698,136$ 40,474,828$ -$

Home Health LUPA Adjustment -$ -$ -$

Hospice 22,486,081$ 12,164,093$ 10,321,988$ -$

Subtotal - Home Health Care 34,977 110,659,045$ 59,862,229$ 50,796,816$ -$

Managed Care (Excluding the Iowa Plan)

Modernization Pmts 442,825 744,892,493$ 409,130,120$ 335,762,373$ -$

UIHC MCO UPL Payment -$ -$ (4,161,333)$ 4,161,333$

Patient Management 186,725 1,698,662$ 936,400$ 762,262$ -$

PACE 379 10,986,377$ 6,038,545$ 4,947,832$ -$

HMO 91,371 47,730,181$ 26,338,897$ 21,391,284$ -$

Subtotal - Managed Care 805,307,713$ 442,443,963$ 358,702,417$ 4,161,333$

Medicare-Related Payments

Buy-In 125,772,931$ 68,100,381$ 57,672,550$ -$

Medicare Part D Clawback 99,635,622$ -$ 99,635,622$ -$

Subtotal - Medicare-Related Payments 225,408,553$ 68,100,381$ 157,308,172$ -$

Medical Transportation

NEMT - Agency 6,801$ 3,400$ 3,400$ -$

NEMT - Brokerage 515,540 7,742,370$ 4,267,175$ 3,475,195$ -$

Ambulance 24,908 5,829,284$ 3,153,415$ 2,675,868$ -$

Subtotal - Medical Transportation 13,578,455$ 7,423,990$ 6,154,464$ -$

Other Providers/Programs

Targeted Case Management 15,390 28,787,703$ 15,847,847$ 12,939,856$ -$

Health Insurance Premium Payments 4,254 6,248,093$ 3,138,847$ 3,109,246$ -$

Lead Inspection 16 5,088$ 2,813$ 2,275$ -$

Supplemental Personal Needs Allowance 262,295$ -$ 262,295$ -$

Subtotal - Other Providers/Programs 35,303,180$ 18,989,507$ 16,313,673$ -$

Money Follows the Person

MFP Services 13,745,531$ 10,653,403$ 3,092,129$ -$

Subtotal - Money Follows the Person 13,745,531$ 10,653,403$ 3,092,129$ -$

Recoveries

State Recoveries (69,038,019)$ (37,442,393)$ (31,595,625)$ -$

State Recovery Refunds -$ -$ -$ -$

LEA/AEA/I&T/MHI Recon -$ -$ (10,992,285)$ 10,992,285$

AWP Drug Settlements -$ -$ -$ -$

MEPD Premiums (2,453,276)$ (1,350,114)$ (1,103,162)$ -$

MEPD Premium Refunds -$ -$ -$ -$

Subtotal - Recoveries (71,491,295)$ (38,792,508)$ (43,691,072)$ 10,992,285$

Iowa Department of Human Services

SFY16 Medical Assistance Detailed Projection

SFY16 Final Expenditures

Source: Iowa Department of Human Services

167

Page 168: Program and Budget - Iowa

# Recipients* Total $$ Federal $$ State $$ Other $$

Administrative Activities

IDPH Case Management Contract 3,301,432$ 1,650,716$ 1,650,716$ -$

Postage 2,361,015$ 1,185,894$ 1,175,122$ -$

HMS Contract 1,982,899$ 991,450$ 991,450$ -$

Leveraging Activities 2,708,899$ 1,574,981$ 1,133,918$ -$

Translation & Intepreter Services 375,899$ 247,700$ 128,199$ -$

HIPP Admin. 1,064,422$ 542,098$ 522,324$ -$

TPL/AOR Fees 68,333$ 34,167$ 34,167$ -$

Subtotal - Administrative Activities 11,862,900$ 6,227,004$ 5,635,896$ -$

IowaCare Transfers

MHI Transfer 18,144,319$ -$ 18,144,319$ -$

UIHC Lodging Contract 133,523$ -$ 133,523$ -$

Subtotal - IowaCare Transfers 18,277,842$ -$ 18,277,842$ -$

Transfers to Other Appropriations/Entities

Transfer to Field & Admin-Part D 2,974,905$ -$ 2,974,905$ -$

Money Follows the Person Rebalancing 771,387$ -$ 771,387$ -$

Medical Contracts Transfers 2,672,223$ -$ 2,672,223$ -$

Transfer to General Admin 122,465$ -$ 122,465$ -$

Subtotal - Other Transfers 6,540,980$ -$ 6,540,980$ -$

MHDS Redesign Transfers

Standardized Assessments 2,112,635$ -$ 2,112,635$ -$

Implementation/Administration 205,119$ -$ 205,119$ -$

Subtotal - MHDS Redesign 2,317,754$ -$ 2,317,754$ -$

Balancing Incentive Program

BIP Savings -$ 5,325,121$ (5,325,121)$ -$

Community-Based Infrastructure 573,426$ 18,874$ 554,552$ -$

Subtotal - Balancing Incentive Program 573,426$ 5,343,995$ (4,770,569)$ -$

Health and Wellness Plan

Modernization Pmts - Not Newly Eligible 7,212,527$ 3,960,399$ 3,252,129$ -$

Modernization Pmts - Newly Eligible 150,154,948$ 150,154,948$ -$ -$

Not Newly Eligible 48,139,769$ 26,504,738$ 21,635,031$ -$

Newly Eligible 756,592,748$ 756,592,748$ -$ -$

Rebates and Recoveries (105,399,781)$ (105,399,781)$ -$ -$

Subtotal - Health and Wellness Plan 314,503 856,700,212$ 831,813,052$ 24,887,160$ -$

Adjustments/Offsets

Reconcile -$ (726,729)$ -$ 726,729$

County Funds Reserve -$ (143,395)$ 143,395$

FMAP/BCCT/State-Only Adjustment 9,757,690$ 2,808,669$ 6,949,021$ -$

Subtotal - Adjustments/Offsets 9,757,690$ 1,938,545$ 7,092,416$ 726,729$

OIG Audits/CMS Financial Mgmt Reviews

OIG Audits -$ (887,844)$ 887,844$ -$

Subtotal - Audits/FMRs -$ (887,844)$ 887,844$ -$

Total $$ Federal $$ State $$ Other $$

Total 4,762,468,716$ 2,928,756,050$ 1,693,966,248$ 139,746,418$

Plus Rebates and Recoveries & Assmt Fee 5,160,009,999$

* Recipient counts for Mental Health Services, Managed Care, and Medical Transportation are based on a per member, per month basis. The number that actually

utilized services is likely much less.

Iowa Department of Human Services

SFY16 Medical Assistance Detailed Projection

SFY16 Final Expenditures

Source: Iowa Department of Human Services

168

Page 169: Program and Budget - Iowa

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169

Page 170: Program and Budget - Iowa

Federal State

SFY16 Match Rate 55.02% 44.98%

Provider

Type Provider Description Recipients

Total Federal State Funds County/Other

01 GENERAL HOSPITAL 143,770 $330,708,821 $181,955,993 $148,752,827 $0

02 PHYSICIAN MD 168,283 $94,500,254 $51,994,040 $42,506,214 $0

03 PHYSICIAN DO 62,009 $16,972,082 $9,338,039 $7,634,042 $0

10 INDEPENDENT LAB 48,762 $4,658,032 $2,562,849 $2,095,183 $0

13 RURAL HEALTH CLINIC 27,155 $9,254,573 $5,091,866 $4,162,707 $0

18 SKILLED NURSING FACILITY 1,154 $13,476,883 $7,414,981 $6,061,902 $0

22 FAMILY PLANNING 11,436 $1,521,000 $1,368,900 $152,100 $0

24 HEALTH MAINTENANCE ORGAN 179,013 $126,352,153 $69,518,955 $56,833,199 $0

38 CERTIFIED NURSE MIDWIFE 2,912 $989,985 $544,690 $445,295 $0

44 CRNA 10,814 $2,123,918 $1,168,580 $955,338 $0

49 FEDERAL QUAL HEALTH CENTER 24,714 $12,580,617 $6,921,855 $5,658,762 $0

50 NURSE PRACTITIONER 42,606 $5,526,432 $3,040,643 $2,485,789 $0

53 MENT HLTH SUBSTANCE ABUSE PLN 221,027 $34,452,225 $18,955,614 $15,496,611 $0

65 NEMT BROKER 186,483 $2,842,723 $1,564,066 $1,278,657 $0

74 IHAWP HMO PROVIDER 1,360 $884,542 $486,675 $397,867 $0

75 IHAWP QHP PROVIDER 8,755 $226,542 $124,644 $101,899 $0

TOTAL $657,070,781 $362,052,389 $295,018,392 $0

Notes

The Qualified Health Plan (Provider Type 75) is not a mandatory or optional service. Rather, the Qualified Health Plans acts as a payer of Medicaid

services for Marketplace Choice Plan members. Based on the distribution of expenditures for the population covered, it is estimated that 21% of

expenditures paid through the HMO are for mandatory services.

The IHAWP Health Maintenance Organization (Provider Type 74) is not a mandatory or optional service. Rather, the HMO acts as a payer of Medicaid

services. Based on the distribution of expenditures for the population covered, it is estimated that 93% of expenditures paid through the HMO are for

mandatory services.

SFY16 Payments

Iowa Department of Human Services

Mandatory Services Analysis

Adults Only (Age 21 and Over)

Actual SFY16 ExpendituresTraditional Medicaid and Iowa Health and Wellness Plan Not Newly Eligible

Expenditures

The above data is based on the provider type rendering treatment rather than the provider type paid for the service.

Non-recipient payments such as disproportionate share hospital (DSH) payments and graduate medical education payments are excluded.

The Health Maintenance Organization (Provider Type 24) includes the state's three managed care entities. This is not a mandatory or optional service;

rather, this provider type acts as a payer of Medicaid services. Based on the distribution of expenditures for all other covered populations, it is estimated

that 23% of expenditures paid through this provider type are for mandatory services.

The Mental Health Substance Abuse Plan (Provider Type 53 - Iowa Plan payments) is not a mandatory or optional service. Rather, the Iowa Plan

contractor acts as a payer of Medicaid services. Based on the distribution of expenditures for the population covered, it is estimated that 33% of adult

expenditures paid through the Iowa Plan are for mandatory services.

Source: Iowa Department of Human Services

170

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Federal State

SFY16 Match Rate 100.00% 0.00%

Provider

Type Provider Description Recipients

Total Federal State Funds County/Other

01 GENERAL HOSPITAL 98,415 $284,952,078 $284,952,078 $0 $0

02 PHYSICIAN MD 114,595 $72,446,816 $72,446,816 $0 $0

03 PHYSICIAN DO 65,263 $15,699,520 $15,699,520 $0 $0

10 INDEPENDENT LAB 30,154 $4,195,269 $4,195,269 $0 $0

13 RURAL HEALTH CLINIC 17,628 $7,745,715 $7,745,715 $0 $0

18 SKILLED NURSING FACILITY 162 $1,810,696 $1,810,696 $0 $0

22 FAMILY PLANNING 4,722 $695,420 $695,420 $0 $0

24 HEALTH MAINTENANCE ORGAN 136,565 $101,323,031 $101,323,031 $0 $0

38 CERTIFIED NURSE MIDWIFE 912 $162,628 $162,628 $0 $0

44 CRNA 7,915 $1,945,923 $1,945,923 $0 $0

49 FEDERAL QUAL HEALTH CENTER 25,116 $10,824,736 $10,824,736 $0 $0

50 NURSE PRACTITIONER 37,368 $4,793,849 $4,793,849 $0 $0

53 MENT HLTH SUBSTANCE ABUSE PLN 220,164 $48,538,643 $48,538,643 $0 $0

65 NEMT BROKER 23,411 $335,394 $335,394 $0 $0

74 IHAWP HMO PROVIDER 30,917 $32,732,085 $32,732,085 $0 $0

75 IHAWP QHP PROVIDER 194,095 $10,383,676 $10,383,676 $0 $0

TOTAL $598,585,478 $598,585,478 $0 $0

Notes

The IHAWP Health Maintenance Organization (Provider Type 74) is not a mandatory or optional service. Rather, the HMO acts as a payer of Medicaid

services. Based on the distribution of expenditures for the population covered, it is estimated that 93% of expenditures paid through the HMO are for

mandatory services.

The Qualified Health Plan (Provider Type 75) is not a mandatory or optional service. Rather, the Qualified Health Plans acts as a payer of Medicaid

services for Marketplace Choice Plan members. Based on the distribution of expenditures for the population covered, it is estimated that 21% of

expenditures paid through the HMO are for mandatory services.

Iowa Department of Human Services

Mandatory Services Analysis

Adults Only (Age 21 and Over)

Actual SFY16 Expenditures

Iowa Health and Wellness Plan -- Newly Eligible Only

SFY16 Payments

Expenditures

The above data is based on the provider type rendering treatment rather than the provider type paid for the service.

Non-recipient payments such as disproportionate share hospital (DSH) payments and graduate medical education payments are excluded.

The Mental Health Substance Abuse Plan (Provider Type 53 - Iowa Plan payments) is not a mandatory or optional service. Rather, the Iowa Plan

contractor acts as a payer of Medicaid services. Based on the distribution of expenditures for the population covered, it is estimated that 69% of adult

expenditures paid through the Iowa Plan are for mandatory services.

The Health Maintenance Organization (Provider Type 24) includes the state's three managed care entities. This is not a mandatory or optional service;

rather, this provider type acts as a payer of Medicaid services. Based on the distribution of expenditures for all other covered populations, it is

estimated that 70% of expenditures paid through this provider type are for mandatory services.

Source: Iowa Department of Human Services

171

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Provider

Type Provider Description Recipients

Total Federal State Funds County/Other

01 GENERAL HOSPITAL 242,185 $615,660,898 $466,908,071 $148,752,827 $0

02 PHYSICIAN MD 282,878 $166,947,070 $124,440,856 $42,506,214 $0

03 PHYSICIAN DO 127,272 $32,671,601 $25,037,559 $7,634,042 $0

10 INDEPENDENT LAB 78,916 $8,853,301 $6,758,118 $2,095,183 $0

13 RURAL HEALTH CLINIC 44,783 $17,000,289 $12,837,582 $4,162,707 $0

18 SKILLED NURSING FACILITY 1,316 $15,287,580 $9,225,678 $6,061,902 $0

22 FAMILY PLANNING 16,158 $2,216,420 $2,064,320 $152,100 $0

24 HEALTH MAINTENANCE ORGAN 315,578 $227,675,184 $170,841,986 $56,833,199 $0

38 CERTIFIED NURSE MIDWIFE 3,824 $1,152,612 $707,317 $445,295 $0

44 CRNA 18,729 $4,069,841 $3,114,502 $955,338 $0

49 FEDERAL QUAL HEALTH CENTER 49,830 $23,405,353 $17,746,591 $5,658,762 $0

50 NURSE PRACTITIONER 79,974 $10,320,281 $7,834,492 $2,485,789 $0

53 MENT HLTH SUBSTANCE ABUSE PLN 441,191 $82,990,868 $67,494,257 $15,496,611 $0

65 NEMT BROKER 32,166 $3,178,116 $460,037 $101,899 $0

74 IHAWP HMO PROVIDER 30,917 $33,616,626 $32,856,728 $101,899 $0

75 IHAWP QHP PROVIDER 194,095 $10,610,218 $10,383,676 $0 $0

TOTAL $1,255,656,259 $958,711,771 $293,443,767 $0

Notes

SFY16 Payments

Iowa Department of Human Services

Mandatory Services Analysis

Adults Only (Age 21 and Over)

Actual SFY16 Expenditures

Traditional Medicaid and Iowa Health and Wellness Plan

The Qualified Health Plan (Provider Type 75) is not a mandatory or optional service. Rather, the Qualified Health Plans acts as a payer of Medicaid

services for Marketplace Choice Plan members. Payments were assigned to the mandatory and optional categories based on the distribution of

expenditures for the population covered.

Expenditures

The above data is based on the provider type rendering treatment rather than the provider type paid for the service.

Non-recipient payments such as disproportionate share hospital (DSH) payments and graduate medical education payments are excluded.

The Mental Health Substance Abuse Plan (Provider Type 53 - Iowa Plan payments) is not a mandatory or optional service. Rather, the Iowa Plan

contractor acts as a payer of Medicaid services. Payments were assigned to the mandatory and optional categories based on the distribution of

expenditures for the population covered.

The Health Maintenance Organization (Provider Type 24) includes the state's three managed care entities. This is not a mandatory or optional service;

rather, this provider type acts as a payer of Medicaid services. Payments were assigned to the mandatory and optional categories based on the

distribution of expenditures for the population covered.

The IHAWP Health Maintenance Organization (Provider Type 74) is not a mandatory or optional service. Rather, the HMO acts as a payer of Medicaid

services. Payments were assigned to the mandatory and optional categories based on the distribution of expenditures for the population covered.

Source: Iowa Department of Human Services

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Federal State

SFY16 Match Rate 55.02% 44.98%

Provider

Type Provider Description Recipients

Total Federal State Funds County/Other

04 DENTIST 55,706 $23,292,930 $12,815,770 $10,477,160 $0

05 PODIATRIST 19,063 $2,251,146 $1,238,580 $1,012,565 $0

06 OPTOMETRIST 41,124 $3,679,707 $2,024,575 $1,655,132 $0

07 OPTICIAN 8,406 $433,364 $238,437 $194,927 $0

08 PHARMACY 131,745 $144,126,747 $79,298,536 $64,828,211 $0

09 HOME HEALTH AGENCY 15,961 $78,408,429 $43,140,318 $35,268,112 $0

11 AMBULANCE 19,598 $5,328,030 $2,931,482 $2,396,548 $0

12 MEDICAL SUPPLIES 37,431 $31,297,786 $17,220,042 $14,077,744 $0

14 CLINIC 916 $5,051,614 $2,779,398 $2,272,216 $0

15 PHYSICAL THERAPIST 4,546 $1,469,457 $808,495 $660,962 $0

16 CHIROPRACTOR 18,103 $2,663,566 $1,465,494 $1,198,072 $0

17 AUDIOLOGIST 3,953 $1,364,586 $750,795 $613,791 $0

19 REHAB AGENCY 1,162 $742,343 $408,437 $333,906 $0

20 INTERMEDIATE CARE FACILITY 22,710 $527,309,388 $290,125,625 $237,183,763 $0

21 COMMUNITY MH 16,478 $3,960,308 $2,178,961 $1,781,346 $0

24 HEALTH MAINTENANCE ORGAN 179,013 $423,005,035 $232,737,370 $190,267,665 $0

25 ICF MR STATE 384 $100,378,734 $55,228,379 $45,150,354 $0

26 MENTAL HOSPITAL 32 $4,413,877 $2,428,515 $1,985,362 $0

27 COMMUNITY BASED ICF/MR 1,267 $108,130,982 $59,493,667 $48,637,316 $0

29 PSYCHOLOGIST 3,567 $647,434 $356,218 $291,216 $0

30 SCREENING CENTER 108 $7,004 $3,853 $3,150 $0

31 HEARING AID DEALER 933 $479,858 $264,018 $215,840 $0

32 OCCUPATIONAL THERAPIST 183 $40,259 $22,151 $18,109 $0

34 ORTHOPEDIC SHOE DEALER 23 $3,684 $2,027 $1,657 $0

35 MATERNAL HEALTH CENTER 3,713 $770,007 $423,658 $346,349 $0

36 AMBULATORY SURGICAL CENTER 4,600 $1,989,190 $1,094,452 $894,738 $0

41 PSYCH MEDICAL INST CHILDREN 226 $2,128,888 $1,171,314 $957,574 $0

42 MEP CASE MANAGER 10,471 $24,561,502 $13,513,739 $11,047,764 $0

45 HOSPICE 6,291 $24,837,523 $13,665,605 $11,171,918 $0

47 HIPP 787 $1,316,526 $724,353 $592,174 $0

48 CLINICAL SOCIAL WORKER 634 $145,729 $80,180 $65,549 $0

52 NURSING FACILITY - MENTAL ILL 122 $4,539,305 $2,497,525 $2,041,779 $0

53 MENT HLTH SUBSTANCE ABUSE PLN 221,027 $69,948,456 $38,485,641 $31,462,816 $0

58 PACE 379 $10,996,604 $6,050,332 $4,946,273 $0

60 INSTITUTIONAL - GENERAL 0 $0 $0 $0 $0

61 OTHER PRACTITIONER - GENERAL 42 $4,472,325 $2,460,673 $2,011,652 $0

62 BEHAVIORAL HEALTH 7,037 $2,976,450 $1,637,643 $1,338,807 $0

63 REMEDIAL SERVICES 491 $753,037 $414,321 $338,716 $0

64 HABILITATION SERVICES 5,044 $29,593,551 $16,282,372 $13,311,179 $0

67 ASSERTIVE COMMUNITY TREATMENT 56 $205,752 $113,205 $92,547 $0

69 INDEPENDENT SPEECH PATHOLOGIST 27 $19,502 $10,730 $8,772 $0

71 HEALTH HOME PROV 5,928 $1,325,758 $729,432 $596,326 $0

72 PUBLIC HEALTH AGENCIES 532 $24,933 $13,718 $11,215 $0

73 SPMI SED PROVIDER 15,050 $16,104,784 $8,860,852 $7,243,932 $0

74 IHAWP HMO PROVIDER 1,360 $66,578 $36,631 $29,947 $0

75 IHAWP QHP PROVIDER 8,755 $832,066 $457,803 $374,263 $0

76 ACCOUNTABLE CARE ORGANIZATIONS 21,171 $336,285 $185,024 $151,261 $0

99 WAIVER 24,957 $484,431,725 $266,534,335 $217,897,390 $0

TOTAL $2,150,862,744 $1,183,404,682 $967,458,062 $0

Notes

-The Mental Health Substance Abuse Plan (Provider Type 53 - Iowa Plan payments) is not a mandatory or optional service. Rather, the Iowa Plan contractor acts as a payer of Medicaid services. Based on

the distribution of expenditures for the population covered, it is estimated that 67% of adult expenditures paid through the Iowa Plan are for optional services.

Expenditures

-The above data is based on the provider type rendering treatment rather than the provider type paid for the service.

-Non-recipient payments such as disproportionate share hospital (DSH) payments and graduate medical education payments are excluded.

-The State Resource Center appropriations, rather than the Medical Assistance appropriation, fund the majority of the state share of Provider Type 25.

-The State Mental Health Institute appropriations finance a portion of the state share for provider types 41 and 52.

-The Health Maintenance Organization (Provider Type 24) includes the state's three managed care entities. This is not a mandatory or optional service; rather, this provider type acts as a payer of

Medicaid services. Based on the distribution of expenditures for all other covered populations, it is estimated that 77% of expenditures paid through this provider type are for optional services.

-The Qualified Health Plan (Provider Type 75) is not a mandatory or optional service. Rather, the Qualified Health Plans acts as a payer of Medicaid services for Marketplace Choice Plan members. All

Dental Wellness Plan payments were assigned as an optional service. Based on the distribution of expenditures for the population covered, it is estimated that 79% of expenditures paid through the QHP

are for optional services.

SFY16 Payments

Iowa Department of Human ServicesOptional Services Analysis

Adults Only (Age 21 and Over)Actual SFY16 Expenditures

Traditional Medicaid and Iowa Health and Wellness Plan Not Newly Eligible

Source: Iowa Department of Human Services

173

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Federal State

SFY16 Match Rate 100.00% 0.00%

Provider

Type Provider Description Recipients

Total Federal State Funds County/Other

04 DENTIST 2,534 $617,359 $617,359 $0 $0

05 PODIATRIST 5,342 $1,476,949 $1,476,949 $0 $0

06 OPTOMETRIST 21,189 $2,083,432 $2,083,432 $0 $0

07 OPTICIAN 1,201 $65,267 $65,267 $0 $0

08 PHARMACY 121,250 $129,141,930 $129,141,930 $0 $0

09 HOME HEALTH AGENCY 1,600 $2,663,198 $2,663,198 $0 $0

11 AMBULANCE 8,966 $2,458,150 $2,458,150 $0 $0

12 MEDICAL SUPPLIES 13,206 $8,569,952 $8,569,952 $0 $0

14 CLINIC 64 $405,145 $405,145 $0 $0

15 PHYSICAL THERAPIST 3,665 $1,925,416 $1,925,416 $0 $0

16 CHIROPRACTOR 14,583 $2,929,678 $2,929,678 $0 $0

17 AUDIOLOGIST 542 $106,751 $106,751 $0 $0

19 REHAB AGENCY 682 $473,087 $473,087 $0 $0

20 INTERMEDIATE CARE FACILITY 399 $1,172,421 $1,172,421 $0 $0

21 COMMUNITY MH 8,384 $2,518,338 $2,518,338 $0 $0

24 HEALTH MAINTENANCE ORGAN 136,565 $43,424,156 $43,424,156 $0 $0

26 MENTAL HOSPITAL 1 $90,380 $90,380 $0 $0

29 PSYCHOLOGIST 692 $190,434 $190,434 $0 $0

30 SCREENING CENTER 24 $724 $724 $0 $0

31 HEARING AID DEALER 24 $22,757 $22,757 $0 $0

32 OCCUPATIONAL THERAPIST 228 $88,123 $88,123 $0 $0

34 ORTHOPEDIC SHOE DEALER 1 ($356) ($356) $0 $0

35 MATERNAL HEALTH CENTER 331 $56,175 $56,175 $0 $0

36 AMBULATORY SURGICAL CENTER 3,349 $2,289,646 $2,289,646 $0 $0

41 PSYCH MEDICAL INST CHILDREN 384 $439,065 $439,065 $0 $0

42 MEP CASE MANAGER 37 $50,829 $50,829 $0 $0

45 HOSPICE 205 $805,551 $805,551 $0 $0

47 HIPP 603 $480,870 $480,870 $0 $0

48 CLINICAL SOCIAL WORKER 169 $55,618 $55,618 $0 $0

53 MENT HLTH SUBSTANCE ABUSE PLN 220,164 $21,807,216 $21,807,216 $0 $0

62 BEHAVIORAL HEALTH 6,496 $3,940,788 $3,940,788 $0 $0

63 REMEDIAL SERVICES 412 $312,486 $312,486 $0 $0

64 HABILITATION SERVICES 466 $1,498,840 $1,498,840 $0 $0

67 ASSERTIVE COMMUNITY TREATMENT 6 $18,140 $18,140 $0 $0

69 INDEPENDENT SPEECH PATHOLOGIST 7 $1,117 $1,117 $0 $0

71 HEALTH HOME PROV 803 $137,009 $137,009 $0 $0

72 PUBLIC HEALTH AGENCIES 454 $22,813 $22,813 $0 $0

73 SPMI SED PROVIDER 3,740 $3,195,671 $3,195,671 $0 $0

74 IHAWP HMO PROVIDER 30,917 $2,463,705 $2,463,705 $0 $0

75 IHAWP QHP PROVIDER 194,095 $38,138,175 $38,138,175 $0 $0

76 ACCOUNTABLE CARE ORGANIZATIONS 40,817 $843,329 $843,329 $0 $0

99 WAIVER 10 $40,825 $40,825 $0 $0

TOTAL $277,021,160 $277,021,160 $0 $0

Notes

-The IHAWP Health Maintenance Organization (Provider Type 74) is not a mandatory or optional service. Rather, the HMO acts as a payer of Medicaid services. Based on the

distribution of expenditures for the population covered, it is estimated that 7% of expenditures paid through the HMO are for optional services.

-The Qualified Health Plan (Provider Type 75) is not a mandatory or optional service. Rather, the Qualified Health Plans acts as a payer of Medicaid services for Marketplace

Choice Plan members. All Dental Wellness Plan payments were assigned as an optional service. Based on the distribution of expenditures for the population covered, it is

estimated that 79% of expenditures paid through the QHP are for optional services.

Iowa Department of Human Services

Optional Services Analysis

Adults Only (Age 21 and Over)

Actual SFY16 Expenditures

Iowa Health and Wellness Plan -- Newly Eligible Only

SFY16 Payments

Expenditures

-The above data is based on the provider type rendering treatment rather than the provider type paid for the service.

-Non-recipient payments such as disproportionate share hospital (DSH) payments and graduate medical education payments are excluded.

-The Mental Health Substance Abuse Plan (Provider Type 53 - Iowa Plan payments) is not a mandatory or optional service. Rather, the Iowa Plan contractor acts as a payer of

Medicaid services. Based on the distribution of expenditures for the population covered, it is estimated that 31% of adult expenditures paid through the Iowa Plan are for

optional services.

-The Health Maintenance Organization (Provider Type 24) includes the state's three managed care entities. This is not a mandatory or optional service; rather, this provider type

acts as a payer of Medicaid services. Based on the distribution of expenditures for all other covered populations, it is estimated that 30% of expenditures paid through this

provider type are for optional services.

Source: Iowa Department of Human Services

174

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Provider

Type Provider Description Recipients

Total Federal State Funds County/Other

04 DENTIST 58,240 $23,910,289 $13,433,129 $10,477,160 $0

05 PODIATRIST 24,405 $3,728,095 $2,715,530 $1,012,565 $0

06 OPTOMETRIST 62,313 $5,763,139 $4,108,007 $1,655,132 $0

07 OPTICIAN 9,607 $498,631 $303,704 $194,927 $0

08 PHARMACY 252,995 $273,268,676 $208,440,466 $64,828,211 $0

09 HOME HEALTH AGENCY 17,561 $81,071,627 $45,803,516 $35,268,112 $0

11 AMBULANCE 28,564 $7,786,180 $5,389,632 $2,396,548 $0

12 MEDICAL SUPPLIES 50,637 $39,867,738 $25,789,994 $14,077,744 $0

14 CLINIC 980 $5,456,759 $3,184,543 $2,272,216 $0

15 PHYSICAL THERAPIST 8,211 $3,394,872 $2,733,911 $660,962 $0

16 CHIROPRACTOR 32,686 $5,593,244 $4,395,172 $1,198,072 $0

17 AUDIOLOGIST 4,495 $1,471,336 $857,546 $613,791 $0

19 REHAB AGENCY 1,844 $1,215,430 $881,524 $333,906 $0

20 INTERMEDIATE CARE FACILITY 23,109 $528,481,809 $291,298,046 $237,183,763 $0

21 COMMUNITY MH 24,862 $6,478,646 $4,697,300 $1,781,346 $0

24 HEALTH MAINTENANCE ORGAN 315,578 $466,429,191 $276,161,527 $190,267,665 $0

25 ICF MR STATE 384 $100,378,734 $55,228,379 $45,150,354 $0

26 MENTAL HOSPITAL 33 $4,504,257 $2,518,895 $1,985,362 $0

27 COMMUNITY BASED ICF/MR 1,267 $108,130,982 $59,493,667 $48,637,316 $0

29 PSYCHOLOGIST 4,259 $837,867 $546,652 $291,216 $0

30 SCREENING CENTER 132 $7,728 $4,578 $3,150 $0

31 HEARING AID DEALER 957 $502,616 $286,775 $215,840 $0

32 OCCUPATIONAL THERAPIST 411 $128,383 $110,274 $18,109 $0

34 ORTHOPEDIC SHOE DEALER 24 $3,328 $1,671 $1,657 $0

35 MATERNAL HEALTH CENTER 4,044 $826,182 $479,833 $346,349 $0

36 AMBULATORY SURGICAL CENTER 7,949 $4,278,835 $3,384,098 $894,738 $0

41 PSYCH MEDICAL INST CHILDREN 610 $2,567,953 $1,610,379 $957,574 $0

42 MEP CASE MANAGER 10,508 $24,612,332 $13,564,568 $11,047,764 $0

45 HOSPICE 6,496 $25,643,073 $14,471,155 $11,171,918 $0

47 HIPP 1,390 $1,797,397 $1,205,223 $592,174 $0

48 CLINICAL SOCIAL WORKER 803 $201,347 $135,799 $65,549 $0

52 NURSING FACILITY - MENTAL ILL 122 $4,539,305 $2,497,525 $2,041,779 $0

53 MENT HLTH SUBSTANCE ABUSE PLN 441,191 $91,755,673 $60,292,857 $31,462,816 $0

58 PACE 379 $10,996,604 $6,050,332 $4,946,273 $0

60 INSTITUTIONAL - GENERAL 0 $0 $0 $0 $0

61 OTHER PRACTITIONER - GENERAL 42 $4,472,325 $2,460,673 $2,011,652 $0

62 BEHAVIORAL HEALTH 13,533 $6,917,238 $5,578,431 $1,338,807 $0

63 REMEDIAL SERVICES 903 $1,065,523 $726,807 $338,716 $0

64 HABILITATION SERVICES 5,510 $31,092,391 $17,781,211 $13,311,179 $0

67 ASSERTIVE COMMUNITY TREATMENT 62 $223,891 $131,344 $92,547 $0

69 INDEPENDENT SPEECH PATHOLOGIST 34 $20,619 $11,847 $8,772 $0

71 HEALTH HOME PROV 6,731 $1,462,768 $866,442 $596,326 $0

72 PUBLIC HEALTH AGENCIES 986 $47,745 $36,531 $11,215 $0

73 SPMI SED PROVIDER 18,790 $19,300,456 $12,056,524 $7,243,932 $0

74 IHAWP HMO PROVIDER 32,277 $2,530,284 $2,500,337 $29,947 $0

75 IHAWP QHP PROVIDER 202,850 $38,970,241 $38,595,978 $374,263 $0

76 ACCOUNTABLE CARE ORGANIZATIONS 61,988 $1,179,614 $1,028,353 $151,261 $0

99 WAIVER 24,967 $484,472,550 $266,575,160 $217,897,390 $0

TOTAL $2,427,883,905 $1,460,425,842 $967,458,062 $0

Notes

The Qualified Health Plan (Provider Type 75) is not a mandatory or optional service. Rather, the Qualified Health Plans acts as a payer of Medicaid services for Marketplace Choice Plan

members. All Dental Wellness Plan payments were assigned as an optional seervice. Payments were assigned to the mandatory and optional categories based on the distribution of

expenditures for the population covered.

The Mental Health Substance Abuse Plan (Provider Type 53 - Iowa Plan payments) is not a mandatory or optional service. Rather, the Iowa Plan contractor acts as a payer of Medicaid

services. Payments were assigned to the mandatory and optional categories based on the distribution of expenditures for the population covered.

Expenditures

The above data is based on the provider type rendering treatment rather than the provider type paid for the service.

Non-recipient payments such as disproportionate share hospital (DSH) payments and graduate medical education payments are excluded.

The State Resource Center appropriations, rather than the Medical Assistance appropriation, fund the majority of the state share of Provider Type 25.

The State Mental Health Institute appropriations finance a portion of the state share for provider types 41 and 52.

The Health Maintenance Organization (Provider Type 24) includes the state's three managed care entities. This is not a mandatory or optional service; rather, this provider type acts as a

payer of Medicaid services. Payments were assigned to the mandatory and optional categories based on the distribution of expenditures for the population covered.

The IHAWP Health Maintenance Organization (Provider Type 74) is not a mandatory or optional service. Rather, the HMO acts as a payer of Medicaid services. Payments were assigned to

the mandatory and optional categories based on the distribution of expenditures for the population covered.

SFY16 Payments

Iowa Department of Human Services

Optional Services Analysis

Adults Only (Age 21 and Over)

Actual SFY16 Expenditures

Traditional Medicaid and Iowa Health and Wellness Plan

Source: Iowa Department of Human Services

175

Page 176: Program and Budget - Iowa

286

200

268

186

255

180

252

165

240

154

232

147

0

50

100

150

200

250

300

350Glenwood Woodward

Nu

mb

er o

f Re

sid

en

ts

State Resource CentersNumber of Residents in Facilities

Fiscal Years 2011 - 2016

FISCAL YEAR

2011 2012 2013 2014 2015 2016 2011 2012 2013 2014 2015 2016

$276,0

76

$301,8

94

$288,1

56

$327,5

24

$298,8

76

$335,1

59

$301,7

97

$349,0

93

$313,1

64

$369,7

50

$320,8

21

$374,5

09

$0

$50,000

$100,000

$150,000

$200,000

$250,000

$300,000

$350,000

$400,000Glenwood Woodward

State Resource CentersAnnual Cost per Resident

Fiscal Years 2011 - 2016 (All Funds)

FISCAL YEAR

2011 2012 2013 2014 2015 2016 2011 2012 2013 2014 2015 2016

Source: Iowa Department of Human Services

Source: Iowa Department of Human Services

176

Page 177: Program and Budget - Iowa

59

142

53

127

51

124

32

122

116

114

-

20

40

60

80

100

120

140

160Toledo Eldora

Nu

mb

er o

f Re

sid

en

ts

Juvenile FacilitiesNumber of Residents in Facilities

Fiscal Years 2011 - 2016

FISCAL YEAR

2011 2012 2013 2014 2011 2012 2013 2014 2015 2016

Note: Toledo began closing its facility during Fiscal Year 2014; therefore, there is no data for Toledo

beginning Fiscal Year 2015.

$144,4

66 $94,6

06

$170,8

20

$105,1

12

$190,1

74

$116,6

31

$175,8

13 $

118,5

08

$130,2

59

$130,9

08

$0

$20,000

$40,000

$60,000

$80,000

$100,000

$120,000

$140,000

$160,000

$180,000

$200,000

Juvenile FacilitiesAnnual Cost per Resident

Fiscal Years 2011 - FY 2016 (All Funds)

FISCAL YEAR

2011 2012 2013 2014 2011 2012 2013 2014 2015 2016

Toledo Eldora

Note: Toledo began closing its facility during fiscal year 2014; therefore, there is no data for Toledo beginning fiscal year 2015.

Source: Iowa Department of Human Services

Source: Iowa Department of Human Services

177

Page 178: Program and Budget - Iowa

27

40

59

63

30

32

60

63

29

29

46

60

27 26

50

56

31

22

51

383

4

51

0

10

20

30

40

50

60

70

80

90

100Cherokee Clarinda Independence Mt. Pleasant

Nu

mb

er o

f Re

sid

en

ts

Mental Health FacilitiesNumber of Residents in Facilities

Fiscal Years 2011 - 2016

FISCAL YEAR

11 12 13 14 15 16 11 12 13 14 1511 12 13 14 15 1611 12 13 14 15

Note: Clarinda and Mt. Pleasant facilities were closed beginning Fiscal Year 2016, so there is no data available after Fiscal Year 2015.

$527,4

56

$206,5

41

$345,7

60 $

133,4

56

$525,3

64

$256,9

36

$344,8

81

$134,0

50

$532,7

14

$298,4

04

$509,6

26

$150,6

36

$581,7

52

$303,5

61

$442,4

19

$163,2

87

$530,3

25

$373,1

73

$442,0

89

$214,8

20

$468,5

33

$420,1

78

$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

$700,000Cherokee Clarinda Independence Mt. Pleasant

Mental Health FacilitiesAnnual Cost per Resident

Fiscal Years 2011 - 2016 (All Funds)

FISCAL YEAR

11 12 13 14 15 16 11 12 13 14 1511 12 13 14 15 1611 12 13 14 15

Note: Clarinda and Mt. Pleasant facilities were closed beginning Fiscal Year 2016, so there is no data available after Fiscal Year

Source: Iowa Department of Human Services

Source: Iowa Department of Human Services

178

Page 179: Program and Budget - Iowa

81

91

102

104 98

103

0

20

40

60

80

100

120

Nu

mb

er o

f Re

sid

en

ts

FISCAL YEAR

Civil Commitment Unit for Sexual Offenders (CCUSO)Number of Residents in Facilities

Fiscal Years 2011 - 2016

2011 2012 2013 2014 2015 2016

$89,0

97

$86,8

27

$91,7

35

$90,6

51

$101,2

40

$99,5

52

$75,000

$80,000

$85,000

$90,000

$95,000

$100,000

$105,000

Civil Commitment Unit for Sexual Offenders (CCUSO)Annual Cost per Resident

Fiscal Years 2011 - 2016 (All Funds)

FISCAL YEAR

2011 2012 2013 2014 2015 2016

Source: Iowa Department of Human Services

Source: Iowa Department of Human Services

179

Page 180: Program and Budget - Iowa

66.14%

63.55%

63.61%

61.98%

61.73%

69.29%

72.55%

68.16%

60.71%

59.59%

57.93%

55.54%

54.91%

56.74%

58.48%

0%

10

%

20

%

30

%

40

%

50

%

60

%

70

%

80

%

20

04*

20

05

20

06

20

07

20

08

20

09**

20

10**

20

11**

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Fe

de

ral M

ed

ica

l A

ss

ista

nc

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erc

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tag

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(F

MA

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for

Me

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nc

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y F

ed

era

l F

isc

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ea

r

*FF

Y04

inclu

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alc

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tions p

urs

uant

to t

he J

obs a

nd G

row

th T

ax

Relie

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econcili

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ct

of 2003.

**F

FY

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FY

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clu

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alc

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tions p

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to t

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merican R

ecove

ry a

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ein

vestm

ent

Act

of 2009.

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ep

art

ment

of

Hu

ma

n S

erv

ices

180

Page 181: Program and Budget - Iowa

296,451

296,797

305,941

330,286

361,385

380,749

393,664

401,129

405,704

406,155

416,285

-

-

-

-

-

-

-

-

87,457

122,759

146,385

-

100,0

00

200,0

00

300,0

00

400,0

00

500,0

00

600,0

00

FY

06

FY

07

FY

08

FY

09

FY

10

FY

11

FY

12

FY

13

FY

14*

FY

15

FY

16

Me

dic

aid

En

rollm

en

tF

isc

al Y

ea

rs 2

00

6 -

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16

Iow

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ea

lth

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elln

ess

Pla

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Tra

dit

ion

al

Med

ica

id

* F

iscal

Ye

ar

2014 d

ata

was e

dit

ed

in N

ov

em

be

r 2015 t

o i

nclu

de

th

e Io

wa H

ealt

h a

nd

We

lln

ess P

lan

(IH

AW

P)

pre

su

mp

tiv

e e

lig

ibilit

y p

op

ula

tio

n.

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e IH

AW

P p

op

ula

tio

n i

s a

n a

ve

rag

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ve

r a s

ix-m

on

th p

eri

od

sin

ce

th

e p

rog

ram

be

gan

Jan

uary

1, 2014.

So

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Hu

ma

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erv

ices

181

Page 182: Program and Budget - Iowa

182

Page 183: Program and Budget - Iowa

Correc

tion

al Institutio

nT

ota

l C

ost

Ave

rag

e D

aily

Pop

ula

tio

nC

ost P

er Y

ear

Iow

a S

tate

Pe

nite

ntia

ry43,9

72,6

46

$

735

59,8

27

$

An

am

osa

33,7

67,5

22

$

1,0

04

33,6

33

$

Oakd

ale

60,4

67,2

58

$

962

62,8

56

$

New

ton

27,6

45,5

33

$

1,1

66

23,7

10

$

Mt

Ple

asa

nt

26,4

23,0

19

$

883

29,9

24

$

Rockw

ell

City

10,2

93,4

74

$

494

20,8

37

$

Cla

rin

da

27,8

68,1

07

$

892

31,2

42

$

Mitche

llvill

e22,8

17,0

66

$

689

33,1

16

$

Fort

Dodge

29,8

98,9

63

$

1,2

69

23,5

61

$

Total

283

,15

3,5

88

$

8,09

43

4,9

83

$

Tota

l co

st p

er y

ear

is a

n A

vera

ge C

ost

Departm

ent of C

orrections

Average C

ost per Y

ear per Inm

ate

Fiscal Y

ear 2016 (A

ctual)

by C

orrectional Institution

So

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a D

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me

nt

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Co

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ctio

ns

So

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me

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of

Co

rre

ctio

ns

183

Page 184: Program and Budget - Iowa

$0

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

$70,000

Iowa State Penitentiary

Anamosa

Oakdale

Newton

Mt Pleasant

Rockwell City

Clarinda

Mitchellville

Fort Dodge

$59,827

$33,633

$62,856

$23,710

$29,924

$20,837

$31,242

$33,116

$23,561D

epartm

ent of C

orrections

Average C

ost per Y

ear per Inm

ate B

y Institution

Fiscal Y

ear 2016 (A

ctual)

So

urc

e:

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a D

ep

art

me

nt

of

Co

rre

ctio

ns

184

Page 185: Program and Budget - Iowa

$0$50

$100

$150

$200

$250

$300

$350

$400

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

$230

$246

$274

$281

$252

$257

$273

$278

$287

$288

$290

$294

$69

$73

$79

$84

$77

$78

$81

$83

$87

$90

$91

$91

General Fund (In Millions)

Fiscal Y

ear

Departm

ent of C

orrections

General Fund O

perating B

udgets

Fiscal Y

ears 2006 -2017 (E

stim

ate)

Non-C

BC

CB

C

So

urc

e:

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a D

ep

art

me

nt

of

Co

rre

ctio

ns

185

Page 186: Program and Budget - Iowa

7,6

00

7,8

00

8,0

00

8,2

00

8,4

00

8,6

00

8,8

00

9,0

00

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

8659

8806

8737

8454

8603

8778

8333

8074

8117

8217

8207

Number of Inmates

Fis

ca

l Y

ea

r

Iow

a P

riso

n P

op

ulatio

n

So

urc

e:

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a D

ep

art

me

nt

of

Co

rre

ctio

ns

186

Page 187: Program and Budget - Iowa

Department FY16 Actual FY17 Estimate FY18 Estimate FY19 Estimate

Administration -$ -$

Aging 17,577,284$ 17,116,709$ 16,350,591$ 16,384,384$

Agriculture and Land Stewardship 10,189,300$ 10,896,077$ 10,123,715$ 10,123,715$

Attorney General/DOJ 14,820,635$ 30,451,557$ 27,843,757$ 27,734,757$

Blind 5,524,856$ 5,718,446$ 5,957,500$ 5,957,500$

Commerce

Insurance Division 959,079$ 988,260$ 901,224$ 901,224$

Utilities Division 1,162,756$ 921,655$ 871,655$ 871,655$

Corrections 719,341$ 1,962,346$ 1,962,346$ 1,962,346$

Cultural Affairs 1,648,820$ 1,628,104 1,628,104 1,628,104

Education 513,111,520$ 538,428,619$ 539,299,824$ 539,891,937$

Homeland Security 202,995,775$ 137,498,160$ 137,653,836$ 137,653,836$

Human Rights 70,410,431$ 74,168,989$ 74,618,531$ 74,618,531$

Human Services 3,987,505,095$ 3,934,808,748$ 3,921,440,479$ 3,998,947,689$

Human Services Capitals 25,959,672$ 39,925,327$ 12,854,674$ -$

Inspections and Appeals 12,230,093$ 12,481,171$ 12,481,171$ 12,481,171$

Iowa Civil Rights Commission 1,285,782$ 1,387,663$ 1,434,266$ 1,458,396$

Iowa College Student Aid Comm 4,630,668$ 7,410,005$ 6,963,180$ 6,963,180$

Iowa Communications Network 15,144$ -$ -$ -$

Iowa Economic Development Auth 90,968,657$ 99,274,809$ 99,034,190$ 99,034,190$

Iowa Finance Authority 39,641,652$ 39,641,652$ 39,641,652$ 39,641,652$

Iowa Law Enforcement Academy -$ -$ -$ -$

Iowa Workforce Development 497,274,308$ 468,728,847$ 465,609,204$ 455,806,306$

Judicial Branch 1,642,162$ 1,914,265$ -$ -$

Management 97,236$ -$ -$ -$

Natural Resources 41,084,501$ 42,099,628$ 43,289,628$ 43,289,628$

Natural Resources Capitals 639,044$ -$ -$ -$

Office of Drug Control Policy 4,830,123$ 1,580,304$ 1,580,304$ 1,580,304$

Public Defense 35,914,689$ 39,451,378$ 39,271,594$ 39,271,594$

Public Health 117,489,225$ 127,273,258$ 126,517,863$ 126,517,863$

Public Safety 10,138,410$ 12,084,070$ 11,570,578$ 11,570,578$

Regents 514,876,812$ 489,437,240$ 489,437,240$ 489,437,240$

Secretary of State 15,000$ (144,999)$ 10,000$ 10,000$

Transportation 537,167,540$ 441,406,816$ 441,406,813$ 441,406,813$

Treasurer of State 661,374$ 650,000$ 670,000$ 670,000$

Veterans Affairs 21,453,609$ 21,021,728$ 21,019,728$ 21,019,728$

Veterans Affairs Capitals 6,043,621$ 12,473,284$ 4,441,317$ 1,235,530$

6,790,684,214$ 6,612,684,116$ 6,555,884,964$ 6,608,069,851$

Federal Funds Report

Source: Iowa Department of Management

187

Page 188: Program and Budget - Iowa

Edu

cati

on

-K

12

8.1

4%

Re

gen

ts

7.4

0%

Hu

man

Se

rvic

es

60

.11

%

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%

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6.6

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me

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8.5

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eral

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nd

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ear

20

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imat

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s ar

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vice

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4,73

4,07

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duca

tion

$

538,

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619

Re

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nts

$

48

9,4

37

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ce D

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ent

$

4

68,7

28,8

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ran

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$

44

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188

Page 189: Program and Budget - Iowa

Ge

ne

ral

Fun

d

22

,05

65

3%

Ro

ad F

un

ds

2,5

22

6%

Fed

era

l Fu

nd

s

2,8

28

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er

Fun

ds

14

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73

4%

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mb

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Annual C

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61,9

87

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unds

$

1

65,3

44,0

40

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l F

unds

$

1

84,0

64,9

56

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189

Page 190: Program and Budget - Iowa

Board of R

egents

51%

Judiciary

4%

Other

17%

Transportation

6%C

orrections

9%

Natural R

esources

2%

Hum

an

Services

11%

Pe

rc

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3

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190

Page 191: Program and Budget - Iowa

Iow

a S

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191

Page 192: Program and Budget - Iowa

Reg

en

ts B

uild

ing

s,

$66.9

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vir

on

men

t F

irst

$42.0

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r Q

uality

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192

Page 193: Program and Budget - Iowa

ENVIRONMENT FIRST FUND (FY2018) (In Millions)

Dept. of Agriculture

$13.732%

Dept. of Natural Resources

$28.368%

Distribution by State Department

Total: $42M

REAP

$16 38%

Soil Conservation

$13 31%

Park Maintenance

$614%

Water Quality

$5

12%

Other

$2

5%

Distribution by Function

Total: $42M

Source: Iowa Department of Management

Source: Iowa Department of Management

193

Page 194: Program and Budget - Iowa

$32.4

$28.3

$32.6

$30.2

$29.8

$29.8

$29.8

$29.6

$27.3

$27.4

$27.8

$22.5

$21.8

$21.6

$15.0

$17.4

$17.3

$13.5

$14.6

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$1

0

$1

5

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0

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5

$3

0

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FY2017

FY2018

FY2019

FY2020

FY2021

FY2022

FY2023

FY2024

FY2025

FY2026

FY2027

FY2028

FY2029

FY2030

FY2031

FY2032

FY2033

FY2034

FY2035

In Millions

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194

Page 195: Program and Budget - Iowa

$0

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195

Page 196: Program and Budget - Iowa

639 608

608

589

569

880

902

938

962

957

0

200

400

600

800

1000

1200

2011 2012 2013 2014 2015

Iowa Veterans HomeAverage Number of Residents and Employees

Avg # Residents Avg # Employees

$112,8

95

$124,2

18

$132,2

00

$134,3

53

$142,9

83

$100

$150

$200

$250

$300

$350

$400

$450

$50,000

$70,000

$90,000

$110,000

$130,000

$150,000

2011 2012 2013 2014 2015

Iowa Veterans HomeAverage Cost Per Resident

Annualized Cost per Resident Avg Daily Cost per Resident

Source: Iowa Veterans Home

Source: Iowa Veterans Home

196