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IA HSB342

IA HSB342
A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; reimbursement rates; family well-being and protection; state-operated specialty care, administratio


summary

Introduced
04/30/2025
In Committee
04/30/2025
Crossed Over
Passed
Dead
05/03/2026

Introduced Session

91st General Assembly

Bill Summary

This bill makes appropriations from the general fund of the state to the department of veterans affairs and to the department of health and human services (HHS) for fiscal year 2025-2026. The appropriations from the general fund of the state to the department of veterans affairs include appropriations for administration, the Iowa veterans home, and the home ownership assistance program. The appropriations from the general fund of the state to HHS include appropriations H.F. _____ for aging and disability services; behavioral health; public health; community access and eligibility including for child support services; the medical assistance program, state supplementary assistance, the healthy and well kids in Iowa (Hawki) program, and other specified health-related programs including health program operations; reimbursement rates; family well-being and protection including state child care assistance, early intervention and supports, and child protective services; state-operated specialty care; and administration and compliance. The bill also makes appropriations to HHS from the sports wagering receipts fund, the pharmaceutical settlement account, the quality assurance trust fund, and the hospital health care access trust fund. The bill transfers money from the beer and liquor control fund to the behavioral health fund. The bill requires HHS to develop a reimbursement methodology proposal for reimbursement of nursing facilities under the medical assistance program. The bill limits how moneys appropriated to the early childhood Iowa fund shall be used by HHS. The bill repeals the autism support program, requires the Hawki program to cover applied behavior analysis services for the treatment of autism spectrum disorder, and transfers any unencumbered and unobligated moneys remaining in the autism support fund to the Hawki trust fund upon the repeal of the autism support program. The bill allows an assistant or an advanced registered nurse practitioner to testify in an involuntary commitment hearing for a substance abuse disorder or a serious mental impairment. The bill requires a facility or a hospital treating an involuntarily committed person to perform certain actions prior to the discharge of the person, and the referred administrative services organization to coordinate the discharged person’s care and provide quarterly reports to HHS. H.F. _____ The bill amends the definition of “resident of Iowa” in 2025 Iowa Acts, House File 516. The bill amends how moneys in the juvenile detention home fund are allocated under Code section 232.142(6)(b). The bill requires HHS to submit documentation to the federal centers for Medicare and Medicaid services for approval to administer a hospital directed payment program. Upon receipt of approval, the bill permits HHS to administer a hospital directed payment program. HHS may impose an assessment on a hospital. The bill includes transfer, cash flow, and nonreversion provisions, emergency rulemaking authority, and reporting requirements.

AI Summary

This bill appropriates funds from the general fund and other sources to the Department of Veterans Affairs and the Department of Health and Human Services for the fiscal years beginning July 1, 2025, and ending June 30, 2026. * **Department of Veterans Affairs:** * Administration: $1,619,205 (General Fund) * Iowa Veterans Home: $8,234,502 (General Fund) * Home Ownership Assistance Program: $2,200,000 (General Fund) * Veterans Service Organization Grant Fund: $250,000 (General Fund) * **Department of Health and Human Services (HHS):** * Aging and Disability Services: $19,208,822 (General Fund) * Behavioral Health: $24,400,114 (General Fund) * Behavioral Health (from Sports Wagering Receipts Fund): $1,750,000 * Public Health: $21,037,821 (General Fund) * Community Access and Eligibility: $68,043,944 (General Fund) * Child Support Services: $15,434,282 (General Fund) * Temporary Assistance for Needy Families (TANF) Block Grant: $35,421,837 (Federal TANF Funds) * Medical Assistance Program, State Supplementary Assistance, and Healthy and Well Kids in Iowa (Hawki) Program: $1,899,238,628 (General Fund) * Health Program Operations: $39,652,231 (General Fund) * Pharmaceutical Settlement Account (supplemental health program operations): $234,193 * Quality Assurance Trust Fund (supplemental medical assistance): $111,216,205 * Hospital Health Care Access Trust Fund (supplemental medical assistance): $33,920,554 * State Child Care Assistance: $34,966,931 (General Fund) * Early Intervention and Supports: $36,277,739 (General Fund) * Child Protective Services: $170,398,711 (General Fund) * State-Operated Specialty Care (institutions): $102,343,507 (General Fund) * Accountability, Compliance, and Program Integrity: $21,242,539 (General Fund) The bill also includes provisions for a veterans service organization grant program, a nursing facility reimbursement methodology proposal, a nursing facility bed forecasting formula work group, an increase in the personal needs allowance for nursing facility residents, adjustments to various reimbursement rates for medical assistance providers, and changes related to autism spectrum disorder services. It also allows for the testimony of physician assistants and advanced registered nurse practitioners in involuntary commitment hearings and outlines procedures for the discharge of involuntarily committed persons. Additionally, the bill transfers funds from the beer and liquor control fund to the behavioral health fund and allows for the administration of a hospital directed payment program.

Committee Categories

Budget and Finance

Sponsors (0)

No sponsors listed

Other Sponsors (1)

Appropriations (House)

Last Action

Committee report approving bill, renumbered as HF 1049. (on 05/12/2025)

bill text


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bill summary

Document Type Source Location Created
State Bill Page https://www.legis.iowa.gov/legislation/BillBook?ga=91&ba=HSB342 04/30/2025
Fiscal Note/Analysis - NOBA: House Sub https://www.legis.iowa.gov/docs/publications/NOBA/1526994.pdf 05/03/2025
BillText https://www.legis.iowa.gov/docs/publications/LGI/91/attachments/HSB342.html 04/30/2025
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