Bill
Bill > HF2264
IA HF2264
IA HF2264A bill for an act relating to the minimum per hour wage provided to home health aides under the Medicaid program, and making an appropriation.
summary
Introduced
02/03/2026
02/03/2026
In Committee
02/03/2026
02/03/2026
Crossed Over
Passed
Dead
Introduced Session
91st General Assembly
Bill Summary
This bill provides that for FY 2026-2027, the department of health and human services (HHS) shall continue to reimburse home health agencies utilizing the Medicare low utilization payment adjustment (LUPA) methodology with state geographic wage adjustments, but shall adjust the labor and adjusted wage rate portions of the LUPA methodology to provide a minimum per hour wage of $15.20 for home health aides. The bill also appropriates a sufficient amount from the general fund of the state to HHS for FY 2026-2027 to provide the minimum hourly rate to home health aides under the Medicaid program as specified in the bill.
AI Summary
This bill mandates that for the fiscal year 2026-2027, the Department of Health and Human Services (HHS) must ensure home health aides working under the Medicaid program receive a minimum hourly wage of $15.20. To achieve this, HHS will continue to use the Medicare low utilization payment adjustment (LUPA) methodology, which is a system for reimbursing home health agencies for short-term care episodes, and will incorporate state geographic wage adjustments. The bill specifically requires adjustments to the labor and adjusted wage rate components of the LUPA methodology to guarantee this minimum pay. Furthermore, the bill appropriates an unspecified but sufficient amount of money from the state's general fund to HHS to cover these increased wage costs for home health aides providing services through the Medicaid program, including those under home and community-based services waiver programs.
Committee Categories
Health and Social Services
Sponsors (14)
Jerome Amos (D)*,
Timi Brown-Powers (D)*,
Ken Croken (D)*,
Lindsay James (D)*,
Rob Johnson (D)*,
Bob Kressig (D)*,
Monica Kurth (D)*,
Elinor Levin (D)*,
Mary Madison (D)*,
Angel Ramirez (D)*,
J.D. Scholten (D)*,
Beth Wessel-Kroeschell (D)*,
Ross Wilburn (D)*,
Elizabeth Wilson (D)*,
Last Action
Introduced, referred to Health and Human Services. H.J. 193. (on 02/03/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.legis.iowa.gov/legislation/BillBook?ga=91&ba=HF2264 |
| BillText | https://www.legis.iowa.gov/docs/publications/LGI/91/attachments/HF2264.html |
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