Bill
Bill > HF2641
IA HF2641
IA HF2641A bill for an act relating to the Medicaid home and community-based services elderly waiver program, including transition planning and assisted living services.(Formerly HSB 739.)
summary
Introduced
02/19/2026
02/19/2026
In Committee
Crossed Over
02/26/2026
02/26/2026
Passed
Dead
Introduced Session
91st General Assembly
Bill Summary
This bill relates to the Medicaid home and community-based services elderly waiver program (elderly waiver), including transition planning and assisted living services. The bill directs the department of health and human services (HHS) to adopt rules to allow case managers and care coordination team members to work with a resident of a skilled nursing facility, family members of the resident, and other skilled nursing facility staff to initiate transition planning from the skilled nursing facility to the elderly waiver program prior to the discharge of the resident. HHS must also adopt rules to include adults aged 65 or older who are residents of a nursing facility in the definition of targeted population for purposes of case management services furnished to elderly waiver participants. The bill directs HHS to adopt rules to define “assisted living service” to mean personal care and supportive services that are furnished to waiver participants who reside in a homelike, noninstitutional setting. The service must include 24-hour on-site response capability to meet member needs as well as member safety and security through incidental supervision. Assisted living service is not reimbursable if performed at the same time as any service included in an approved consumer-directed attendant care agreement. The rules must also specify certain billing requirements.
AI Summary
This bill directs the Department of Health and Human Services (HHS) to create rules for the Medicaid home and community-based services elderly waiver program, which helps elderly individuals receive care outside of traditional nursing homes. Specifically, it allows case managers and care teams to begin planning for residents to transition from skilled nursing facilities to the elderly waiver program before they leave, including assessments and service planning for eligible residents. The bill also expands the definition of "targeted population" for case management services to include adults aged 65 and older who are currently in nursing facilities and approved for the elderly waiver program, excluding those in managed care organizations or integrated health homes. Furthermore, it defines "assisted living service" as personal and supportive care provided in a non-institutional, homelike setting, requiring 24-hour on-site response for safety and supervision, and clarifies that these services cannot be billed if provided at the same time as services under a consumer-directed attendant care agreement, while also outlining specific billing requirements based on the member's presence and documented service encounters.
Sponsors (0)
No sponsors listed
Other Sponsors (1)
Health And Human Services (House)
Last Action
Immediate message. H.J. 460. (on 02/26/2026)
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=HF2641 |
| Fiscal Note - Medical Assistance, Elderly Waiver | https://www.legis.iowa.gov/docs/publications/FN/1601471.pdf |
| BillText | https://www.legis.iowa.gov/docs/publications/LGI/91/attachments/HF2641.html |
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