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Bills › 91st General Assembly

HF 2468Renumbered as HF 2743 · March 20, 2026

Creating the Iowa rural health transformation fund and making appropriations

Sponsored by the House Health and Human Services Committee

Topics:State budgetHealth care

Same legislation: HSB 619, HF 2743

Also covers HSB 619 and HF 2743.

Official bill pageLobbyist declarations

Progress

  1. Introduced
    January 26, 2026
  2. Subcommittee
    February 4, 2026
  3. Committee
    February 12, 2026
  4. Passed House
    —
  5. Passed Senate
    —
  6. Signed
    —

Became HF 2468 → Its progress continues under the new number. Go to HF 2468 What’s a funnel?

What’s in it

This bill creates the Iowa rural health transformation fund (fund) under the control of the department of health and human services (HHS) consisting of moneys received from the federal rural health transformation program (RHTP). The moneys in the fund are appropriated to HHS for use in accordance with the requirements set forth for the program in the One Big Beautiful Bill Act (OBBBA). Moneys appropriated to the fund are not subject to reversion and any interest or earnings on moneys in the fund are to be credited to the fund.

Read the full explanation

For so long as moneys are expended from the fund, HHS is required to report to the general assembly every fiscal quarter expenditures from the fund for the preceding fiscal quarter, including identifying by city where within the state moneys have been expended. HHS shall transmit a copy of all financial and performance reports submitted to the center for Medicare and Medicaid services of the United States department of health and human services for RHTP pursuant to OBBBA. The bill is repealed October 1, 2032.

From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text

History

All 16 actions
2026 session · second year of the 91st General Assembly
April 2, 2026
Withdrawn. H.J. 805. Journal
March 20, 2026
Committee report approving bill, renumbered as HF 2743.
March 18, 2026
Committee vote: Yeas, 23. Nays, 0. Excused, 2. H.J. 702. Journal
March 18, 2026
Committee report, recommending passage. H.J. 702. Journal
March 2, 2026
Subcommittee recommends amendment and passage.
February 24, 2026
Subcommittee: Meyer, A., Matson and Wilz, H. H.J. 413. Journal
February 16, 2026
Introduced, referred to Appropriations. H.J. 294. Journal
February 16, 2026
As HSB 619: Committee report approving bill, renumbered as HF 2468.
February 12, 2026
As HSB 619: Committee vote: Yeas, 14. Nays, 6. Excused, 1. H.J. 283. Journal
February 12, 2026
As HSB 619: Committee report, recommending passage. H.J. 283. Journal
February 4, 2026
As HSB 619: Subcommittee recommends passage.
January 29, 2026
As HSB 619: Subcommittee reassigned: Harris, Brown-Powers and Wilz, H. H.J. 178. Journal
January 26, 2026
As HSB 619: Subcommittee: Harris, Johnson, R. and Wilz, H. H.J. 154. Journal
January 26, 2026
As HSB 619: Introduced, referred to Health and Human Services. H.J. 152. Journal

Meetings

Votes

Committee · March 18, 202623–0
Committee · February 12, 202614–6

Select a floor vote to see how each legislator voted.

Lobbyist declarations

For · 4Against · 0Undecided · 29

Grouped by organization. Lobbying overview →