Bills › 91st General Assembly
Creating the Iowa rural health transformation fund and making appropriations
Sponsored by the House Appropriations (successor To Hsb 619) Committee
Topics:State budgetHealth care
Progress
- IntroducedMarch 20, 2026
- SubcommitteeApril 7, 2026
- Committee—
- Passed HouseMarch 31, 2026 · 93–0
- Passed Senate—
- Signed—
Died at end of session The General Assembly adjourned on May 3, 2026. Bills that didn’t pass both chambers died. 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 The bill is repealed October 1, 2032.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
Meetings
- Tuesday, April 7 · 2:00 PMAppropriations subcommittee · Senate LoungeOfficial meeting page
- Wednesday, March 18 · 2:30 PMAppropriations committee · RM 103Official meeting page
- Monday, March 16 · 4:15 PMAppropriations committee · RM 103Official meeting page
- Monday, March 2 · 12:45 PMAppropriations subcommittee · RM 103Official meeting page
- Thursday, February 12 · 9:00 AMHealth and Human Services committee · RM 103Official meeting page
- Wednesday, February 4 · 12:00 PMHealth and Human Services subcommittee · RM 305Official meeting page
Votes
Select a floor vote to see how each legislator voted.
Lobbyist declarations
- AARP IowaFor
- Iowa Rural Health AssociationFor
- Iowans for Affordable HealthcareFor
- Blank Childrens HospitalUndecided
- Des Moines UniversityUndecided
- Easterseals IowaUndecided
- Elevance Health, and its Affiliates dba Anthem, Inc.Undecided
- Greater Des Moines PartnershipUndecided
- Iowa Academy of Family PhysiciansUndecided
- Iowa Alliance of YMCA'sUndecided
- Iowa Association of Community ProvidersUndecided
- Iowa Behavioral Health Association (IBHA)Undecided
- Iowa Board of RegentsUndecided
- Iowa Business CouncilUndecided
- Iowa Chamber AllianceUndecided
- Iowa Chapter of the National Association of Pediatric Nurse PractitionersUndecided
- Iowa Department of Health and Human ServicesUndecided
- Iowa Emergency Medical Services AssociationUndecided
- Iowa Independent Physician GroupUndecided
- Iowa Integrated Health Planning and Advisory CouncilUndecided
- Iowa Medical SocietyUndecided
- Iowa Nurse Practitioners SocietyUndecided
- Iowa Pharmacy AssociationUndecided
- Iowa Physician Assistant SocietyUndecided
- Iowa Speech Language Hearing AssociationUndecided
- UnityPoint HealthUndecided
- Wellmark, Inc.Undecided
Grouped by organization. Lobbying overview →