Bills › 91st General Assembly
Relating to and making appropriations to the department of veterans affairs and the department of health and human services, including aging and disability services, behavioral health, public health, and community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; family well-being and protection; state-operated specialty care; administration and compliance; prior appropriations; child welfare and juvenile justice decategorization; commitment or hospitalization of certain persons with mental illness or substance abuse disorders; child abuse prevention; creation of a comprehensive family support program; and repeal of expenditure projections for state child care assistance and adoption subsidy programs; and including effective date and retroactive applicability provisions
Progress
- IntroducedApril 6, 2026
- SubcommitteeApril 7, 2026
- CommitteeApril 8, 2026
- Passed Senate—
- Passed House—
- Signed—
Became SF 2483 → Its progress continues under the new number. Go to SF 2483 What’s a funnel?
What’s in it
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 FY 2026-2027. 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 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.
Read the full explanation
The bill also makes appropriations to HHS from the sports wagering receipts fund, the pharmaceutical settlement account, the quality assurance trust fund, the hospital health care access trust fund, and behavioral health fund. In addition, the bill appropriates to HHS the moneys received by the state under the federal temporary assistance for needy families block grant. _____ The bill includes transfer, cash flow, and nonreversion provisions, emergency rulemaking authority, and reporting requirements. The bill eliminates child welfare and juvenile justice decategorization initiative projects and appropriates carryover funding to HHS and juvenile court services. The bill requires the county to pay the cost of transport to a detention location by the sheriff for certain persons with substance abuse disorders prior to a commitment hearing. The bill eliminates the child abuse prevention program, fund, and advisory committee. A taxpayer may still receive a nonrefundable reduction in the taxpayer’s income taxes for contributing to child abuse prevention, but the moneys received will be administered through the early childhood and family services (ECFS) system instead of the child abuse prevention program fund. Moneys in the child abuse prevention program fund are transferred to the ECFS fund, if created by enactment of 2026 Iowa Acts, House File 2712 or Senate File 2462. The bill creates a comprehensive family support program. The bill repeals the expenditure projections for the state child care assistance and adoption subsidy programs.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Changed since by amendments S-5249, H-8461; see Amendments. Full bill text
Amendments · 2
2 adopted · 0 failed. Newest first.
- S-5249Strike everything · filed May 2, 2026 by Sen. Mark Costello (R)AdoptedReplaces the whole bill with new text.May 2, 2026
- AdoptedMay 1, 2026
History
Meetings
- Thursday, April 16 · 2:00 PMAppropriations committee · RM 103Official meeting page
- Wednesday, April 15 · 9:00 AMAppropriations committee · RM 103Official meeting page
- Tuesday, April 14 · 2:30 PMHealth and Human Services Appropriations Subcommittee committee · RM 103Official meeting page
- Wednesday, April 8 · 1:00 PMAppropriations committee · RM 116Official meeting page
- Tuesday, April 7 · 8:30 AMAppropriations subcommittee · Senate LoungeOfficial meeting page
Votes
No recorded votes yet.
Lobbyist declarations
- Brain Injury Association of IowaFor
- CHILDSERVEFor
- Delta Dental of IowaFor
- EllipsisFor
- Hills and DalesFor
- Iowa Association of Rural Health ClinicsFor
- Iowa Behavioral Health Association (IBHA)For
- Iowa Department of Health and Human ServicesFor
- Iowa Environmental Health AssociationFor
- LeadingAge IowaFor
- Link AssociatesFor
- On With Life, Inc.For
- Rosecrance Health Network and its affiliate Rosecrance Jackson CentersFor
- SafeNetRXFor
- Systems Unlimited, Inc.For
- AARP IowaUndecided
- American Cancer Society Cancer Action Network (ACS CAN)Undecided
- American Legion of IowaUndecided
- Association of Early Childhood Iowa Area Boards and AdvocatesUndecided
- Autism SpeaksUndecided
- CHILDSERVEUndecided
- Cedar Rapids Metro Economic AllianceUndecided
- Central Iowa PhysiciansUndecided
- Common Good IowaUndecided
- Easterseals IowaUndecided
- Elevance Health, and its Affiliates dba Anthem, Inc.Undecided
- EllipsisUndecided
- Family Planning Council of IowaUndecided
- Federation of Iowa InsurersUndecided
- Hills and DalesUndecided
- Iowa Affiliate of the American College of Nurse-MidwivesUndecided
- Iowa Alliance of YMCA'sUndecided
- Iowa Association of Area Agencies on AgingUndecided
- Iowa Association of County Conservation BoardsUndecided
- Iowa Association of Rural Health ClinicsUndecided
- Iowa Behavioral Health Association (IBHA)Undecided
- Iowa Board of RegentsUndecided
- Iowa Catholic ConferenceUndecided
- Iowa Chapter of the National Association of Pediatric Nurse PractitionersUndecided
- Iowa Chapter-American Academy of PediatricsUndecided
- Iowa Economic Development AuthorityUndecided
- Iowa Finance AuthorityUndecided
- Iowa Hospital AssociationUndecided
- Iowa Judicial Branch - Supreme CourtUndecided
- Iowa Library Association (ILA)Undecided
- Iowa Medical SocietyUndecided
- Iowa Mental Health AdvocacyUndecided
- Iowa Nurse Practitioners SocietyUndecided
- Iowa Nurses AssociationUndecided
- Iowa Primary Care AssociationUndecided
- Iowa Prosthetics, Orthotics, Pedorthotics AssociationUndecided
- Iowa Psychological AssociationUndecided
- Iowa Public Transit Association (IPT)Undecided
- Iowa RSVP Directors AssociationUndecided
- Iowa State Association of CountiesUndecided
- Iowa State Association of County SupervisorsUndecided
- Iowa Total Care, A Subsidiary of Centene CorporationUndecided
- Juvenile Detention Coalition of IowaUndecided
- League of Women Voters of IowaUndecided
- Link AssociatesUndecided
- Lutheran Services in IA, Inc.Undecided
- Mental Health AmericaUndecided
- Molina Healthcare, Inc.Undecided
- On With Life, Inc.Undecided
- Polk County - Board of SupervisorsUndecided
- Refugee & Immigrant Voices in Action (RIVA)Undecided
- Rheumatology Association of IowaUndecided
- Rosecrance Health Network and its affiliate Rosecrance Jackson CentersUndecided
- Save the Children Action NetworkUndecided
- Systems Unlimited, Inc.Undecided
- Tanager PlaceUndecided
- Urban County CoalitionUndecided
- Wellmark, Inc.Undecided
Grouped by organization. Lobbying overview →