# Iowa HF 1049: A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions. (Formerly HSB 342.) Effective date: 06/11/2025, 07/01/2025. Applicability date: 07/01/2024. Iowa HF 1049, A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions. (Formerly HSB 342.) Effective date: 06/11/2025, 07/01/2025. Applicability date: 07/01/2024., is a 91st General Assembly (2025–2026) House bill sponsored by COMMITTEE ON APPROPRIATIONS; status signed, last action 2025-06-27 (Explanations of votes.); PRIA reads it as touching household money (as of 2026-10-18). - Canonical: https://policyrisk.com/state-bill/IA-HF1049-2025-2026 - As of: 2026-10-18 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Iowa HF 1049 - State: Iowa - Session: 91st General Assembly (2025–2026) - Title: A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions. (Formerly HSB 342.) Effective date: 06/11/2025, 07/01/2025. Applicability date: 07/01/2024. - Status: signed - Chamber: House - Introduced: 2025-05-12 - Last action: 2025-06-27, Explanations of votes. - Sponsor: COMMITTEE ON APPROPRIATIONS - Cosponsors: 0 - Touches household money: yes - Roll calls: 3 (124 yes, 104 no in all) - Economic provisions PRIA read: 43 ## Summary No summary available. ## Bill overview: provisions PRIA read - Funding helps families pay for child care: benefit, medium. From July 1, 2025, through June 30, 2026, Iowa provides $34.98 million for state child care assistance. The law also provides $47.17 million in federal Temporary Assistance for Needy Families funds for child care assistance. It allows up to 53 full-time-equivalent staff positions for the state-fund… - Higher adoption subsidies for eligible families: benefit, medium. For July 1, 2025, through June 30, 2026, Iowa provides about $39.824 million for adoption payments and related costs. This includes $148,232 to raise subsidies for eligible children adopted after July 1, 2025. The law does not state the increase per child. Remaining designated savings can support p… - More community support for disabled people: benefit, medium. For July 1, 2025, through June 30, 2026, Iowa sets aside $3.05 million to expand community-based service capacity. Services include employment support, hourly supported community living, respite, and day programs. Another $33,632 supports community training and coordination under the Conner v. Bran… - Funding for foster and adoptive families: benefit, medium. For July 2025 through June 2026, Iowa provides about $165.56 million for child, family, and adoption services, plus $65.36 million in TANF funds for child protection. Services include foster care, shelters, residential treatment, supervised apartments, and medical assistance costs, with up to 977 f… - Funding keeps state specialty care running: benefit, medium. For fiscal year 2025–2026, Iowa provides $102.34 million for state-operated specialty care and allows up to 756 full-time-equivalent staff positions. Funding covers the Cherokee and Independence mental health institutes and Cherokee’s civil commitment unit. It also covers the Woodward and Glenwood… - Free radon tests for Iowa households: benefit, low. Iowa provides $20,000 for free radon test kits for homeowners and renters. The department provides an online link to order the kits. The funding covers July 1, 2025, through June 30, 2026. - Care residents keep more personal money: benefit, low. Beginning July 1, 2025, the monthly personal needs allowance rises from $50 to $55. It covers residents of nursing facilities, intermediate care facilities for intellectual disability or mental illness, and psychiatric medical institutions for children. Residents with monthly income below $55 recei… - Developmental screening expands for young children: benefit, low. For July 1, 2025, through June 30, 2026, Iowa provides about $3.08 million for developmental screening during children's first five years. Current participating counties must become fully operational before funds support expansion to additional counties. The money also supports clinical consultatio… - Homebuying help continues for eligible veterans: benefit, low. Iowa transfers $2.2 million to the Iowa Finance Authority to continue homeownership assistance for July 1, 2025, through June 30, 2026. The program serves eligible current and former armed forces members and other eligible service members under Iowa law. The law does not state how much help each pe… - Child support and visitation services funded: benefit, low. For July 1, 2025, through June 30, 2026, Iowa provides about $15.64 million for child support services. Federal access and visitation grants fund services that help families follow court-ordered child access arrangements. Supported services include neutral visitation sites and mediation. These prov… - Grants support child protection center services: benefit, low. For fiscal year 2025–2026, Iowa provides $1.66 million for child protection center grants. Each Iowa center receives a $245,000 base grant. Remaining money is divided based on the number of children served. Eligible grantees developing and maintaining satellite centers in underserved regions may re… - Higher payments for children's care providers: benefit, low. For July 1, 2025, through June 30, 2026, Iowa funds higher payments for foster, residential treatment, and shelter care. Foster care rate increases get $308,765 and cannot exceed the existing legal maximum. Qualified residential treatment programs get about $3.246 million for rate increases; shelte… - Support for abused and foster children: benefit, low. For July 2025 through June 2026, Iowa provides about $2.60 million for foster care review and court-appointed special advocates. Up to $227,000 continues a nonprofit project serving child abuse victims and nonoffending family members. The project must serve multiple locations in southwest Iowa and… - Volunteer programs gain funding and carryover: benefit, low. For July 2025 through June 2026, Iowa allocates about $1.15 million to the Iowa Commission on Volunteer Service. The money supports programs and grants. Qualifying uncommitted 2025–2026 general fund money for these purposes remains available in later fiscal years instead of expiring. - Emergency poison information services receive funding: benefit, low. For July 1, 2025, through June 30, 2026, Iowa allocates $750,000 to a nonprofit providing emergency poison information and treatment access. Any federal matching funds follow the applicable 10% federal administrative cap and count toward the department's cap calculations. The allocation funds a saf… - Funding for family planning and pregnancy prevention: benefit, low. For fiscal year 2025–2026, Iowa sets aside $3.38 million for state family planning administration, outreach, and enrollment. Administrative expenses are capped at $200,000. The law also provides $1.91 million in federal Temporary Assistance for Needy Families funds for pregnancy prevention, provide… - Funding helps residents access public benefits: benefit, low. For fiscal year 2025–2026, Iowa provides $68.54 million for community access and eligibility services. Another $12.99 million comes from federal Temporary Assistance for Needy Families funds. The funding supports Family Investment Program assistance, employment programs, family planning, rent reimb… - Funding supports addiction and behavioral health care: benefit, low. For fiscal year 2025–2026, Iowa provides $24.44 million for behavioral health prevention, treatment, and recovery, including a 24-hour helpline. Activities must follow accepted best practices. This includes $300,000 for children’s evidence-based behavioral health services and $950,000 for an integr… - Funding supports aging and disability services: benefit, low. For fiscal year 2025–2026, Iowa provides $19.21 million for aging and disability services. Services include case management for people age 60 and older, resource centers, help returning to community living, and abuse prevention and response. Within this amount, $949,282 supports family support cent… - Funding supports disease prevention and public health: benefit, low. For fiscal year 2025–2026, Iowa provides $22.43 million for public health programs. The money supports disease tracking and investigations, chronic condition services, and the Iowa donor registry. It also supports health care delivery and workforce efforts. This funding supports programs rather tha… - Funding supports early childhood and family services: benefit, low. For fiscal year 2025–2026, Iowa provides $35.30 million for programs serving children from birth through age 21 and their families. This includes up to $734,000 for HOPES-HFI, $4.31 million for Family Development and Self-Sufficiency, and $29.26 million for Early Childhood Iowa. No more than 5% of… - Funding supports family assistance program improvements: benefit, low. For fiscal year 2025–2026, Iowa provides $25 million in federal Temporary Assistance for Needy Families funds for activities meeting the program’s four federal purposes. Work may promote self-sufficiency, address benefit cliffs, support healthy families, and simplify services. Another $3.53 million… - Grants support free clinics and donated medicines: benefit, low. From the public health appropriation, $600,000 goes to the nonprofit that established Iowa’s first statewide drug donation repository. Free clinics and a clinic-support nonprofit receive $374,000, including $40,000 to lower electronic prescribing fees. A rural health clinic advocacy organization re… - Thrive Iowa referral system receives funding: benefit, low. Effective June 11, 2025, Iowa health and human services can use up to $3 million from specified 2024 funds for Thrive Iowa. The money supports development and operation of its closed-loop service referral system. The department must find that the money will remain uncommitted at year-end or that se… - Veterans home and agency operations funded: benefit, low. For July 1, 2025, through June 30, 2026, Iowa provides about $8.15 million for Iowa Veterans Home operations. Another $1.37 million funds Department of Veterans Affairs operations and up to 15 full-time-equivalent positions. These funds support the facility and agency, rather than creating new hous… - Funding for doctors' training in Iowa: benefit, low. For July 1, 2025, through June 30, 2026, Iowa sets aside $600,000 for rural psychiatric residencies. Residents must have been selected by June 30, 2025. Another $2.3 million supports Medicaid graduate medical education and seeks to maximize federal funding. Those efforts must follow the department'… - Alcohol revenue supports behavioral health funding: benefit, low. Effective June 11, 2025, Iowa transfers beer and liquor control fund revenue after the transfer required by existing law. At least 7% of monthly gross sales, and at least $9 million annually, goes to a special revenue account. Of that money, $1 million goes to the Behavioral Health Fund; the remain… - Disability savings plan administration receives funding: benefit, low. Beginning July 1, 2025, Iowa transfers $200,000 to the Iowa ABLE savings plan trust administrative fund. The money supports implementation and administration through June 30, 2026. It does not change who qualifies, account terms, or individual account balances. - Family support funds get longer availability: benefit, low. Beginning July 1, 2025, qualifying uncommitted 2025–2026 FaDSS family support funds remain available through June 30, 2027. This covers both general fund money and federal Temporary Assistance for Needy Families block grant money. Funds must serve their designated purposes. The extension does not c… - Funding keeps health assistance programs operating: benefit, low. For fiscal year 2025–2026, Iowa provides $39.67 million for health program operations, including the autism support program. The law allows up to 82 full-time-equivalent staff positions. Enough money must support administration of the health insurance premium payment program. Another $234,193 from… - Health agency oversight and improvements funded: benefit, low. For July 2025 through June 2026, Iowa provides about $21.90 million for health and human services oversight and program integrity. The appropriation supports no more than 409 full-time-equivalent positions. Effective June 11, 2025, qualifying uncommitted 2024–2025 community access and eligibility f… - Health department gains flexibility to fund services: benefit, low. Beginning July 1, 2025, Iowa’s health department can transfer this law’s appropriations to align programs, maximize federal support under its cost-allocation plan, or administer funded services; it must report transfers to lawmakers. Medicaid savings from ongoing cost-management efforts can cover r… - Higher Medicaid payments for home health: benefit, low. From July 1, 2025, through June 30, 2026, Iowa keeps its Medicaid home health payment method. Rates use Medicare's low-use payment method, called LUPA, with state geographic wage adjustments. The law directs the state to raise rates as far as possible. It does not set a specific increase. - Higher Medicaid payments for selected care: benefit, low. For July 2025 through June 2026, covered Medicaid, state supplementary assistance, and social service rates generally retain June 30, 2025 levels or methods. Negotiated contracts, updated fee schedules, or another part of the law can set different rates or methods. The law allocates about $2.14 mil… - Maternal support funds stay available longer: benefit, low. Effective June 11, 2025, qualifying uncommitted 2024–2025 funds for More Options for Maternal Support remain available through June 30, 2026. The money must serve its designated purposes. This preserves program funding without changing household eligibility or setting individual benefit amounts. - Unused health care funds stay available: benefit, low. Beginning July 1, 2025, qualifying unused 2025–2026 Medicaid funds remain available for Medicaid through June 30, 2027. This covers general fund, quality assurance trust fund, and hospital health care access trust fund appropriations exceeding actual spending and remaining uncommitted. Uncommitted… - Updated nursing home payments and planning: benefit, low. Beginning July 1, 2025, Iowa updates Medicaid nursing facility rates using cost reports for the period ending December 31, 2024. The update must fit available state funding and can use no more than $20 million from the specified Medicaid allocation. Iowa must also develop and implement a nursing fa… - Medicaid limits gender-related care payments: cost, high. Beginning June 11, 2025, Iowa Medicaid cannot use state general funds to reimburse sex reassignment surgery or associated procedures. This includes hormone therapy and medical interventions intended to change sex characteristics related to a gender dysphoria diagnosis. Other services that Medicaid… - Public abortion payments face tight limits: cost, medium. From July 1, 2025, through June 30, 2026, the covered program funds cannot pay for abortions unless the section authorizes payment. The abortion rules also apply to the Iowa Health and Wellness Plan. The governor must approve each abortion reimbursement under Medicaid. - Health contractors and university face spending limits: cost, low. The law caps annual service-cost increases for health program operations contracts first signed from July 1, 2025, through June 30, 2026. Increases cannot exceed the prior calendar year’s increase in the Consumer Price Index for All Urban Consumers. Contracts signed by June 30, 2025, for terms long… - Health coverage funding includes abortion payment limits: mixed, medium. From July 1, 2025, through June 30, 2026, Iowa provides about $1.90 billion for health assistance. This includes $61.27 million for Hawki children’s coverage and supplemental dental services, plus $4.48 million for State Supplementary Assistance. Subject to available funds, Medicaid gets another $1… - Funding caps limit court-ordered child services: mixed, low. For fiscal year 2025–2026, Iowa sets aside $748,000 for court-ordered services for children under health department supervision. District and juvenile courts cannot order covered services charged to the state when this allocation cannot pay for them. The limit applies to services covered by Iowa Co… - New nursing home payment plan required: mixed, low. By April 1, 2026, Iowa’s health department must develop a proposed Medicaid nursing home payment method. It must include a base rate, reimbursement for the quality assurance assessment, and an add-on with fixed-fee and quality-based payments. The department must consult stakeholders, including the… ## Sponsors and cosponsors - Sponsor: COMMITTEE ON APPROPRIATIONS ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-14 | Senate | Passed Senate | pass | 31 | 15 | | | 2025-05-13 | legislature | Motion to suspend rules for immediate consideration of amendment H-1334 | fail | 30 | 61 | | | 2025-05-13 | House | Passed House | pass | 63 | 28 | | ## Actions (23) - 2025-06-27: Explanations of votes. (House) - 2025-06-27: Explanation of vote. (House) - 2025-06-11: Signed by Governor. (House) - 2025-06-03: NOBA: Final (legislature) - 2025-05-22: Reported correctly enrolled, signed by Speaker and President, and sent to Governor. (House) - 2025-05-14: Message from Senate. (House) - 2025-05-14: Immediate message. (Senate) - 2025-05-14: Passed Senate, yeas 31, nays 15. (Senate) - 2025-05-14: Substituted for SF 649. (Senate) - 2025-05-13: Read first time, attached to SF 649. (Senate) - 2025-05-13: Message from House. (Senate) - 2025-05-13: Immediate message. (House) - 2025-05-13: Explanation of vote. (House) - 2025-05-13: Passed House, yeas 63, nays 28. (House) - 2025-05-13: Motion to suspend rules failed. (House) - 2025-05-13: NOBA: House Floor (House) - 2025-05-13: Motion to suspend rules for immediate consideration of amendment H-1334, yeas 30, nays 61. (House) - 2025-05-13: Point of order raised on amendment H-1334, ruled not germane. (House) - 2025-05-13: Amendment H-1334 filed. (House) - 2025-05-13: Point of order raised on amendment H-1333, ruled not germane. (House) - 2025-05-13: Amendment H-1333 filed. (House) - 2025-05-12: NOBA: House Full Approps (House) - 2025-05-12: Introduced, placed on Appropriations calendar. (House) ## Bill text - As Introduced: [PDF](https://www.legis.iowa.gov/docs/publications/LGI/91/HF1049.pdf) - Enrolled: [PDF](https://www.legis.iowa.gov/docs/publications/LGE/91/HF1049.pdf) ## Related bills - HF 2801: A bill for an act modifying the major economic growth attraction program, and including effective date provisions. (Formerly HSB 785.) Effective date: 10/02/20… (signed) - SF 2472: A bill for an act relating to state and local government taxes, fees, financial authority, and budgets, by modifying property assessment provisions, divisions… (signed) - HF 2601: A bill for an act relating to campaign finance, including participation in ballot issue campaigns by foreign nationals and investigations of election misconduc… (signed) - SF 2399: A bill for an act relating to bail and bond amounts and conditions. (Formerly SSB 3162.) Effective date: 07/01/2026. (signed) - SF 2471: A bill for an act relating to fees for lifetime fur harvester licenses. (Formerly SF 2317, SSB 3121.) Effective date: 07/01/2026. (signed) - SF 2299: A bill for an act relating to the district-to-community college sharing or concurrent enrollment program. (Formerly SF 2176.) Vetoed 6-2-26. (vetoed) ## Sources - [As Introduced (PDF)](https://www.legis.iowa.gov/docs/publications/LGI/91/HF1049.pdf) - [Enrolled (PDF)](https://www.legis.iowa.gov/docs/publications/LGE/91/HF1049.pdf) ## Related - [HF 2801: A bill for an act modifying the major economic growth attraction program, and i…](https://policyrisk.com/state-bill/IA-HF2801-2025-2026) - [SF 2472: A bill for an act relating to state and local government taxes, fees, financial…](https://policyrisk.com/state-bill/IA-SF2472-2025-2026) - [HF 2601: A bill for an act relating to campaign finance, including participation in ball…](https://policyrisk.com/state-bill/IA-HF2601-2025-2026) - [SF 2399: A bill for an act relating to bail and bond amounts and conditions. (Formerly S…](https://policyrisk.com/state-bill/IA-SF2399-2025-2026) - [SF 2471: A bill for an act relating to fees for lifetime fur harvester licenses. (Former…](https://policyrisk.com/state-bill/IA-SF2471-2025-2026) - [SF 2299: A bill for an act relating to the district-to-community college sharing or conc…](https://policyrisk.com/state-bill/IA-SF2299-2025-2026) - [Iowa bills](https://policyrisk.com/states/iowa/bills) - [Iowa state hub](https://policyrisk.com/states/iowa) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IA-HF1049-2025-2026 (as of 2026-10-18).