# Iowa SF 641: A bill for an act relating to matters under the purview of the department of health and human services, including administrative services organizations, child foster care, child and dependent adult abuse, internal audit and examination information, and the region incentive fund in the mental health and disability services regional service fund, health maintenance organization’s premium tax, and making appropriations and including effective date and retroactive applicability provisions. (Formerly SF 620, SF 582, SSB 1171.) Effective date: 06/06/2025, 07/01/2025. Applicability date: 01/01/2024, 07/01/2024. Iowa SF 641, A bill for an act relating to matters under the purview of the department of health and human services, including administrative services organizations, child foster care, child and dependent adult abuse, internal audit and examination information, and the region incentive fund in the mental health and disability services regional service fund, health maintenance organization’s premium tax, and making appropriations and including effective date and retroactive applicability provisions. (Formerly SF 620, SF 582, SSB 1171.) Effective date: 06/06/2025, 07/01/2025. Applicability date: 01/01/2024, 07/01/2024., is a 91st General Assembly (2025–2026) Senate bill sponsored by COMMITTEE ON APPROPRIATIONS; status signed, last action 2025-06-06 (Signed by Governor.); PRIA reads it as touching household money (as of 2026-10-18). - Canonical: https://policyrisk.com/state-bill/IA-SF641-2025-2026 - As of: 2026-10-18 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Iowa SF 641 - State: Iowa - Session: 91st General Assembly (2025–2026) - Title: A bill for an act relating to matters under the purview of the department of health and human services, including administrative services organizations, child foster care, child and dependent adult abuse, internal audit and examination information, and the region incentive fund in the mental health and disability services regional service fund, health maintenance organization’s premium tax, and making appropriations and including effective date and retroactive applicability provisions. (Formerly SF 620, SF 582, SSB 1171.) Effective date: 06/06/2025, 07/01/2025. Applicability date: 01/01/2024, 07/01/2024. - Status: signed - Chamber: Senate - Introduced: 2025-04-23 - Last action: 2025-06-06, Signed by Governor. - Sponsor: COMMITTEE ON APPROPRIATIONS - Cosponsors: 0 - Touches household money: yes - Roll calls: 2 (139 yes, 0 no in all) - Economic provisions PRIA read: 22 ## Summary No summary available. ## Bill overview: provisions PRIA read - More kinship options after age 18: benefit, medium. Eligible young adults can continue foster care with an approved kinship caregiver in Iowa. This adds to placements with individually licensed caregivers or in supervised apartments. It covers people who voluntarily remain in care after reaching 18. It also covers people who aged out after 18 and la… - Fewer licensing barriers for foster families: benefit, low. Department rules must encourage foster family homes and exempt them from requirements that do not fit those homes. The department cannot regulate individual licensees or approved kinship caregivers through listed food, social, activity, behavior-management, and education-program rules. Department e… - Foster caregivers gain information and planning rights: benefit, low. Placement agreements must explain caregiver rights and duties, provide known risks before placement, and allow reports unless law bars access. Caregivers get regular case-manager meetings, timely planning and review notices, and consideration of their medical and education input. Approved kinship c… - Stronger protections against dependent adult exploitation: benefit, low. Exploitation includes fraudulent, illegal, unauthorized, or improper attempts or acts by caretakers or fiduciaries involving a dependent adult’s resources without informed consent. It covers using physical or financial resources for personal gain or depriving the adult of their use. With probable c… - Hospitalized patients get stronger advocate independence: benefit, low. Court-appointed advocates represent involuntarily hospitalized patients on hospitalization and treatment matters. Officers and employees of administrative services organizations or disability access points cannot serve in this role. Advocates must have prior experience advocating for people with me… - School and health safeguards for foster children: benefit, low. Department rules must ensure licensed and approved kinship caregivers receive health records and known health information at or before placement. The rules must provide ways to obtain missing records or specific health information requested by the caregiver. Children with approved kinship caregiver… - Retirement rules change for health-system workers: benefit, low. The law adds administrative services organization employees to a category under Iowa public retirement law. The supplied text does not explain the exact resulting retirement eligibility or benefit amount. - More community groups can seek prevention grants: benefit, low. Community-based entities can apply for and receive funds for eligible child and dependent adult abuse prevention projects. Eligibility extends beyond the volunteer coalitions and councils named in the prior law. The provision does not set a grant amount. - Funding supports behavioral health care transitions: benefit, low. Effective June 6, 2025, the law provides transition funding for July 1, 2024, through June 30, 2025. It appropriates the amount needed from the region incentive fund to maintain care and fund administrative services organizations. These organizations must use distributions for duties in the behavio… - Specialized foster services gain flexible funding contracts: benefit, low. Iowa Health and Human Services can fund enhanced foster services through extra per-day or performance-based contracts. Qualifying facilities must serve children who otherwise face placement in a state juvenile institution or an out-of-state program. These facilities need not hold a foster-care lice… - Tax category expands for foster-care facilities: benefit, low. The law adds qualifying foster-care residential facilities to a residential-facility tax category. An Iowa HHS-licensed agency must provide the child foster care under the state's foster-care law. The supplied provision gives no tax rate or dollar amount, so any savings cannot be calculated. - Kinship caregivers need registration for child care: cost, low. Approved kinship caregivers must register as child development home providers to provide child care. The provision does not state a registration fee. - Public access to health department audits narrows: cost, low. Beginning June 6, 2025, Iowa Health and Human Services internal audit and examination information is confidential. This includes misconduct allegations, noncompliance information, and audit working papers. The state auditor may disclose shared information only with the director’s written permission… - Kinship foster care gains recognition and rules: mixed, medium. Placement efforts must consider relatives and close non-relatives, called fictive kin, without guaranteeing placement with a particular person. Their care counts as foster care when they are licensed or approved and the child is under department placement, care, or supervision. Kinship caregivers m… - Stronger screening for foster and residential caregivers: mixed, medium. Foster applicants, including kinship applicants, must complete criminal, child-abuse, and fingerprint checks, as must covered agency workers and facility residents. Specified felonies bar applicants; drug-related felonies are disqualifying when committed within five years before applying. Provision… - Faster kinship approval changes support rules: mixed, medium. Relatives and fictive kin can seek faster Iowa HHS approval for a child placed with them by court order. Relatives include people related within the fourth degree by blood, marriage, or adoption. Approved caregivers may receive maximum available financial support, information, and resources; no dol… - Caregivers gain authority with cultural duties: mixed, low. Licensed and approved kinship caregivers receive authority to decide appropriate activities using the reasonable and prudent parent standard. Kinship caregivers have civil and criminal immunity when applying that standard reasonably and in good faith. Caregivers must make reasonable efforts to main… - Foster placement changes require notice both ways: mixed, low. Approved kinship caregivers get written reasons at least 10 days before department removal of a child. Exceptions cover health or safety threats, court orders, unauthorized absence, moves to a biological parent or legal guardian, and caregiver abuse or neglect allegations. Licensed and approved kin… - Foster privacy rules allow targeted care sharing: mixed, low. Confidentiality rules cover department information about foster children, relatives, fictive kin, guardians, licensed caregivers, their employees, and approved kinship caregivers. Disclosure remains limited to uses allowed or required by law. The department or its agent may share relevant confident… - Abuse records stay private with targeted access: mixed, low. Child and dependent adult abuse information is confidential, not a public record, except for disclosures specifically allowed by law. Department contractors and registry or department staff can receive dependent adult abuse information when needed for official duties. Administrators of covered faci… - Providers face broader abuse reporting duties: mixed, low. Child foster-care facility employees and operators must report child abuse, regardless of whether the facility is licensed or approved. Providers covered by the specified Medicaid requirements must share information with Iowa Health and Human Services when needed for abuse response. That duty cover… - Premium tax changes for Medicaid insurers: mixed, low. Health maintenance organizations contracting with Iowa HHS to administer Medicaid pay a revised tax on certain taxable premiums. The law replaces the fixed 2.5% rate with the applicable percentage set elsewhere in state tax law. The supplied provision does not state that percentage, so it does not… ## Sponsors and cosponsors - Sponsor: COMMITTEE ON APPROPRIATIONS ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-13 | House | Passed House | pass | 91 | 0 | | | 2025-04-29 | Senate | Passed Senate | pass | 48 | 0 | | ## Actions (17) - 2025-06-06: Signed by Governor. (Senate) - 2025-05-23: Reported correctly enrolled, signed by President and Speaker, and sent to Governor. (Senate) - 2025-05-20: Explanation of vote. (House) - 2025-05-14: NOBA: Final (legislature) - 2025-05-13: Message from House. (Senate) - 2025-05-13: Immediate message. (House) - 2025-05-13: Passed House, yeas 91, nays 0. (House) - 2025-05-13: Substituted for HF 1042. (House) - 2025-05-12: Read first time, passed on file. (House) - 2025-04-30: Message from Senate. (House) - 2025-04-29: NOBA: Senate Floor (Senate) - 2025-04-29: Immediate message. (Senate) - 2025-04-29: Passed Senate, yeas 48, nays 0. (Senate) - 2025-04-29: Amendment S-3140 filed, adopted. (Senate) - 2025-04-28: NOBA: Senate Full Approps (Senate) - 2025-04-23: Committee report, approving bill. (Senate) - 2025-04-23: Introduced, placed on Appropriations calendar. (Senate) ## Bill text - As Introduced: [PDF](https://www.legis.iowa.gov/docs/publications/LGI/91/SF641.pdf) - Enrolled: [PDF](https://www.legis.iowa.gov/docs/publications/LGE/91/SF641.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/SF641.pdf) - [Enrolled (PDF)](https://www.legis.iowa.gov/docs/publications/LGE/91/SF641.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-SF641-2025-2026 (as of 2026-10-18).