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90th General Assembly · Funnel one-pager · Monday, November 9, 2026

HF 275: Relating to the maximum annual services caps for specified services under certain Medicaid home and community-based services waivers

Died when the session ended · The 2024 session adjourned on April 19, 2024, the General Assembly’s last regular session. Bills that didn’t pass both chambers died.

What it does

This bill requires the department of health and human services (HHS) to eliminate the lifetime maximum cap and instead establish and maintain a home and vehicle modifications services annual maximum cap per waiver member year for the Medicaid intellectual disability home and community-based services (HCBS) waiver to reflect the same amount as that for the home and vehicle modifications services annual maximum cap for the Medicaid brain injury HCBS waiver. The department shall continue to require that any such modifications are medically necessary and are subject to prior authorization by HHS.

Sponsors

Health and Human Services committee

Cost

See the fiscal note

Total cost increases in FY 2024 and FY 2025 are summarized in Figure 1. State funding sources would be from General Fund appropriations.

Lobbying · 20 for, 0 against

For: Autism Speaks; Brain Injury Alliance of Iowa; CHILDSERVE; Easterseals Iowa; Exceptional Persons, Inc.; Hills and Dales; Hope Haven Area Development Center; IA Mental Health Planning Council; Imagine the Possibilities; Iowa Association of Community Providers; Iowa State Association of Counties; Link Associates; and 8 more

In plain words

  1. February 13, 2023Filed in the House
  2. February 16, 2023Cost estimate (fiscal note) posted

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/90/HF275