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

HF 74: Relating to the maximum annual services caps for specified services under certain Medicaid home and community-based services waivers

Became HF 275 · Its progress continues under the new number.

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.

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.

House subcommittee · named January 23, 2023

Rep. Barb Kniff McCulla (R) · barb.kniffmcculla@legis.iowa.gov
Rep. John Forbes (D)
Rep. Thomas Jay Moore (R) · tom.moore@legis.iowa.gov

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

January 20, 2023Filed in the House and sent to the Health and Human Services committee
January 23, 2023House subcommittee named: Kniff McCulla, Forbes, Moore and T
January 26, 2023Subcommittee recommended passing it
February 9, 2023Approved by the House committee
February 13, 2023Approved by the House committee, and given a new number: HF 275