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

SF 75: Relating to certain health facilities including ambulatory surgical centers and rural emergency hospitals, including licensing requirements and fees, providing penalties and making penalties applicable, providing emergency rulemaking authority, and including applicability and effective date provisions

Signed into law

What it does

This bill provides for state licensure of rural emergency hospitals. Under the federal Consolidated Appropriations Act of 2021 (federal Act), rural emergency hospitals (REHs) were established as a new provider type.F. REHs will be eligible to enroll in Medicare and to receive an enhanced reimbursement rate for eligible services consisting of the outpatient prospective payment system rate plus a percent add-on and a fixed monthly payment. In order to be classified as an REH under the federal Act, a facility must meet certain requirements, including applicable state licensing requirements.

Sponsors

Not listed

Cost

No fiscal note

House subcommittee · named February 21, 2023

  • Rep. Brooke Boden (R) · brooke.boden@legis.iowa.gov
  • Rep. Brian Best (R)
  • Rep. John Forbes (D)

Lobbying · 9 for, 1 against

For: Genesis Health System; IA Mental Health Planning Council; Insight Institute of Neurosurgery and Neuroscience; Iowa Association of Rural Health Clinics; Iowa Hospital Association; Iowa Medical Society; Iowa Primary Care Association; MercyOne; UnityPoint Health

Against: Iowa Association of Ambulatory Surgery Centers

In plain words

  1. January 12, 2023Filed in the Senate and sent to the Health and Human Services committee
  2. January 17, 2023Senate subcommittee named: Costello, Evans and Petersen
  3. January 25, 2023Subcommittee recommended passing it
  4. February 6, 2023Approved by the Senate committee
  5. February 15, 2023Passed the Senate, 48–0
  6. February 15, 2023Arrived in the House
  7. February 21, 2023House subcommittee named: Boden, Best and Forbes
  8. February 23, 2023Subcommittee recommended passing it
  9. February 27, 2023Approved by the House committee
  10. March 7, 2023Passed the House, 97–1
  11. March 14, 2023Passed the Senate, 47–0
  12. March 28, 2023Sent to the Governor
  13. March 28, 2023Signed into law

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/SF75