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

Sponsored by the House Appropriations Committee

Topics:State budget Health care Families & human services Medicaid Mental health & addiction

Same legislation: SSB 1237, HSB 342, SF 649

Write your legislators about itWhat changed before it passed

Official bill page Lobbyist declarations One-pager to print

Where it is now

Done: IntroducedApril 30, 2025
Done: SubcommitteeApril 30, 2025
Done: House committeeMay 12, 2025
Done: Passes the HouseMay 13, 202563–28
Skipped: Senate committeeSkipped
Done: Passes the SenateMay 14, 202531–15
Done: To the GovernorMay 22, 2025
Done: Signed into lawJune 11, 2025

Signed into law What’s a funnel?

What’s in it

This bill makes appropriations from the general fund of the state to the department of veterans affairs and to the department of health and human services (HHS) for fiscal year 2025-2026. The appropriations from the general fund of the state to the department of veterans affairs include appropriations for administration, the Iowa veterans home, and the home ownership assistance program. The appropriations from the general fund of the state to HHS include appropriations for aging and disability services; behavioral health; public health; community access and eligibility including for child support services; the medical assistance program, state supplementary assistance, the healthy and well kids in Iowa (Hawki) program, and other specified health-related programs including health program operations; reimbursement rates; family well-being and protection including state child care assistance, early intervention and supports, and child protective services; state-operated specialty care; and administration and compliance.

Read the full explanation

The bill also makes appropriations to HHS from the sports wagering receipts fund, the pharmaceutical settlement account, the quality assurance trust fund, and the hospital health care access trust fund. The bill transfers money from the beer and liquor control fund to the behavioral health fund. The bill requires HHS to develop a reimbursement methodology proposal for reimbursement of nursing facilities under the medical assistance program. The bill prohibits HHS from using moneys appropriated for the medical assistance program to reimburse sex reassignment surgery or associated procedures, including hormone therapy or other medical interventions intended to alter primary or secondary sex characteristics related to an individual’s gender dysphoria diagnosis. The bill requires HHS to submit documentation to the federal centers for Medicare and Medicaid services for approval to administer a hospital directed payment program. Upon receipt of approval, the bill permits HHS to administer a hospital directed payment program. HHS may impose an assessment on a hospital. The bill includes transfer, cash flow, and nonreversion provisions, emergency rulemaking authority, and reporting requirements.

From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Changed since by amendment S-3158; see Amendments. Full bill text · What changed before it passed

House subcommittee

Named April 30, 2025 (as HSB 342). Meeting: Thursday, May 1 · 2:30 PM · RM 103.

Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part

1 written public comment to its subcommittee: April 30, 2025 (1) · on the Legislature’s site

Iowa Code it changes

Creates§249A.14 §249O.1 §249O.2

Amends§123.17 §249A.30A

Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works

Lobbying

8 for · 5 against · 53 undecided · Who →

Family tree

Where this legislation came from and where it went: earlier tries, the versions it moved through this Assembly, and later bills built on it.

Study bill

SSB 1237Renumbered HSB 342Renumbered

91st General Assembly

SF 649Didn’t advancefrom SSB 1237 HF 1049Became lawfrom HSB 342

Earlier and later bills are matched by wording or an identical title; check the text to be sure it’s the same idea.

Similar bills

SSB 1228 Relating to and making appropriations for veterans and health and human services, and rela…
91st General Assembly · In committee
Very similar

Matched by the wording of each bill’s explanation, or an identical title. Companion bills and renumbered versions of this bill aren’t listed; they’re the same bill.