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Bills › 91st General Assembly

HF 2468Renumbered as HF 2743 · March 20, 2026

Creating the Iowa rural health transformation fund and making appropriations

Sponsored by the House Health and Human Services Committee

Topics:State budgetHealth careRural hospitals & health care

Same legislation: HSB 619, HF 2743

Write your legislators about it

Also covers HSB 619 and HF 2743.

Official bill pageLobbyist declarationsOne-pager to print

Where it is now

  1. Done: IntroducedJanuary 26, 2026
  2. Done: SubcommitteeJanuary 26, 2026
  3. Done: House committeeFebruary 12, 2026
  4. Done: Passes the HouseMarch 31, 202693–0
  5. Next: Senate committeeFunnel: by March 20, 2026
  6. Next: Passes the Senate
  7. Next: To the Governor
  8. Next: Signed into law

Became HF 2743 → Its progress continues under the new number. Go to HF 2743 What’s a funnel?

What’s in it

This bill creates the Iowa rural health transformation fund (fund) under the control of the department of health and human services (HHS) consisting of moneys received from the federal rural health transformation program (RHTP). The moneys in the fund are appropriated to HHS for use in accordance with the requirements set forth for the program in the One Big Beautiful Bill Act (OBBBA). Moneys appropriated to the fund are not subject to reversion and any interest or earnings on moneys in the fund are to be credited to the fund.

Read the full explanation

For so long as moneys are expended from the fund, HHS is required to report to the general assembly every fiscal quarter expenditures from the fund for the preceding fiscal quarter, including identifying by city where within the state moneys have been expended. HHS shall transmit a copy of all financial and performance reports submitted to the center for Medicare and Medicaid services of the United States department of health and human services for RHTP pursuant to OBBBA. The bill is repealed October 1, 2032.

From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text

House subcommittee

Named February 24, 2026. On March 2, 2026 it recommended amendment and passage.

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: March 2, 2026 (1) · on the Legislature’s site

Iowa Code it changes

Creates§135.107A

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

Lobbying

4 for · 0 against · 29 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

HSB 619Renumbered

91st General Assembly

HF 2468Renumberedfrom HSB 619HF 2743Passed a chamberfrom HF 2468

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