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91st General Assembly · Iowa Funnel one-pager · Monday, November 9, 2026

HF 2518: Relating to the department of health and human services and reporting requirements for shelter care, residential treatment, and Medicaid provider reimbursement rates, and establishing provider reimbursement rates for Medicaid home and community-based waiver services

Died when the session ended · The 2026 session adjourned on May 3, 2026, the General Assembly’s last regular session. Bills that didn’t pass both chambers died.

What it does

This bill relates to reporting requirements for the department of health and human services (HHS) for shelter care, qualified residential treatment providers, and medical assistance provider reimbursement rates. The bill requires that upon implementation of a uniform cost report for shelter care and qualified residential treatment providers, HHS shall biennially conduct a rate review. On or before October of the calendar year following completion of the review, HHS shall report the results of the review and provide recommendations for rate adjustments to the governor and the general assembly.

Sponsors

Health and Human Services committee

Cost

Cost: up to $650,000

3 million for FY 2027, of which the State cost is $650,000 and the federal cost is $650,000. Source Department of Health and Human Services /s/ Jennifer Acton March 12, 2026 Doc ID 1601862 The fiscal note for this Bill was prepared pursuant to Joint Rule 17 an…

Senate subcommittee · named March 3, 2026

  • Sen. Mark Costello (R) · mark.costello@legis.iowa.gov
  • Sen. Mark S. Lofgren (R) · mark.lofgren@legis.iowa.gov
  • Sen. Mike Zimmer (D) · mike.zimmer@legis.iowa.gov

Lobbying · 25 for, 0 against

For: Air Methods; Autism Speaks; Brain Injury Association of Iowa; Classroom Clinic; Coalition for Family and Children's Services in Iowa; Easterseals Iowa; Ellipsis; Exceptional Persons, Inc.; Imagine the Possibilities; Integrated Telehealth Partners; Iowa Behavioral Health Association (IBHA); Iowa Developmental Disabilities Council; and 13 more

In plain words

  1. January 26, 2026Filed in the House and sent to the Health and Human Services committee · as HSB 621
  2. January 26, 2026House subcommittee named: Meyer, A., Brown-Powers, Wilz and H · as HSB 621
  3. February 5, 2026Subcommittee recommended passing it · as HSB 621
  4. February 10, 2026Approved by the House committee · as HSB 621
  5. February 10, 2026Committee vote: 21–0 · as HSB 621
  6. February 16, 2026Filed in the House
  7. February 16, 2026Approved by the House committee, and given a new number: HF 2518 · as HSB 621
  8. February 24, 2026Cost estimate (fiscal note) posted
  9. February 25, 2026Passed the House, 92–0
  10. February 25, 2026Arrived in the Senate
  11. March 3, 2026Senate subcommittee named: Costello, Lofgren and Zimmer
  12. March 10, 2026Subcommittee recommended passing it with changes
  13. March 12, 2026Cost estimate (fiscal note) posted

From public records at legis.iowa.gov, compiled by Iowa Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/91/HF2518