Bills › 91st General Assembly
Relating to Hawki coverage for the treatment of autism spectrum disorder applied behavior analysis services, and the autism support program
Sponsored by the House Health and Human Services Committee
Topics:Health careMedicaid
Same legislation: HSB 122
Where it is now
- Done: IntroducedFebruary 3, 2025
- Done: SubcommitteeFebruary 3, 2025
- Done: House committeeFebruary 18, 2025
- Done: Passes the HouseMarch 20, 202589–0
- Stopped: Senate committeeDied when the General Assembly ended
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The General Assembly adjourned on October 2, 2026. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill relates to the healthy and well kids in Iowa program (Hawki) coverage for applied behavior analysis services for the treatment of autism spectrum disorder, and the autism support fund. The bill prohibits the department of health and human services (HHS) from approving new applications for the autism support program (program) on or after July 1, 2025. HHS shall continue to provide treatment and make payments pursuant to the program for an individual whose application is approved on or before June 30, 2025, if the individual remains eligible for the program.
Read the full explanation
The bill repeals the program July 1, 2027. The bill requires the medical assistance advisory council to adopt rules to include applied behavior analysis services for the treatment of autism as benefits covered in a qualified child health plan included in a benchmark or benchmark equivalent plan and which comply with Tit. XXI of the federal Social Security Act. The bill requires, upon the repeal of Code chapter 225D on July 1, 2027, any unencumbered and unobligated moneys remaining in the autism support fund be transferred to the Hawki trust fund.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text
Senate subcommittee
Named March 26, 2025. On April 1, 2025 it recommended 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
Fiscal note
Cost: up to $756,000 Compare with other bills
House File 509 is estimated to increase State Hawki expenditures by approximately $753,000 in FY 2026 and approximately $756,000 in FY 2027 to add applied behavioral analysis treatment to the Hawki program. 9 million annually. Figure 1 shows the annual breakdown of State and federal costs. Beginning in FY 2028, there will be no more expenditures for the Autism Support Program.
- Hawki, Applied Behavior Analysis and Autism Support · March 19, 2025
Nonpartisan cost estimates from the Legislative Services Agency’s Fiscal Services Division. The newest is first. Reading a fiscal note
Iowa Code it changes
Creates§225D.3
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
14 for · 0 against · 13 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.
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91st General Assembly
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