Bills › 91st General Assembly
Relating to private pay per diem rates at nursing facilities
Sponsored by Rep. Thomas Gerhold (R)
Topics:Health care
Where it is now
- Done: IntroducedMarch 6, 2025
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committeeFunnel: by February 20, 2026
- Next: Passes the House
- Next: Senate committeeFunnel: by March 20, 2026
- 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 private pay per diem rates at nursing facilities. The bill defines “per diem rate” (per diem) as the daily rate a nursing facility (facility) charges a private pay individual to reside in the facility pursuant to a contract executed by the facility and the private pay individual. The bill prohibits facilities from increasing a per diem by a percentage greater than the percentage change in the consumer price index for all urban consumers for the last available 12-month period published in the federal register by the federal bureau of labor statistics.
Read the full explanation
Facilities cannot change a per diem within months of establishing the per diem or more than once in a consecutive 12-month period. A facility is ineligible to renew its license unless the facility is in compliance with the bill. The bill requires the department of inspections, appeals, and licensing (DIAL) to adopt rules to implement the bill. The rules must include but not be limited to requiring facilities to submit a list of each per diem charged by the facility to DIAL on an annual basis in a format approved by DIAL that does not disclose the identity of any private pay individual. The bill applies to per diems established or renewed on or after the bill’s effective date.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text
Iowa Code it changes
Creates§135C.35D
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
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