Bills › 91st General Assembly
Relating to reporting requirements for the department of health and human services for shelter care, qualified residential treatment providers, and medical assistance provider reimbursement rates
Topics:Health careMedicaid
Same legislation: HF 2518
Where it is now
- Done: IntroducedJanuary 26, 2026
- Done: SubcommitteeJanuary 26, 2026
- Done: House committeeFebruary 10, 2026
- Done: Passes the HouseFebruary 25, 202692–0
- Next: Senate committeeFunnel: by March 20, 2026
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Became HF 2518 → Its progress continues under the new number. Go to HF 2518 What’s a funnel?
What’s in it
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.
Read the full explanation
_____ The bill requires HHS to conduct an annual review of rates for all medical and health services provided under the medical assistance program. HHS shall compare each rate to the rates for Medicaid programs in states contiguous to Iowa, in states with populations comparable to Iowa, and to the federal Medicare program, if applicable. The bill requires HHS to submit an annual report to the general assembly that summarizes the review. The bill requires HHS, with input from the public, providers, and other stakeholders, to conduct a review at least biennially beginning on July 1, 2026, of rates for services rendered under home and community-based services waivers (waivers) during the period of review specified by HHS; the review shall include the aggregate cost to the state and consumer utilization of waivers, along with the demonstrated capacity of providers to meet consumer demand for services with available resources and indicators of need for more resources. The bill requires HHS to use the findings of the review to develop proposed rate models and related changes to HHS policies and procedures. The bill defines “consumer”, “provider”, and “waiver”. The bill requires HHS to submit to the general assembly, on or before December of the year that the review is completed, a report detailing the proposed rate models, the fiscal impact of implementing such rates with documents supporting the actuarial soundness of the models, and the proposed changes to HHS policies and procedures.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Changed since by amendment H-8036; see Amendments. Full bill text
House subcommittee
Named January 26, 2026. On February 5, 2026 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
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 and the Iowa Code. Data used in developing this fiscal note is available from the Fiscal Services Division of the Legislative Services Agency upon request.
How the estimate changed
The largest dollar figure in each version’s summary.
- Public Assistance Rate Reviews, Annual Reporting to General Assembly · March 12, 2026 · $650,000
- Public Assistance Rate Reviews, Annual Reporting to General Assembly · February 24, 2026 · $500,000
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§249A.32C
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
25 for · 0 against · 10 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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