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

HSB 739: Relating to the Medicaid home and community-based services elderly waiver program, including transition planning and assisted living services

Became HF 2641 · Its progress continues under the new number.

What it does

This bill relates to the Medicaid home and community-based services elderly waiver program (elderly waiver), including transition planning and assisted living services. _____ The bill directs the department of health and human services (HHS) to adopt rules to allow case managers and care coordination team members to work with a resident of a skilled nursing facility, family members of the resident, and other skilled nursing facility staff to initiate transition planning from the skilled nursing facility to the elderly waiver program prior to the discharge of the resident.

Cost

See the fiscal note

5 million. 4 million. Figure 1 shows the breakout of costs in FY 2027 to implement HF 2641. Figure 2 shows annual, ongoing costs for FY 2028.

House subcommittee · named February 12, 2026

Rep. Hans C. Wilz (R) · hans.wilz@legis.iowa.gov
Rep. Dr. Steven P. Bradley (R) · steven.bradley@legis.iowa.gov
Rep. Timi M. Brown-Powers (D) · timi.brown-powers@legis.iowa.gov

Lobbying · 2 for, 0 against

For: Iowa Health Care Association; Iowa Speech Language Hearing Association

In plain words

February 12, 2026Filed in the House and sent to the Health and Human Services committee
February 12, 2026House subcommittee named: Wilz, H., Bradley and Brown-Powers
February 17, 2026Approved by the House committee
February 17, 2026Committee vote: 21–0
February 19, 2026Approved by the House committee, and given a new number: HF 2641