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

SF 476: Relating to the personal needs allowance under the medical assistance program

Died when the session ended · The General Assembly adjourned on October 2, 2026. Bills that didn’t pass both chambers died.

What it does

The inclusion of this explanation does not constitute agreement with the explanation’s substance by the members of the general assembly. This bill relates to the personal needs allowance under the medical assistance program. The personal needs allowance covers a person’s personal expenses not covered by the medical assistance program. Current law provides that a person who is a resident of a nursing facility, an intermediate care facility for persons with an intellectual disability or mental illness, or a psychiatric medical institution for children may retain a personal needs allowance of $50 per month.

Sponsors

Sen. Cherielynn Westrich (R)

Cost

See the fiscal note

6 million in FY 2026 and the same amount in FY 2027. 1 million of the total cost in FY 2026 and the same amount in FY 2027. Source Department of Health and Human Services /s/ Jennifer Acton March 24, 2025 Doc ID 1524980 The fiscal note for this Bill was prepar…

Lobbying · 9 for, 0 against

For: AARP Iowa; Disability Rights Iowa; Iowa Association of Community Providers; Iowa Developmental Disabilities Council; Iowa Integrated Health Planning and Advisory Council; Iowa Mental Health Advocacy; Iowa State Bar Association; LeadingAge Iowa; State Long-Term Care Ombudsman

In plain words

  1. March 3, 2025Filed in the Senate
  2. March 3, 2025Approved by the Senate committee
  3. March 24, 2025Cost estimate (fiscal note) posted
  4. June 16, 2025Sent to the Senate Health and Human Services committee

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/91/SF476