Bills › 91st General Assembly

SF 538Died when the session ended · March 5, 2025

Establishing a working group on nursing home Medicaid payment recovery following the closure or sale of a nursing home

Topics:Health careFamilies & human servicesMedicaid

Where it is now

  1. Done: IntroducedMarch 5, 2025
  2. Done: SubcommitteeMarch 10, 2025
  3. Stopped: Senate committeeDied when the General Assembly ended
  4. Next: Passes the Senate
  5. Next: House committeeFunnel: by March 20, 2026
  6. Next: Passes the House
  7. Next: To the Governor
  8. Next: Signed into law

Died when the session ended The 2026 session adjourned on May 3, 2026, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?

What’s in it

AI summary Iowa is creating a special group to look into how the state recovers money paid for nursing home care. This group will study why some nursing home residents have to pay the state back after they pass away, while some nursing homes do not pay the state back when they close or are sold. They will eventually give the legislature a report with ideas on how to fix these issues and make the process more accountable.1

Read the official explanation

This bill establishes a working group on nursing home Medicaid payment recovery (working group). The working group shall review the discrepancy between nursing home residents who are subject to Medicaid estate recovery after receiving care from a nursing home, and nursing homes that are not subjected to Medicaid payment recovery following closure or sale of a nursing home. The working group shall consist of members as detailed in the bill. The department of health and human services shall provide administrative support for the working group and the director of health and human services, or the director’s designee, shall serve as the chairperson for the working group. The working group shall submit a report to the general assembly on or before February 28, 2026, containing recommendations to address potential issues with recovering a portion of Medicaid payments following the sale or closure of a nursing home, and any legislation to provide public accountability following sale or closure of a nursing home. The working group shall dissolve upon the submission of the report to the general assembly and the director of health and human services no later than March 1, 2026.

Full bill text2

Senate subcommittee

Named March 10, 2025. It hasn’t reported yet.

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

Lobbying

1 for · 0 against · 0 undecided · Who →