Back to the bill

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

SF 558: Relating to Medicaid program improvements, making an appropriation, and providing penalties

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

What it does

This bill relates to the Medicaid program. Division I of the bill requires the department of health and human services (HHS) to adopt administrative rules to ensure that services are provided to the Medicaid long-term services and supports (LTSS) population in a conflict-free manner. Specifically, the bill requires that case management services shall be provided by independent providers and that the supports intensity scale assessments are performed by independent assessors. Division II of the bill directs HHS to require each Medicaid managed care organization (MCO) with whom HHS executes a contract, to provide the option to LTSS population members to enroll in or transition to fee-for-service Medicaid program administration rather than managed care administration.

Sponsors

Sen. Molly Donahue (D), Sen. Sarah Trone Garriott (D), Sen. Janet Petersen (D), Sen. Zach Wahls (D), Sen. Mike Zimmer (D)

Cost

No fiscal note

Senate subcommittee · named March 10, 2025

  • Sen. Mike Klimesh (R) · mike.klimesh@legis.iowa.gov
  • Sen. Mark Costello (R) · mark.costello@legis.iowa.gov
  • Sen. Sarah Trone Garriott (D) · sarah.trone.garriott@legis.iowa.gov

In plain words

  1. March 6, 2025Filed in the Senate and sent to the Health and Human Services committee
  2. March 10, 2025Senate subcommittee named: Klimesh, Costello and Trone Garriott

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/SF558