Bills › 91st General Assembly
Directing the department of health and human services to increase the number of inpatient psychiatric beds at each state mental health institute
Sponsored by Rep. Shannon Latham (R), Rep. Ann Meyer (R)
Topics:Health careFamilies & human servicesMedicaidMental health & addiction
Same legislation: HF 2292
Where it is now
- Done: IntroducedJanuary 15, 2026
- Done: SubcommitteeJanuary 21, 2026
- Done: House committeeJanuary 29, 2026
- Skipped: Passes the HouseContinued as HF 2292
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Became HF 2292 → Its progress continues under the new number. Go to HF 2292 What’s a funnel?
What’s in it
AI summary Iowa's Department of Health and Human Services must at least double the number of hospital beds used for psychiatric care at state mental health institutes by July 2027. To pay for these extra beds, the state must ask the federal government for permission to use Medicaid funds for this purpose.1
Read the official explanation
This bill directs the department of health and human services (HHS), by July 1, 2027, to at least double the number of inpatient psychiatric beds (beds) based on the number of beds that were at each state mental health institute (MHI) on June 30, 2025. The bill requires HHS, by October 1, 2026, to apply to the centers for Medicare and Medicaid services of the United States department of health and human services for a waiver of Medicaid’s institution for mental diseases exclusion so the state may use Medicaid funds for the increase in inpatient psychiatric beds.
Changed since by amendment H-8019; see Amendments.
House subcommittee
Named January 21, 2026. On January 27, 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
AI summary This bill requires the Department of Health and Human Services to apply for a Medicaid waiver and double the number of inpatient psychiatric beds at the Cherokee and Independence Mental Health Institutes. The net increase to Medicaid expenditures is estimated at $4.3 million, while revenue returned to the General Fund is estimated to increase by $9.5 million. Implementation will involve significant one-time costs in fiscal year 2028 for infrastructure and staffing, including $5,700,000 for the Cherokee facility and $10,087,000 for the Independence facility.3
From the note: The total anticipated expenditures for HF 2292 are estimated to be $595,000 for FY 2027, of which the State cost is $298,000 and the federal cost is $298,000. 2 million and the federal cost is $139,000. 2 million. 5 million annually beginning in FY 2029. 9 million annually.
- Mental Health Institutes, Inpatient Psychiatric Bed Capacity · March 27, 2026 · $595,000
- Mental Health Institutes, Inpatient Psychiatric Bed Capacity · March 6, 2026 · $308,000
- Mental Health Institutes, Inpatient Psychiatric Bed Capacity · February 25, 2026 · $308,000
Lobbying
15 for · 1 against · 16 undecided · Who →
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91st General Assembly