Bills › 91st General Assembly

HF 2743Died when the session ended · March 31, 2026

Creating the Iowa rural health transformation fund and making appropriations

Sponsored by the House Appropriations (successor To Hsb 619) Committee

Topics:State budgetHealth careRural hospitals & health care

Same legislation: HSB 619, HF 2468

Where it is now

  1. Done: IntroducedFebruary 16, 2026
  2. Done: SubcommitteeFebruary 24, 2026
  3. Done: House committeeMarch 18, 2026
  4. Done: Passes the HouseMarch 31, 202693–0
  5. Stopped: Senate committeeDied when the General Assembly ended
  6. Next: Passes the Senate
  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 will create a new fund to manage money from a federal rural health program. The Department of Health and Human Services will use this money to support rural health and must report to the state every three months about where the money was spent. These reports will show exactly which cities received the funds.1

Read the official explanation

This bill creates the Iowa rural health transformation fund (fund) under the control of the department of health and human services (HHS) consisting of moneys received from the federal rural health transformation program (RHTP). The moneys in the fund are appropriated to HHS for use in accordance with the requirements set forth for the program in the One Big Beautiful Bill Act (OBBBA). Moneys appropriated to the fund are not subject to reversion and any interest or earnings on moneys in the fund are to be credited to the fund. For so long as moneys are expended from the fund, HHS is required to report to the general assembly every fiscal quarter expenditures from the fund for the preceding fiscal quarter, including identifying by city where within the state moneys have been expended. HHS shall transmit a copy of all financial and performance reports submitted to the center for Medicare and Medicaid services of the United States department of health and human services for RHTP pursuant to OBBBA. The bill is repealed October 1, 2032.

Full bill text2

Senate subcommittee

Named April 6, 2026. On April 7, 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

1 written public comment to its subcommittee: March 2, 2026 (1) · on the Legislature’s site

Iowa Code it changes

Creates§135.107A

How the Code works3

Lobbying

4 for · 0 against · 29 undecided · Who →

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