Bills › 91st General Assembly

Creating the Iowa rural health transformation fund and making appropriations

Topics:State budgetHealth careRural hospitals & health care

Same legislation: HF 2468, HF 2743

Where it is now

  1. Done: IntroducedJanuary 26, 2026
  2. Done: SubcommitteeJanuary 26, 2026
  3. Done: House committeeFebruary 12, 2026
  4. Skipped: Passes the HouseContinued as HF 2468
  5. Next: Senate committee
  6. Next: Passes the Senate
  7. Next: To the Governor
  8. Next: Signed into law

Became HF 2468 → Its progress continues under the new number. Go to HF 2468 What’s a funnel?

What’s in it

AI summary Iowa will create a new fund to manage federal money meant for improving healthcare in rural areas. The Department of Health and Human Services will use these funds according to specific program rules and must report to the legislature how much money is spent and in which cities.1

Read the official explanation

_____ 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 The bill is repealed October 1, 2032.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

House subcommittee

Named January 29, 2026. On February 4, 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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